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Intensive care medicine

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improvement, and manage mechanical ventilation parameters. They may be involved in emergency care like inserting and managing an airway, humidification of oxygen, administering diagnostic lung mechanics tests, invasive or non-invasive mechanical ventilation management, weaning the ventilator, aerosol therapy (pulmonary vasodilatory medications included), inhaled Nitric oxide therapy, arterial blood gas analysis, and providing physiotherapy. Additionally, Respiratory Therapists are commonly involved in ECMO management and many pursue certification in such therapies due to the intimate relationship of the heart and lungs. On-going critical care management of an ECMO patient commonly requires strict ventilator management in relation to the type of ECMO support used.
414:, formerly and inaccurately referred to as ICU psychosis, is a syndrome common in intensive care and cardiac units where patients who are in unfamiliar, monotonous surroundings develop symptoms of delirium (Maxmen & Ward, 1995). This may include interpreting machine noises as human voices, seeing walls quiver, or hallucinating that someone is tapping them on the shoulder. There exists systematic reviews in which interventions of sleep promotion related outcomes in the ICU have proven impactful in the overall health of patients in the ICU. 1178:
pharmacy may pursue additional training in a postgraduate residency and become certified as critical care pharmacists. Pharmacists help manage all aspects of drug therapy and may pursue additional credentialing in critical care medicine as BCCCP by the Board of Pharmaceutical Specialties. Many critical care pharmacists are a part of the multi-professional Society of Critical Care Medicine. Inclusion of pharmacist decreases drug reactions and poor outcomes for patients.
410:), higher ICU volume was significantly associated with lower ICU and hospital mortality rates. For example, adjusted ICU mortality (for a patient at average predicted risk for ICU death) was 21.2% in hospitals with 87 to 150 mechanically ventilated patients annually, and 14.5% in hospitals with 401 to 617 mechanically ventilated patients annually. Hospitals with intermediate numbers of patients had outcomes between these extremes. 4499: 4529: 4539: 58: 4519: 4509: 1244: 1177:
work with the medical team in many aspects, but some include, monitoring serum concentrations of medication, past medication use, current medication use, and medication allergies. Their typically round with the team, but it may differ by institution. Some pharmacist after attaining their doctorate or
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units provide better patient outcomes. Patient management in intensive care differs between countries. Open units are the most common structure in the United States, but closed units are often found at large academic centers. Intermediate structures that fall between open and closed units also exist.
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For a time in the early 1960s, it was not clear that specialized intensive care units were needed, so intensive care resources were brought to the room of the patient that needed the additional monitoring, care, and resources. It became rapidly evident, however, that a fixed location where intensive
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had developed one of the first artificial positive-pressure volume-controlled ventilators, which eventually replaced the medical students. With the change in care, mortality during the epidemic declined from 90% to around 25%. Patients were managed in three special 35-bed areas, which aided charting
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may pursue additional education and training in critical care medicine leading to certification as a CCRN by the American Association of Critical Care Nurses a standard that was begun in 1975. These certifications became more specialized to the patient population in 1997 by the American Association
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There are two common ICU structures: closed and open. In a closed unit, the intensivist takes on the primary role for all patients in the unit. In an open ICU, the primary physician, who may or may not be an intensivist, can differ for each patient. There is increasingly strong evidence that closed
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and core training in either emergency medicine, anaesthetics, acute medicine or core medicine. Most trainees dual train with one of these specialties; however, it has recently become possible to train purely in intensive care medicine. It has also possible to train in sub-specialties of intensive
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Intensive care training is provided as a fellowship and is awarded as a Sub-Specialty certificate of Critical Care (Cert. Critical Care) which is awarded by the Colleges of Medicine of South Africa. Candidates are eligible to enter sub specialty training after completing specialty training in
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may pursue additional education and training leading to credentialing in adult critical care (ACCS) and neonatal and pediatric (NPS) specialties. Respiratory therapists have been trained to monitor a patient's breathing, provide treatments to help their breathing, evaluate for respiratory
367:(ICU) or critical care unit (CCU). Many hospitals also have designated intensive care areas for certain specialities of medicine. The naming is not rigidly standardized, and types of units are dictated by the needs and available resources of each hospital. These include: 1164:
are other types of non-physician providers that care for patients in ICUs. These providers have fewer years of in-school training, typically receive further clinical on the job education, and work as part of the team under the supervision of physicians.
