Critical Care Medicine 101

  • Paul Ellis Marik


Patients in the ICU need to be managed by doctors who can see the “big picture,” be able to integrate and understand the patients’ complex multi-system disease, and formulate an integrative plan that is evidence based, systematic, and is in keeping with the patients’ treatment goals and values while being consistent with reality. Intensivists are realists who provide physiologically based interventions with the goal of limiting disease and improving outcomes; voodoo and other fantasy-based treatments have no role in the ICU. This chapter reviews the concepts and basic interventions which should be addressed when admitting a “generic patient” to the ICU. A number of issues need to be addressed regardless of the type of ICU to which the patient is being admitted and the patient’s diagnosis.


Deep Venous Thrombosis Stress Ulcer Prophylaxis Deep Venous Thrombosis Prophylaxis Sequential Compression Device Critical Care Team 
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.


  1. 1.
    Marik PE. Management of the Critically Ill Geriatric Patient. Crit Care Med. 2006;34(Suppl):S176–S182.PubMedCrossRefGoogle Scholar
  2. 2.
    Koeman M, van der Ven AJ, Hak E, et al. Oral decontamination with chlorhexidine reduces the incidence of ventilator-associated pneumonia. Am J Respir Crit Care Med. 2006;173:1348–1355.PubMedCrossRefGoogle Scholar
  3. 3.
    Chan EY, Ruest A, O’Meade M, et al. Oral decontamination for prevention of pneumonia in mechanically ventilated adults: systemic review and meta-analysis. Br Med J. 2007-doi:10.1136/bmj.39136.528160.BE.Google Scholar
  4. 4.
    Drakulovic MB, Torres A, Bauer TT, et al. Supine body position as a risk factor for nosocomial pneumonia in mechanically ventilated patients: a randomised trial. Lancet. 1999;354:1851–1858.PubMedCrossRefGoogle Scholar
  5. 5.
    Ezra DG, Chan MP, Solebo L, et al. Randomised trial comparing ocular lubricants and polyacrylamide hydrogel dressings in the prevention of exposure keratopathy in the critically ill. Intensive Care Med. 2009;35:455–461.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Division of Pulmonary and Critical Care MedicineEastern Virginia Medical SchoolNorfolkUSA

Personalised recommendations