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Intensive Care Medicine

, Volume 33, Issue 3, pp 414–422 | Cite as

Year in Review in Intensive Care Medicine, 2006. III. Circulation, ethics, cancer, outcome, education, nutrition, and pediatric and neonatal critical care

  • Peter Andrews
  • Elie Azoulay
  • Massimo Antonelli
  • Laurent BrochardEmail author
  • Christian Brun-Buisson
  • Daniel De Backer
  • Geoffrey Dobb
  • Jean-Yves Fagon
  • Herwig Gerlach
  • Johan Groeneveld
  • Duncan Macrae
  • Jordi Mancebo
  • Philipp Metnitz
  • Stefano Nava
  • Jerôme Pugin
  • Michael Pinsky
  • Peter Radermacher
  • Christian Richard
Year in Review 2006

Circulation

Evaluation of the microcirculation

Microcirculation has become a major topic of interest. Several studies have shown that microcirculatory alterations frequently occur in patients with septic shock, and that these alterations are correlated with the development of organ failure and death. Although direct visualization is now feasible, indirect measurements are more commonly used at the bedside. Among the indirect measurements, measurements of tissue carbon dioxide pressure can be used. These measurements can be obtained non-invasively either in the stomach (gastric tonometry) or in the sublingual area. Creteur et al. [1] investigated in 18 patients with septic shock the relationship between sublingual microvascular perfusion, assessed using an orthogonal polarization spectral imaging device, and sublingual and gastric carbon dioxide pressure. They observed an inverse relationship between microvascular perfusion and sublingual to arterial carbon dioxide pressure gap....