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Medical studies suggest a relation between ICU volume and quality of care for mechanically ventilated patients. After adjustment for severity of illness, demographic variables, and characteristics of the ICUs (including staffing by
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and controlled ventilation. The following year, Ibsen was elected head of the department of anaesthesiology at that institution. He jointly authored the first known account of intensive care management principles in the journal
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Patients are admitted to the intensive care unit if their medical needs are greater than what the general hospital ward can provide. Indications for the ICU include blood pressure support for cardiovascular instability
1113:. Intensivists with a primary training in internal medicine sometimes pursue combined fellowship training in another subspecialty such as pulmonary medicine, cardiology, infectious disease, or nephrology. The American 1016:
ICU care requires more specialized patient care; this need has led to the use of a multidisciplinary team to provide care for patients. Staffing between Intensive care units by country, hospital, unit, or institution.
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in the 1850s, she introduced the practice of moving the sickest patients to the beds directly opposite the nursing station on each ward so that they could be monitored more closely. In 1923, the American
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Hanson CW; Deutschman, CS; Anderson, HL; Reilly, PM; Behringer, EC; Schwab, CW; Price, J (1999). "Effects of an organized critical care service on outcomes and resource utilization: a cohort study".
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Nutrition in intensive care units presents unique challenges due to changes in patient metabolism and physiology while critically ill. Critical care nutrition is rapidly becoming a subspecialty for
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and gas exchange in the body, or to assess the function of organs such as the heart and lungs. Broadly, there are two common types of monitoring in the ICU: noninvasive and invasive.
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Halpern, Neil A.; Pastores, Stephen M.; Greenstein, Robert J. (June 2004). "Critical care medicine in the United States 1985–2000: An analysis of bed numbers, use, and costs".
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Intensive care units are associated with increased risk of various complications that may lengthen a patient's hospitalization. Common complications in the ICU include:
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Noninvasive monitoring does not require puncturing the skin and usually does not cause pain. These tools are more inexpensive, easier to perform, and faster to result.
1993:"The development of apparatus for intermittent negative pressure respiration (2) 1919–1976, with special reference to the development and uses of cuirass respirators" 614:
Invasive monitoring generally provides more accurate measurements, but these tests may require blood draws, puncturing the skin, and can be painful or uncomfortable.
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that deals with seriously or critically ill patients who have, are at risk of, or are recovering from conditions that may be life-threatening. It includes providing
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In the United States, the specialty requires additional fellowship training for physicians having completed their primary residency training in internal medicine,
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to make a primary recommendation that all ICU patients be managed or co-managed by a dedicated intensivist who is exclusively responsible for patients in one ICU.
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Sommers, Juultje; Engelbert, Raoul HH; Dettling-Ihnenfeldt, Daniela; Gosselink, Rik; Spronk, Peter E; Nollet, Frans; van der Schaaf, Marike (November 2015).
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Intensive care usually takes a system-by-system approach to treatment. In alphabetical order, the key systems considered in the intensive care setting are:
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Halpern NA, Pastores SM, Greenstein RJ (June 2004). "Critical care medicine in the United States 1985–2000: an analysis of bed numbers, use, and costs".
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Flannery, Alexander H.; Oyler, Douglas R.; Weinhouse, Gerald L. (December 2016). "The Impact of Interventions to Improve Sleep on Delirium in the ICU".
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Most medical research has demonstrated that ICU care provided by intensivists produces better outcomes and more cost-effective care. This has led the
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Ibsen, B; Kvittingen, T.D. (1958). "Arbejdet på en Anæsthesiologisk Observationsafdeling" [Work in an Anaesthesiological Observation Unit].
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Intensive care relies on multidisciplinary teams composed of many different health professionals. Such teams often include doctors, nurses,
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Training usually takes place over 2 years during which time candidates rotate through different ICU's (Medical, Surgical, Paediatric etc.)
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is a medical association of professionals in the anesthetics and intensive care fields. It was established in 1955 by members of the
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refers to various tools and technologies used to obtain information about a patient's condition. These can include tests to evaluate
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provision of intensive care services spread throughout a hospital. In 1962, in the University of Pittsburgh, the first critical care
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Intensive care physicians have some of the highest percentages of physician burnout among all medical specialties, at 48 percent.
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Anaesthetics, Surgery, Internal Medicine, Obstetrics and Gynaecology, Paediatrics, Cardiothoracic surgery or Neurosurgery.
