Survey of critical care management of comatose, head-injured patients in the United States

Traumatic spinal injuries occur relatively frequently, with an annual incidence of about 12,000 patients per year in the United States. Modern advances in critical care management of patients with spinal injuries and spinal cord injuries have greatly decreased mortality. Therefore, the prevalence in the United States is more than 200,000 patients per year. The importance of early diagnosis and proper management of acute spinal fractures cannot be understated. This chapter reviews the different types of bony and ligamentous disruption in the cervical, thoracic, lumbar, and sacral spine that can lead to new or worsened neurologic injury if left untreated.

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Acute Ischemic Stroke

AACN Advanced Critical Care ◽

10.4037/aacnacc2018483 ◽

2018 ◽

Vol 29 (2) ◽

pp. 152-162

Author(s):

Bryan Boling ◽

Katie Keinath

Keyword(s):

United States ◽

Palliative Care ◽

Ischemic Stroke ◽

Acute Ischemic Stroke ◽

Care Management ◽

The United States ◽

National Guidelines ◽

Mortality And Morbidity ◽

Emergency Situations ◽

Critical Care Management

Acute ischemic stroke is a major cause of mortality and morbidity in the United States and worldwide. Despite the development of specialized stroke centers, mortality and morbidity as a result of acute ischemic strokes can and do happen anywhere. These strokes are emergency situations requiring immediate intervention. This article covers the fundamentals of care involved in treating patients with acute ischemic stroke, including essentials for the initial evaluation, basic neuroimaging, reperfusion therapies, critical care management, and palliative care, as well as current controversies. National guidelines and current research are presented, along with recommendations for implementation.

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Critical Care Management of Chest Injury

Critical Care Clinics ◽

10.1016/s0749-0704(18)30578-5 ◽

1986 ◽

Vol 2 (4) ◽

pp. 759-773 ◽

Cited By ~ 2

Author(s):

Terry P. Clemmer ◽

Walter R. Fairfax

Keyword(s):

Critical Care ◽

Care Management ◽

Chest Injury ◽

Critical Care Management

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Critical Care Management of the Patient with Pulmonary Hypertension

Clinics in Chest Medicine ◽

10.1016/j.ccm.2020.11.009 ◽

2021 ◽

Vol 42 (1) ◽

pp. 155-165

Author(s):

Christopher J. Mullin ◽

Corey E. Ventetuolo

Keyword(s):

Pulmonary Hypertension ◽

Critical Care ◽

Care Management ◽

Critical Care Management

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Sedation and Analgesia, a volume in the Critical Care Management Series G. R. Park and F. Gempeler. London

Anesthesia & Analgesia ◽

10.1213/00000539-199402000-00054 ◽

1994 ◽

Vol 78 (2) ◽

pp. 416

Author(s):

Mitchell D. Tobias

Keyword(s):

Critical Care ◽

Care Management ◽

Critical Care Management ◽

Sedation And Analgesia

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Regionalization of Critical Care in the United States

Critical Care Medicine ◽

10.1097/ccm.0000000000005147 ◽

2021 ◽

Vol Publish Ahead of Print ◽

Author(s):

Sharon Leung ◽

Stephen M. Pastores ◽

John M. Oropello ◽

Craig M. Lilly ◽

Samuel M. Galvagno ◽

...

Keyword(s):

United States ◽

Critical Care ◽

The United States

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Advances in the Management of Sepsis and the Understanding of Key Immunologic Defects

Anesthesiology ◽

10.1097/aln.0b013e31823422e8 ◽

2011 ◽

Vol 115 (6) ◽

pp. 1349-1362 ◽

Cited By ~ 27

Author(s):

Lee P. Skrupky ◽

Paul W. Kerby ◽

Richard S. Hotchkiss

Keyword(s):

United States ◽

Intensive Care Unit ◽

Critical Care ◽

Intensive Care ◽

Operating Room ◽

The United States ◽

Difficult Problem ◽

Treatment Algorithms ◽

New Treatment ◽

Overall Mortality

Anesthesiologists are increasingly confronting the difficult problem of caring for patients with sepsis in the operating room and in the intensive care unit. Sepsis occurs in more than 750,000 patients in the United States annually and is responsible for more than 210,000 deaths. Approximately 40% of all intensive care unit patients have sepsis on admission to the intensive care unit or experience sepsis during their stay in the intensive care unit. There have been significant advances in the understanding of the pathophysiology of the disorder and its treatment. Although deaths attributable to sepsis remain stubbornly high, new treatment algorithms have led to a reduction in overall mortality. Thus, it is important for anesthesiologists and critical care practitioners to be aware of these new therapeutic regimens. The goal of this review is to include practical points on important advances in the treatment of sepsis and provide a vision of future immunotherapeutic approaches.

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