Keywords

Septic Shock Severe Sepsis Spinal Muscular Atrophy Electrical Impedance Tomography Intensive Care Medicine 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Creteur J, De Backer D, Sakr Y, Koch M, Vincent JL (2006) Sublingual capnometry tracks microcirculatory changes in septic patients. Intensive Care Med 32:516–523PubMedCrossRefGoogle Scholar
  2. 2.
    Ince C (2006) Go with the flow-recruit the microcirculation! Intensive Care Med 32:488–489PubMedCrossRefGoogle Scholar
  3. 3.
    Jorgensen VL, Nielsen SL, Espersen K, Perner A (2006) Increased colorectal permeability in patients with severe sepsis and septic shock. Intensive Care Med 32:1790–1796PubMedCrossRefGoogle Scholar
  4. 4.
    Vieillard-Baron A, Charron C, Chergui K, Peyrouset O, Jardin F (2006) Bedside echocardiographic evaluation of hemodynamics in sepsis: Is a qualitative evaluation sufficient? Intensive Care Med 32:1547–1552PubMedCrossRefGoogle Scholar
  5. 5.
    Lauzier F, Levy B, Lamarre P, Lesur O (2006) Vasopressin or norepinephrine in early hyperdynamic septic shock: a randomized clinical trial. Intensive Care Med 32:1782–1789PubMedCrossRefGoogle Scholar
  6. 6.
    Cottini SR, Lerch N, de Perrot M, Treggiari MM, Spiliopoulos A, Nicod L, Ricou B (2006) Risk factors for reperfusion injury after lung transplantation. Intensive Care Med 32:557–563PubMedCrossRefGoogle Scholar
  7. 7.
    Benbenishty J, Ganz FD, Lippert A, Bulow HH, Wennberg E, Henderson B, Svantesson M, Baras M, Phelan D, Maia P, Sprung CL (2006) Nurse involvement in end-of-life decision making: the ETHICUS Study. Intensive Care Med 32:129–132PubMedCrossRefGoogle Scholar
  8. 8.
    Curtis JR, Shannon SE (2006) Transcending the silos: toward an interdisciplinary approach to end-of-life care in the ICU. Intensive Care Med 32:15–17PubMedCrossRefGoogle Scholar
  9. 9.
    Ferrand E, Marty J (2006) Prehospital withholding and withdrawal of life-sustaining treatments. The French LATASAMU Survey. Intensive Care Med 32:1498–1505PubMedCrossRefGoogle Scholar
  10. 10.
    Rocker G (2006) Life-support limitation in the pre-hospital setting. Intensive Care Med 32:1464–1466PubMedCrossRefGoogle Scholar
  11. 11.
    Chenaud C, Merlani P, Ricou B (2006) Informed consent for research in ICU obtained before ICU admission. Intensive Care Med 32:439–444PubMedCrossRefGoogle Scholar
  12. 12.
    Veelo DP, Spronk PE, Kuiper MA, Korevaar JC, van der Voort PH, Schultz MJ (2006) A change in the Dutch Directive on Medical Research Involving Human Subjects strongly increases the number of eligible intensive care patients: an observational study. Intensive Care Med 32:1845–1850PubMedCrossRefGoogle Scholar
  13. 13.
    Lemaire F (2006) The European Directive 2001/20 for clinical research: Friend or foe? Intensive Care Med 32:1689–1690PubMedCrossRefGoogle Scholar
  14. 14.
    Harvey SE, Elbourne D, Ashcroft J, Jones CM, Rowan K (2006) Informed consent in clinical trials in critical care: experience from the PAC-Man Study. Intensive Care Med 32:2020–2025PubMedCrossRefGoogle Scholar
  15. 15.
    Lemaire F (2006) The inability to consent in critical care research: Emergency or impairment of cognitive function? Intensive Care Med 32:1930–1932PubMedCrossRefGoogle Scholar
  16. 16.
    Rego Lins Fumis R, Nishimoto IN, Deheinzelin D (2006) Measuring satisfaction in family members of critically ill cancer patients in Brazil. Intensive Care Med 32:124–128PubMedCrossRefGoogle Scholar
  17. 17.
    Benoit DD, Depuydt PO, Vandewoude KH, Offner FC, Boterberg T, De Cock CA, Noens LA, Janssens AM, Decruyenaere JM (2006) Outcome in severely ill patients with hematological malignancies who received intravenous chemotherapy in the intensive care unit. Intensive Care Med 32:93–99PubMedCrossRefGoogle Scholar
  18. 18.
    Azoulay E, Afessa B (2006) The intensive care support of patients with malignancy: do everything that can be done. Intensive Care Med 32:3–5PubMedCrossRefGoogle Scholar