3131: 3114: 2819:"A working lexicon for the tele-intensive care unit: We need to define tele-intensive care unit to grow and understand it" 2739: 489: 2744: 4374: 3108: 2631:. Haist, Steven A., University of Kentucky. College of Medicine. (11th ed.). New York: McGraw-Hill Companies, Inc. 925: 824: 782: 461: 324: 4018: 2995: 3534: 3468: 2431: 497: 3998: 3126: 3071: 2613: 2560: 2510: 1977: 1701: 1570: 1511: 1446: 1339: 1220:
In general, it is the most expensive, technologically advanced and resource-intensive area of medical care. In the
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to evaluate internal structures including the heart, lungs, gallbladder, liver, kidneys, bladder, and blood vessels
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of secretions. Ibsen changed the management directly by instituting long-term positive pressure ventilation using
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who can pursue additional training and achieve certification in enteral and parenteral nutrition through the
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can be used to deliver artificial nutrition, but can also be used to remove stomach and intestinal contents
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Interventions such as early mobilization or exercises to improve muscle strength are sometimes suggested.
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Manthous, CA; Amoateng-Adjepong, Y; Al-Kharrat, T; Jacob, B; Alnuaimat, HM; Chatila, W; Hall, JB (1997).
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is a well-established multi professional society for practitioners working in the ICU including nurses,
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Berthelsen, P.G.; Cronqvist, M. (2003). "The first intensive care unit in the world: Copenhagen 1953".
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Respiratory therapists often work in intensive care units to monitor how well a patient is breathing.
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ESPNIC: The society for paediatric and neonatal intensive care healthcare professionals in Europe
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Olson, Terrah; Brasel, Karen; Redmann, Andrew; Alexander, G.; Schwarze, Margaret (January 2013).
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Intravesicular manometry (bladder pressure) measurements to assess for intra-abdominal pressure
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to aid in the function of the left ventricle, commonly in patients with advanced heart failure
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pioneered efforts to use a separate hospital area for critically injured patients. During the
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In the UK, doctors can only enter intensive care medicine training after completing two
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to manually pump oxygen and air into the patients' lungs round the clock. At this time,
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Reynolds, H.N.; Rogove, H.; Bander, J.; McCambridge, M.; et al. (December 2011).
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A patient of an intensive care unit in a German hospital in 2015, with two staples of
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Kahn, JM; Goss, CH; Heagerty, PJ; Kramer, AA; O'Brien, CR; Rubenfeld, GD (2006).
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Critical care medicine : principles of diagnosis and management in the adult
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to monitor various blood components as well as administer therapeutic treatments
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care resources and dedicated personnel were available provided better care than
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Nurses that work in the critical care setting are typically registered nurses.
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Barrett ML; Smith MW; Elizhauser A; Honigman LS; Pines JM (December 2014).
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which includes heart rate, blood pressure, breathing rate, body temperature
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Doiron, Katherine A.; Hoffmann, Tammy C.; Beller, Elaine M. (March 2018).
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Nolen-Hoeksema, Susan. "Neurodevelopmental and Neurocognitive Disorders."
