EXTERNAL VALIDATION AND REFINEMENT OF A CRITICAL CARE ADMISSION TRIAGE SCORE FOR HEMODYNAMICALLY STABLE PATIENTS WITH ACUTE HEART FAILURE

2016 ◽  
Vol 32 (10) ◽  
pp. S129
Author(s):  
S.F. Van Diepen ◽  
P. Brown ◽  
C.M. Westerhout ◽  
F.A. McAlister ◽  
B.H. Rowe ◽  
...  
2017 ◽  
Vol 53 (3) ◽  
pp. 436
Author(s):  
Susana García Gutiérrez ◽  
Ane Antón Ladislao ◽  
Esther Pulido Herrero ◽  
Maria José Morillas Bueno ◽  
Maria Soledad Gallardo Rebolla

2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Alexandre Mebazaa ◽  
Pierre François Laterre ◽  
James A. Russell ◽  
Andreas Bergmann ◽  
Luciano Gattinoni ◽  
...  

Critical Care ◽  
2005 ◽  
Vol 9 (S2) ◽  
Author(s):  
HCV Rey ◽  
FOD Rangel ◽  
MI Bittencourt ◽  
RM Rocha ◽  
ALC Marins ◽  
...  

2017 ◽  
Vol 188 ◽  
pp. 127-135 ◽  
Author(s):  
Ismail R. Raslan ◽  
Paul Brown ◽  
Cynthia M. Westerhout ◽  
Justin A. Ezekowitz ◽  
Adrian F. Hernandez ◽  
...  

Author(s):  
Amy Krepska ◽  
Deirdre Murphy

This chapter is centred on a case study on acute heart failure. This topic is one of the key challenging areas in critical care medicine and one that all intensive care staff will encounter. The chapter is based on a detailed case history, ensuring clinical relevance, together with relevant images, making this easily relatable to daily practice in the critical care unit. The chapter is punctuated by evidence-based, up-to-date learning points, which highlight key information for the reader. Throughout the chapter, a topic expert provides contextual advice and commentary, adding practical expertise to the standard textbook approach and reinforcing key messages.


2019 ◽  
Vol 170 (4) ◽  
pp. 248 ◽  
Author(s):  
Desiree Wussler ◽  
Nikola Kozhuharov ◽  
Zaid Sabti ◽  
Joan Walter ◽  
Ivo Strebel ◽  
...  

2015 ◽  
Vol 25 (S2) ◽  
pp. 74-86 ◽  
Author(s):  
John M. Costello ◽  
Mjaye L. Mazwi ◽  
Mary E. McBride ◽  
Katherine E. Gambetta ◽  
Osama Eltayeb ◽  
...  

AbstractThis review offers a critical-care perspective on the pathophysiology, monitoring, and management of acute heart failure syndromes in children. An in-depth understanding of the cardiovascular physiological disturbances in this population of patients is essential to correctly interpret clinical signs, symptoms and monitoring data, and to implement appropriate therapies. In this regard, the myocardial force–velocity relationship, the Frank–Starling mechanism, and pressure–volume loops are discussed. A variety of monitoring modalities are used to provide insight into the haemodynamic state, clinical trajectory, and response to treatment. Critical-care treatment of acute heart failure is based on the fundamental principles of optimising the delivery of oxygen and minimising metabolic demands. The former may be achieved by optimising systemic arterial oxygen content and the variables that determine cardiac output: heart rate and rhythm, preload, afterload, and contractility. Metabolic demands may be decreased by a number of ways including positive pressure ventilation, temperature control, and sedation. Mechanical circulatory support should be considered for refractory cases. In the near future, monitoring modalities may be improved by the capture and analysis of complex clinical data such as pressure waveforms and heart rate variability. Using predictive modelling and streaming analytics, these data may then be used to develop automated, real-time clinical decision support tools. Given the barriers to conducting multi-centre trials in this population of patients, the thoughtful analysis of data from multi-centre clinical registries and administrative databases will also likely have an impact on clinical practice.


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