  19. 19.
    Walsh TS, Lee RJ, Maciver CR, Garrioch M, Mackirdy F, Binning AR, Cole S, McClelland DB (2006) Anemia during and at discharge from intensive care: the impact of restrictive blood transfusion practice. Intensive Care Med 32:100–109PubMedCrossRefGoogle Scholar
  20. 20.
    Walsh TS, Saleh EE, Lee RJ, McClelland DB (2006) The prevalence and characteristics of anaemia at discharge home after intensive care. Intensive Care Med 32:1206–1213PubMedCrossRefGoogle Scholar
  21. 21.
    Griffiths J, Gager M, Alder N, Fawcett D, Waldmann C, Quinlan J (2006) A self-report-based study of the incidence and associations of sexual dysfunction in survivors of intensive care treatment. Intensive Care Med 32:445–451PubMedCrossRefGoogle Scholar
  22. 22.
    Scales DC, Tansey CM, Matte A, Herridge MS (2006) Difference in reported pre-morbid health-related quality of life between ARDS survivors and their substitute decision makers. Intensive Care Med 32:1826–1831PubMedCrossRefGoogle Scholar
  23. 23.
    Granja C, Azevedo LF (2006) When (quality of) life is at stake and intensive care is needed: How much can we trust our proxies? Intensive Care Med 32:1681–1682PubMedCrossRefGoogle Scholar
  24. 24.
    Collaboration C, Bion J-F, Barrett H (2006) Development of core competencies for an international training programme in intensive care medicine. Intensive Care Med 32:1371–1383CrossRefGoogle Scholar
  25. 25.
    Cerra F, Benitez M, Blackburn G, Irwin R, Jeejeebhoy K, Katz D, Pingleton S, Pomposelli J, Rombeau J, Shronts E, Wolfe R, Zaloga G (1997) Applied nutrition in ICU patients. A consensus statement of the American College of Chest Physicians. Chest 111:769–778PubMedGoogle Scholar
  26. 26.
    Zauner A, Schneeweiss B, Kneidinger N, Lindner G, Zauner C (2006) Weight-adjusted resting energy expenditure is not constant in critically ill patients. Intensive Care Med 32:428–434PubMedCrossRefGoogle Scholar
  27. 27.
    Radrizzani D, Bertolini G, Facchini R, Simini B, Bruzzone P, Zanforlin G, Tognoni G, Iapichino G (2006) Early enteral immunonutrition vs. parenteral nutrition in critically ill patients without severe sepsis: a randomized clinical trial. Intensive Care Med 32:1191–1198PubMedCrossRefGoogle Scholar
  28. 28.
    Bertolini G, Iapichino G, Radrizzani D, Facchini R, Simini B, Bruzzone P, Zanforlin G, Tognoni G (2003) Early enteral immunonutrition in patients with severe sepsis: results of an interim analysis of a randomized multicentre clinical trial. Intensive Care Med 29:834–840PubMedCrossRefGoogle Scholar
  29. 29.
    Nguyen NQ, Chapman M, Fraser RJ, Ritz M, Bryant LK, Butler R, Davidson G, Zacharakis B, Holloway RH (2006) Long-standing type II diabetes mellitus is not a risk factor for slow gastric emptying in critically ill patients. Intensive Care Med 32:1365–1370PubMedCrossRefGoogle Scholar
  30. 30.
    Lee AJ, Eve R, Bennett MJ (2006) Evaluation of a technique for blind placement of post-pyloric feeding tubes in intensive care: application in patients with gastric ileus. Intensive Care Med 32:553–556PubMedCrossRefGoogle Scholar
  31. 31.
    van der Spoel JI, Schultz MJ, van der Voort PH, de Jonge E (2006) Influence of severity of illness, medication and selective decontamination on defecation. Intensive Care Med 32:875–880PubMedCrossRefGoogle Scholar
  32. 32.
    Brienza N, Dalfino L, Cinnella G, Diele C, Bruno F, Fiore T (2006) Jaundice in critical illness: promoting factors of a concealed reality. Intensive Care Med 32:267–274PubMedCrossRefGoogle Scholar
  33. 33.
    Provoost V, Cools F, Bilsen J, Ramet J, Deconinck P, Vander Stichele R, Vande Velde A, Van Herreweghe I, Mortier F, Vandenplas Y, Deliens L (2006) The use of drugs with a life-shortening effect in end-of-life care in neonates and infants. Intensive Care Med 32:133–139PubMedCrossRefGoogle Scholar