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to monitor the function of the heart, blood volume, and tissue oxygenation
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Procedures and Techniques in Intensive Care Medicine by Irwin and Rippe
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Yim, KM; Ko, HF; Yang, Marc LC; Li, TY; Ip, S; Tsui, J (20 June 2018).
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Critical care medicine is an increasingly important medical specialty.
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coronary intensive care unit (CCU or sometimes CICU) for heart disease
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of Critical care Nurses, to include pediatrics, neonatal and adult.
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In Australia, the training in intensive care medicine is through
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College of Intensive Care Medicine - Australia and New Zealand
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to look at lungs and airways and sample fluid within the lungs
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Intensive care is usually provided in a specialized unit of a
2041:"The Birth of Intensive Care Medicine: Björn Ibsen's Records" 1062:
German Society of Anaesthesiology and Intensive Care Medicine
599:(TEB) cardiography to monitor fluid status and heart function 492:. He provided one of the first accounts of the management of 2799: 2224: 1884:"Critical care – where have we been and where are we going?" 1758:"Hospital volume and the outcomes of mechanical ventilation" 3724: 2982: 2962: 1029:
with training in critical care medicine are referred to as
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European Society of Paediatric and Neonatal Intensive Care
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history reference: Brazilian Society of Critical Care
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Critical illness–related corticosteroid insufficiency
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American Society for Parenteral and Enteral Nutrition
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to assess pressures inside the skull and on the brain
31:"Intensive care" redirects here. For other uses, see 484:
In 1953, Ibsen set up what became the world's first
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to evaluate the function and structure of the heart
517:was established in the United States. In 1970, the 214: 196: 161: 156: 144: 132: 127: 104: 83: 67: 2978:ESICM: European Society of Intensive Care Medicine 2920:History of British Intensive Care, c. 1950–c. 2000 27:Medical care subspecialty, treating critically ill 2435:. 3 June 2008. Volume 148, Issue 11. pp. 801–809. 62:A patient being managed in an intensive care unit 2963:Australia and New Zealand Intensive Care Society 2923:. Wellcome Witnesses to Contemporary Medicine. 856:to assist breathing and oxygenation through an 785:for atrial, ventricular, or dual-chamber pacing 2973:Veterinary Emergency And Critical Care Society 2800:Brazilian Society of Intensive Care - SOBRATI 2707:"Utilization of Intensive Care Services, 2011" 1877: 1875: 1380:"Critical Care Medicine Specialty Description" 621:to directly monitor blood pressure and obtain 274:, among others. They usually work together in 3740: 3045: 383:pediatric cardiac intensive care unit (PCICU) 8: 2925:History of Modern Biomedicine Research Group 1308:Civetta, Taylor, & Kirby's critical care 1153:Nurse practitioners and physician assistants 874:to remove fluid or air in the pleural cavity 791:to stabilize patients with cardiogenic shock 118: 48: 3005:Hong Kong Society of Critical Care Medicine 2413:Healthcare Financial Management Association 2300:The Cochrane Database of Systematic Reviews 971:Catheter-associated urinary tract infection 650:(PICC) lines for drug infusions, fluids or 4029:Reproductive endocrinology and infertility 3774: 3747: 3733: 3725: 3144: 3052: 3038: 3030: 2740:Civetta, Taylor, and Kirby's Critical Care 2735:Intensive Care Medicine by Irwin and Rippe 2608:: CS1 maint: location missing publisher ( 2555:: CS1 maint: location missing publisher ( 2505:: CS1 maint: location missing publisher ( 1972:: CS1 maint: location missing publisher ( 1565:: CS1 maint: location missing publisher ( 1506:: CS1 maint: location missing publisher ( 1441:: CS1 maint: location missing publisher ( 864:(invasive) or mask, helmet (non-invasive). 577:to assess electrical activity of the brain 488:in a converted student nurse classroom in 4370:Bachelor of Medicine, Bachelor of Surgery 3010:Chinese Society of Critical Care Medicine 2888: 2845: 2384: 2327: 2270: 2260: 2122: 2008: 1917: 1899: 1732: 1603: 966:Catheter-associated bloodstream infection 593:for monitoring oxygen levels in the blood 505:, with Tone Dahl Kvittingen from Norway. 182:Bachelor of Medicine, Bachelor of Surgery 3015:Taiwan Society of Critical Care Medicine 1535:Evidence-based practice of critical care 1288: 827:to sample fluid in the abdominal cavity 401:ICU in the emergency department (E-ICU) 2601: 2548: 2498: 1965: 1693: 1558: 1499: 1434: 1331: 648:peripherally inserted central catheter 386:neuroscience critical care unit (NCCU) 298:for heart rate, blood pressure and an 117: 47: 2572: 2570: 2469: 2467: 2409:"What – or Who -- Is an Intensivist?" 801:Extracorporeal membranous oxygenation 7: 4508: 4269:Physical medicine and rehabilitation 3540:Recombinant activated protein C 1664: 1662: 1660: 1529: 1527: 1525: 1523: 1521: 1470: 1468: 1466: 1464: 1462: 1460: 1458: 1456: 1405: 1403: 1401: 1399: 1397: 1302: 1300: 1298: 1296: 1294: 1292: 380:pediatric intensive care unit (PICU) 331:. Other ICU needs include airway or 4518: 3253:Multiple organ dysfunction syndrome 3238:Acute respiratory distress syndrome 3178:Multiple organ dysfunction syndrome 2148:Acta Anaesthesiologica Scandinavica 1766:The New England Journal of Medicine 1263:Extracorporeal membrane oxygenation 398:neonatal intensive care unit (NICU) 395:/trauma intensive-care unit (STICU) 377:surgical intensive care unit (SICU) 345:multiple organ dysfunction syndrome 4405:Medical Scientist Training Program 2773:10.1097/01.CCM.0000128577.31689.4C 2676:10.1097/01.CCM.0000128577.31689.4C 2010:10.1111/j.1365-2044.1976.tb11849.x 1050:College of Intensive Care Medicine 783:Temporary cardiac pacing catheters 583:to detect abnormal heart rhythms, 557:to confirm correct position of an 481:medications and other management. 389:overnight intensive-recovery (OIR) 374:medical intensive care unit (MICU) 25: 3651:Society of Critical Care Medicine 3348:Ventilator-associated lung injury 3020:From Iron Lungs to Intensive Care 2968:Society of Critical Care Medicine 2812:Society of Critical Care Medicine 1115:Society of Critical Care Medicine 881:insertion and ongoing management. 722:Airway management and anaesthesia 519:Society of Critical Care Medicine 4537: 4527: 4517: 4507: 4498: 4497: 2160:10.1046/j.1399-6576.2003.00256.x 2039:Reisner-Sénélar, Louise (2011). 1643:10.1097/00003246-199902000-00030 1242: 825:Peritoneal aspiration and lavage 635:Intracranial pressure monitoring 438:created a three-bed unit at the 56: 4538: 3353:Ventilator-associated pneumonia 3286:Critical illness polyneuropathy 2993:Scottish Intensive Care Society 1083:pre-hospital emergency medicine 996:Ventilator-associated pneumonia 952:Common complications in the ICU 343:, more commonly referred to as 33:Intensive Care (disambiguation) 4395:Doctor of Osteopathic Medicine 3829:Oral and maxillofacial surgery 2312:10.1002/14651858.CD010754.pub2 1382:. American Medical Association 1211:Ethical and medicolegal issues 944:Physiotherapy and mobilization 900:including but not limited to: 597:Thoracic electric bioimpedance 176:Doctor of Osteopathic Medicine 1: 3132:Geriatric intensive-care unit 3115:Pediatric intensive care unit 2262:10.12688/f1000research.8991.1 1001:Ventilator-induced barotrauma 926:neuromuscular blocking agents 736:Induction and maintenance of 698:(and nutritional condition), 490:Copenhagen Municipal Hospital 462:negative pressure ventilators 355:Types of intensive care units 4375:Bachelor of Medical Sciences 4142:Neurosurgical anesthesiology 3535:Neuromuscular-blocking drugs 3478:Nutritional supplementation 3109:Neonatal intensive care unit 2881:10.1001/jamasurgery.2013.403 2629:Clinician's pocket reference 2627:Gomella, Leonard G. (2007). 2450:American Medical Association 2060:. Retrieved 2 October 2012. 1882:Vincent, Jean-Louis (2013). 