  34. 34.
    Truog RD (2006) End-of-life care: Is euthanasia the answer? Intensive Care Med 32:6–8PubMedCrossRefGoogle Scholar
  35. 35.
    Bush A (2006) Spinal muscular atrophy with respiratory disease (SMARD): an ethical dilemma. Intensive Care Med 32:1691–1693PubMedCrossRefGoogle Scholar
  36. 36.
    Giannini A, Pinto AM, Rossetti G, Prandi E, Tiziano D, Brahe C, Nardocci N (2006) Respiratory failure in infants due to spinal muscular atrophy with respiratory distress type 1. Intensive Care Med 32:1851–1855PubMedCrossRefGoogle Scholar
  37. 37.
    Heinrich S, Schiffmann H, Frerichs A, Klockgether-Radke A, Frerichs I (2006) Body and head position effects on regional lung ventilation in infants: an electrical impedance tomography study. Intensive Care Med 32:1392–1398PubMedCrossRefGoogle Scholar
  38. 38.
    Wolf GK, Arnold JH (2006) Electrical impedance tomography: Ready for prime time? Intensive Care Med 32:1290–1292PubMedCrossRefGoogle Scholar
  39. 39.
    Zaramella P, Freato F, Grazzina N, Saraceni E, Vianello A, Chiandetti L (2006) Does helmet CPAP reduce cerebral blood flow and volume by comparison with Infant Flow driver CPAP in preterm neonates? Intensive Care Med 32:1613–1619PubMedCrossRefGoogle Scholar
  40. 40.
    Lindwall R, Svensson ME, Frostell CG, Eksborg S, Gustafsson LE (2006) Workplace NO and NO(2) during combined treatment of infants with nasal CPAP and NO. Intensive Care Med 32:2034–2041PubMedCrossRefGoogle Scholar
  41. 41.
    Hummler HD, Engelmann A, Pohlandt F, Franz AR (2006) Volume-controlled intermittent mandatory ventilation in preterm infants with hypoxemic episodes. Intensive Care Med 32:577–584PubMedCrossRefGoogle Scholar
  42. 42.
    Herber-Jonat S, Rieger-Fackeldey E, Hummler H, Schulze A (2006) Adaptive mechanical backup ventilation for preterm infants on respiratory assist modes: a pilot study. Intensive Care Med 32:302–308PubMedCrossRefGoogle Scholar
  43. 43.
    Manna SS, Durward A, Moganasundram S, Tibby SM, Murdoch IA (2006) Retrospective evaluation of a paediatric intensivist-led flexible bronchoscopy service. Intensive Care Med 32:2026–2033PubMedCrossRefGoogle Scholar
  44. 44.
    Boluyt N, Bollen CW, Bos AP, Kok JH, Offringa M (2006) Fluid resuscitation in neonatal and pediatric hypovolemic shock: a Dutch Pediatric Society evidence-based clinical practice guideline. Intensive Care Med 32:995–1003PubMedCrossRefGoogle Scholar
  45. 45.
    Carcillo JA, Tasker RC (2006) Fluid resuscitation of hypovolemic shock: acute medicine's great triumph for children. Intensive Care Med 32:958–961PubMedCrossRefGoogle Scholar
  46. 46.
    Lemmer J, Stiller B, Heise G, Hubler M, Alexi-Meskishvili V, Weng Y, Redlin M, Amann V, Ovroutski S, Berger F (2006) Postoperative phrenic nerve palsy: early clinical implications and management. Intensive Care Med 32:1227–1233PubMedCrossRefGoogle Scholar
  47. 47.
    Dagan O, Nimri R, Katz Y, Birk E, Vidne B (2006) Bilateral diaphragm paralysis following cardiac surgery in children: 10-years' experience. Intensive Care Med 32:1222–1226PubMedCrossRefGoogle Scholar
  48. 48.
    Ross-Russell RI (2006) C 3, 4 and 5, keep the diaphragm alive. Intensive Care Med 32:1109–1111PubMedCrossRefGoogle Scholar
  49. 49.
    Celebi S, Koner O, Menda F, Balci H, Hatemi A, Korkut K, Esen F (2006) Procalcitonin kinetics in pediatric patients with systemic inflammatory response after open heart surgery. Intensive Care Med 32:881–887PubMedCrossRefGoogle Scholar
  50. 50.
    Lopez-Herce J, Sanchez C, Carrillo A, Mencia S, Santiago MJ, Bustinza A, Vigil D (2006) Transpyloric enteral nutrition in the critically ill child with renal failure. Intensive Care Med 32:1599–1605PubMedCrossRefGoogle Scholar
  51. 51.
    Katragkou A, Kotsiou M, Antachopoulos C, Benos A, Sofianou D, Tamiolaki M, Roilides E (2006) Acquisition of imipenem-resistant Acinetobacter baumannii in a pediatric intensive care unit: a case-control study. Intensive Care Med 32:1384–1391PubMedCrossRefGoogle Scholar