1842:10.1097/ccm.0000000000001952 789:Intra-aortic balloon pumping 575:Electroencephalography (EEG) 498:neuromuscular-blocking drugs 452:became involved in the 1952 339:. The cumulative effects of 325:post-cardiac arrest syndrome 3635:Water-electrolyte imbalance 3469:Early goal-directed therapy 2432:Annals of Internal Medicine 1476:Principles of critical care 710:(including sepsis status), 4580: 3487:Total parenteral nutrition 3420:Life-supporting treatments 3127:Critical illness insurance 1991:Woollam, C. H. M. (1976). 936:as well as broad spectrum 877:Percutaneous dilatational 652:total parenteral nutrition 629:Blood draws or venipucture 278:(ICUs) within a hospital. 29: 4493: 3656:Surviving Sepsis Campaign 3452:Ventricular assist device 3447:Intra-aortic balloon pump 3398:Pulmonary artery catheter 3067: 2988:UK Intensive Care Society 2826:Telemedicine and e-Health 2243:Huygh J (December 2016). 1721:Hong Kong Medical Journal 1066:German Society of Surgery 981:Gastrointestinal bleeding 795:Ventricular assist device 670:Procedures and treatments 663:Pulmonary artery catheter 587:, and coronary blood flow 294:on the right behind him, 55: 4329:Transplantation medicine 4220:Clinical neurophysiology 4137:Obstetric anesthesiology 4057:Interventional radiology 3817:Digestive system surgery 2525:Current surgical therapy 2369:10.1177/0269215514567156 2089:Engstrom, C.-G. (1954). 1273:Chronic critical illness 1081:care medicine including 815:for artificial nutrition 746:rapid sequence induction 585:electrolyte disturbances 119:Intensive care physician 108:Intensive care physician 4564:Intensive care medicine 4200:Intensive care medicine 4174:Mass gathering medicine 4019:Maternal–fetal medicine 3550:Stress ulcer prevention 3494:Therapeutic hypothermia 3393:Central venous catheter 3061:Intensive care medicine 2998:7 December 2021 at the 2475:Pediatric critical care 2357:Clinical Rehabilitation 2057:Intensive Care Medicine 1591:Mayo Clinic Proceedings 807:Gastro-intestinal tract 750:endotracheal intubation 696:gastro-intestinal tract 563:mechanically ventilated 229:Intensive care medicine 121:Critical care physician 110:Critical care physician 49:Intensive care medicine 3792:Cardiothoracic surgery 3625:Level of consciousness 3432:mechanical ventilation 3330:Methicillin-resistant 2760:Critical Care Medicine 2745:The ICU Book by Marino 2711:HCUP Statistical Brief 2663:Critical Care Medicine 2107:10.1136/bmj.2.4889.666 2046:6 October 2012 at the 1830:Critical Care Medicine 1700:: CS1 maint: others ( 1630:Critical Care Medicine 1338:: CS1 maint: others ( 1258:Mechanical ventilation 1204:Respiratory therapists 1198:Respiratory therapists 1119:respiratory therapists 991:Venous thromboembolism 854:Mechanical ventilation 819:Nasogastric intubation 754:mechanical ventilation 688:central nervous system 540:Noninvasive monitoring 472:, and he enlisted 200 440:Johns Hopkins Hospital 341:multiple organ failure 337:respiratory compromise 307: 268:respiratory therapists 233:critical care medicine 51:Critical care medicine 4443:Personalized medicine 4302:Reproductive medicine 4227:Occupational medicine 4181:Evolutionary medicine 3332:Staphylococcus aureus 3026:debate, February 2012 2838:10.1089/tmj.2011.0045 2612:) CS1 maint: others ( 2559:) CS1 maint: others ( 2509:) CS1 maint: others ( 2419:on 27 September 2009. 1976:) CS1 maint: others ( 1816:(Ab)normal Psychology 1569:) CS1 maint: others ( 1510:) CS1 maint: others ( 1445:) CS1 maint: others ( 1278:Critical care nursing 1182:Registered dietitians 1072:In the United Kingdom 714:(and metabolic), and 684:cardiovascular system 302:(top) and a portable 289: 4463:Traditional medicine 4423:Alternative medicine 4290:Addiction psychiatry 4104:Transfusion medicine 4099:Medical microbiology 4014:Gynecologic oncology 3866:Reproductive surgery 3307:Stress hyperglycemia 3148:Organ system failure 3082:Medical specialities 2796:History references: 1779:10.1056/NEJMsa053993 1411:Basics of anesthesia 1360:on 24 September 2021 1162:physician assistants 1089:In the United States 704:integumentary system 478:Carl-Gunnar Engström 424:Florence Nightingale 276:intensive care units 4485:History of medicine 4468:Veterinary medicine 4275:Preventive medicine 4127:Adolescent medicine 3969:Infectious diseases 3670:Related specialties 3630:Acid–base imbalance 3566:ICU scoring systems 3437:Tracheal intubation 3248:Respiratory failure 3243:Acute liver failure 3233:Acute renal failure 3103:Intensive care unit 3087:Respiratory therapy 1942:Miller's Anesthesia 1734:10.12809/hkmj176902 1158:Nurse practitioners 961:Acute renal failure 842:acute kidney injury 610:Invasive monitoring 486:intensive care unit 470:tracheal intubation 365:intensive care unit 329:cardiac arrhythmias 264:physical therapists 124: 91:Respiratory failure 52: 4433:Molecular oncology 4390:Doctor of Medicine 4380:Master of Medicine 4297:Radiation oncology 4169:Emergency medicine 4122:Addiction medicine 4089:Clinical chemistry 4084:Clinical pathology 3876:Transplant surgery 3834:Orthopedic surgery 3812:Colorectal surgery 3579:Glasgow Coma Scale 3530:Intravenous fluids 3410:Screening cultures 3378:Arterial blood gas 3343:Refeeding syndrome 3260:Neonatal infection 3221:Vasodilatory shock 3196:Distributive shock 3121:Coronary care unit 1121:, and physicians. 1107:emergency medicine 716:respiratory system 623:arterial blood gas 422:The English nurse 308: 296:monitoring screens 170:Doctor of Medicine 163:Education required 99:Multiorgan failure 4551: 4550: 4385:Master of Surgery 4349: 4348: 4334:Tropical medicine 4280:Prison healthcare 4195:Hospital medicine 4159:Disaster medicine 4149:Aviation medicine 3964:Hospital medicine 3871:Surgical oncology 3856:Pediatric surgery 3850: 3797:Endocrine surgery 3722: 3721: 3682:Internal medicine 3428:Airway management 3366: 3365: 3206:Obstructive shock 3191:Cardiogenic shock 3024:Royal Institution 2934:978-0-902238-75-6 2638:978-0-07-145428-5 2587:978-0-323-49742-8 2534:978-0-323-37691-4 2484:978-0-323-37839-0 2363:(11): 1051–1063. 2232:Historical photos 2154:(10): 1190–1195. 2101:(4889): 666–669. 1951:978-0-323-61264-7 1836:(12): 2231–2240. 1679:978-0-323-07095-9 1544:978-0-323-64069-5 1317:978-0-7817-6869-6 887:including lavage. 872:tube thoracostomy 858:endotracheal tube 676:airway management 581:Electrocardiogram 559:endotracheal tube 447:anaesthesiologist 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(2011). 2913:Lois Reynolds; 2912: 2909: 2907:Further reading 2862: 2832:(10): 773–783. 2821: 2816: 2756: 2731: 2726: 2704: 2703: 2699: 2659: 2658: 2654: 2639: 2626: 2625: 2621: 2600: 2588: 2578:Total burn care 2576: 2575: 2568: 2547: 2535: 2523: 2522: 2518: 2497: 2485: 2473: 2472: 2465: 2455: 2453: 2452:. 3 August 2018 2444: 2443: 2439: 2428: 2424: 2407: 2406: 2402: 2350: 2349: 2345: 2293: 2292: 2288: 2242: 2241: 2237: 2222: 2218: 2205:(38): 1349–55. 2199:Nordisk Medicin 2196: 2195: 2191: 2145: 2144: 2140: 2088: 2087: 2083: 2076: 2069: 2068: 2064: 2048:Wayback Machine 2038: 2034: 1990: 1989: 1985: 1964: 1952: 1940: 1939: 1935: 1901:10.1186/cc11500 1881: 1880: 1873: 1827: 1826: 1822: 1813: 1809: 1801: 1760: 1755: 1754: 1750: 1714: 1713: 1709: 1692: 1680: 1668: 1667: 1658: 1626: 1625: 1621: 1583: 1582: 1578: 1557: 1545: 1533: 1532: 1519: 1498: 1486: 1474: 1473: 1454: 1433: 1421: 1409: 1408: 1395: 1385: 1383: 1378: 1377: 1373: 1363: 1361: 1352: 1351: 1347: 1330: 1318: 1306: 1305: 1290: 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3143: 3139: 3133: 3130: 3128: 3125: 3122: 3119: 3116: 3113: 3110: 3107: 3104: 3101: 3100: 3098: 3096:General terms 3094: 3088: 3085: 3083: 3080: 3078: 3075: 3073: 3070: 3069: 3066: 3062: 3055: 3050: 3048: 3043: 3041: 3036: 3035: 3032: 3025: 3021: 3018: 3016: 3013: 3011: 3008: 3006: 3003: 3001: 2997: 2994: 2991: 2989: 2986: 2984: 2981: 2979: 2976: 2974: 2971: 2969: 2966: 2964: 2961: 2959: 2956: 2955: 2951: 2944: 2940: 2936: 2930: 2926: 2922: 2921: 2916: 2911: 2910: 2906: 2900: 2896: 2891: 2886: 2882: 2878: 2874: 2870: 2866: 2861: 2857: 2853: 2848: 2847:2027.42/90470 2843: 2839: 2835: 2831: 2827: 2820: 2815: 2813: 2810: 2806: 2803: 2801: 2798: 2797: 2795: 2790: 2786: 2782: 2778: 2774: 2770: 2767:(6): 1254–9. 2766: 2762: 2761: 2755: 2753: 2752: 2748: 2746: 2743: 2741: 2738: 2736: 2733: 2732: 2728: 2720: 2716: 2712: 2708: 2701: 2698: 2693: 2689: 2685: 2681: 2677: 2673: 2669: 2665: 2664: 2656: 2653: 2648: 2644: 2640: 2634: 2630: 2623: 2620: 2615: 2611: 2605: 2597: 2593: 2589: 2583: 2579: 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ulcer 3216:Spinal shock 3173:Septic shock 3060: 2919: 2915:Tilli Tansey 2875:(1): 29–35. 2872: 2869:JAMA Surgery 2868: 2829: 2825: 2764: 2758: 2750: 2710: 2700: 2667: 2661: 2655: 2628: 2622: 2577: 2524: 2519: 2474: 2454:. 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Retrieved 1358:the original 1348: 1307: 1219: 1201: 1185: 1172: 1156: 1143: 1135: 1131: 1127: 1126: 1123: 1092: 1075: 1059: 1047: 1044:In Australia 1035: 1031:intensivists 1024: 1015: 955: 947: 895: 885:Bronchoscopy 879:tracheostomy 813:Feeding tube 732:laryngoscopy 708:microbiology 673: 657:Bronchoscopy 644:Central line 625:measurements 613: 543: 528: 521:was formed. 