  52. 52.
    Taylor D, Durward A, Tibby SM, Thorburn K, Holton F, Johnstone IC, Murdoch IA (2006) The influence of hyperchloraemia on acid base interpretation in diabetic ketoacidosis. Intensive Care Med 32:295–301PubMedCrossRefGoogle Scholar
  53. 53.
    Morris KP, Forsyth RJ, Parslow RC, Tasker RC, Hawley CA, UK Paediatric Traumatic Brain Injury Study Group, Paediatric Intensive Care Society Study Group (2006) Intracranial pressure complicating severe traumatic brain injury in children: monitoring and management. Intensive Care Med 32:1606–1612PubMedCrossRefGoogle Scholar
  54. 54.
    Goldstein B, Giroir B, Randolph A (2005) International pediatric sepsis consensus conference: definitions for sepsis and organ dysfunction in pediatrics. Pediatr Crit Care Med 6:2–8PubMedCrossRefGoogle Scholar
  55. 55.
    Stephens RC, Fidler K, Wilson P, Barclay GR, Mythen MG, Dixon GL, Turner MW, Klein NJ, Peters MJ (2006) Endotoxin immunity and the development of the systemic inflammatory response syndrome in critically ill children. Intensive Care Med 32:286–294PubMedCrossRefGoogle Scholar
  56. 56.
    Carcillo JA (2006) Searching for the etiology of systemic inflammatory response syndrome: Is SIRS occult endotoxemia? Intensive Care Med 32:181–184PubMedCrossRefGoogle Scholar
  57. 57.
    Arkader R, Troster E-J, Lopes M-R, Junior R-R, Carcillo JA, Leone C (2006) Procalcitonin does discriminate between sepsis and systemic inflammatory response syndrome. Arch Dis Child 91:117–120PubMedCrossRefGoogle Scholar
  58. 58.
    Khilnani P, Sarma D, Zimmerman J (2006) Epidemiology and peculiarities of pediatric multiple organ dysfunction syndrome in New Delhi, India. Intensive Care Med 32:1856–1862PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Peter Andrews
    • 1
  • Elie Azoulay
    • 2
  • Massimo Antonelli
    • 3
  • Laurent Brochard
    • 4
    Email author
  • Christian Brun-Buisson
    • 5
  • Daniel De Backer
    • 6
  • Geoffrey Dobb
    • 7
  • Jean-Yves Fagon
    • 8
  • Herwig Gerlach
    • 9
  • Johan Groeneveld
    • 10
  • Duncan Macrae
    • 11
  • Jordi Mancebo
    • 12
  • Philipp Metnitz
    • 13
  • Stefano Nava
    • 14
  • Jerôme Pugin
    • 15
  • Michael Pinsky
    • 16
  • Peter Radermacher
    • 17
  • Christian Richard
    • 18
  1. 1.Intensive Care Medicine UnitWestern General HospitalEdinburghUK
  2. 2.Intensive Care Medicine UnitSaint Louis HospitalParisFrance
  3. 3.Department of Intensive Care and AnesthesiologyUniversita Cattolica del Sacre CuoreRomeItaly
  4. 4.Réanimation Médicale, INSERM U 651AP-HP, Hôpital Henri Mondor, Université Paris 12CréteilFrance
  5. 5.Réanimation MédicaleAP-HP, Hôpital Henri Mondor, Université Paris 12CréteilFrance
  6. 6.Service des Soins IntensifsErasme HospitalBrusselsBelgium
  7. 7.Intensive Care Medicine UnitRoyal Perth HospitalPerthAustralia
  8. 8.Intensive Care Medicine UnitEuropean Georges Pompidou HospitalParisFrance
  9. 9.Department of AnesthesiologyVivantes-Klinikum NeukoellnBerlinGermany
  10. 10.Intensive Care Medicine UnitVUMCAmsterdamThe Netherlands
  11. 11.Pediatric Intensive Care UnitRoyal Brompton HospitalLondonUK
  12. 12.Intensive Care Medicine UnitHospital Sant PauBarcelonaSpain
  13. 13.Department of Anesthesia and General Intensive Care MedicineUniversity Hospital of ViennaViennaAustria
  14. 14.Intensive Care Medicine UnitFondazione S. MaugeriPaviaItaly
  15. 15.Intensive Care Medicine UnitUniversity Hospital of GenevaGenevaSwitzerland
  16. 16.Intensive Care Medicine UnitUniversity of Pittsburgh Medical CenterPittsburghUSA
  17. 17.Department of AnesthesiaUniversity Medical School of UlmUlmGermany
  18. 18.Intensive Care UnitUniversity Hospital of Le Kremlin-BicetreLe Kremlin-BicetreFrance

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