510: 507: 502: 483: 456:epidemic in 444: 436:Walter Dandy 433:neurosurgeon 421: 412:ICU delirium 408:intensivists 404: 358: 349: 313:hypertension 309: 304:hemodialysis 261: 257:intensivists 247:techniques, 241:life support 232: 228: 227: 216:Related jobs 185: 84:Significant 77:life support 71: 45: 4523:Wikiproject 4312:Venereology 4257:Neonatology 4154:Dermatology 4009:Gynaecology 4001:gynaecology 3984:Pulmonology 3802:Eye surgery 3764:Specialties 3697:Pulmonology 3620:Hypotension 3515:Antibiotics 3358:Dialytrauma 3201:Anaphylaxis 2229:ICU History 1997:Anaesthesia 1175:pharmacists 1169:Pharmacists 938:antibiotics 862:tracheotomy 848:Respiratory 738:anaesthesia 680:anaesthesia 555:Capnography 549:Vital signs 445:The Danish 428:Crimean War 363:called the 327:or certain 317:hypotension 272:pharmacists 243:, invasive 157:Description 123:Intensivist 112:Intensivist 4285:Psychiatry 4271:(PM&R) 4264:Phlebology 4252:Pediatrics 4079:Anatomical 4044:Diagnostic 4024:Obstetrics 3974:Nephrology 3959:Hematology 3954:Geriatrics 3947:Hepatology 3932:Cardiology 3922:Immunology 3704:Pediatrics 3687:Cardiology 3608:Physiology 3510:Analgesics 3459:Chest tube 3288:/ myopathy 3265:Polytrauma 3141:Conditions 2729:References 2596:1012122839 2052:PDF format 1960:1124935549 1894:(S1): S2. 1553:1118693260 1386:24 October 1188:dieticians 1095:pediatrics 1056:In Germany 1027:Physicians 930:Rocuronium 918:analgesics 744:including 700:hematology 603:Ultrasound 534:blood flow 530:Monitoring 525:Monitoring 466:aspiration 458:Copenhagen 333:ventilator 245:monitoring 200:employment 128:Occupation 105:Specialist 4473:Physician 4357:education 4215:Neurology 4210:Narcology 4074:Pathology 4052:Radiology 3927:Angiology 3891:Andrology 3692:Neurology 3545:Sedatives 3525:Inotropes 3371:Diagnosis 2943:Q29581786 2604:cite book 2551:cite book 2543:966447396 2501:cite book 2493:966447977 2377:0269-2155 2320:1469-493X 2168:0001-5172 2115:0959-8138 2019:0003-2409 1968:cite book 1910:1364-8535 1850:0090-3493 1696:cite book 1688:324998024 1561:cite book 1502:cite book 1494:906700899 1437:cite book 1429:989157369 1334:cite book 1326:253189100 1268:Telemetry 1216:Economics 1194:(ASPEN). 910:sedatives 902:inotropes 515:residency 205:Hospitals 198:Fields of 139:Specialty 4558:Category 4503:Category 3979:Oncology 3910:medicine 3908:Internal 3756:Medicine 3383:Catheter 3302:Fungemia 3077:Medicine 2996:Archived 2939:Wikidata 2899:23324837 2856:22029748 2789:26028283 2781:15187502 2719:25654157 2692:26028283 2684:15187502 2647:85841308 2395:25681407 2338:29582429 2281:28003877 2255:: 2855. 2211:13600704 2184:40728057 2176:14616314 2133:13190223 2044:Archived 1928:23514264 1866:24494855 1858:27509391 1795:26611094 1787:16822995 1743:29926792 1651:10075049 1236:See also 1021:Medicine 1012:Training 976:Delirium 928:such as 922:Fentanyl 920:such as 914:Propofol 912:such as 904:such as 777:arterial 742:sedation 565:patients 361:hospital 151:Medicine 86:diseases 4543:Outline 4513:Commons 4458:Therapy 4355:Medical 3918:Allergy 3886:Urology 3779:Surgery 3709:Surgery 2890:3624604 2805:History 2386:4607892 2329:6494211 2272:5166586 2227:Video: 2225:SOBRATI 2124:2079443 1919:3603479 1614:9146680 1364:9 March 1140:Nursing 1103:surgery 494:tetanus 418:History 235:, is a 209:Clinics 40:CICU-FM 4533:Portal 4400:MD–PhD 3184:Other 3163:Sepsis 3117:(PICU) 3111:(NICU) 2941:  2931:  2897:  2887:  2854:  2787:  2779:  2717:  2690:  2682:  2645:  2635:  2594:  2584:  2541:  2531:  2491:  2481:  2456:7 July 2393:  2383:  2375:  2336:  2326:  2318:  2279:  2269:  2209:  2182:  2174:  2166:  2131:  2121:  2113:  2077:  2027:779520 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Index

Critical illness
Intensive Care (disambiguation)
CICU-FM

Organ dysfunction
life support
Respiratory failure
Organ failure
Multiorgan failure
Specialty
Medicine
Doctor of Medicine
Doctor of Osteopathic Medicine
Bachelor of Medicine, Bachelor of Surgery
et al.
Hospitals
Clinics
Anesthesiologist
medical specialty
life support
monitoring
resuscitation
end-of-life care
intensivists
physical therapists
respiratory therapists
pharmacists
intensive care units

infusion pumps

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