Specialty Classifications of Physicians Who Provide Neurocritical Care in the United States

Specialty Classifications of Physicians Who Provide Neurocritical Care in the United States

We sought to characterize the specialty classification of US physicians who provide critical care for neurological/neurosurgical disease. Physicians with a dedicated clinical neuroscience background accounted for less than half of neurocritical care service in US Medicare beneficiaries.

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Management of the Critically Ill Adult Chimeric Antigen Receptor-T Cell Therapy Patient: A Critical Care Perspective

Management of the Critically Ill Adult Chimeric Antigen Receptor-T Cell Therapy Patient: A Critical Care Perspective

Chimeric antigen receptor T-cell therapy, a type of immune effector therapy for cancer, has demonstrated encouraging results in clinical trials for the treatment of patients with refractory hematologic malignancies. Nevertheless, there are toxicities specific to these treatments that, if not recognized and treated appropriately, can lead to multiple organ failure and death.

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Correlation of Noninvasive Blood Pressure and Invasive Intra-arterial Blood Pressure in Patients Treated with Vasoactive Medications

Correlation of Noninvasive Blood Pressure and Invasive Intra-arterial Blood Pressure in Patients Treated with Vasoactive Medications

The correlation between noninvasive (oscillometric) blood pressure (NBP) and intra-arterial blood pressure (IAP) in critically ill patients receiving vasoactive medications in a Neurocritical Care Unit has not been systematically studied. The purpose of this study is to examine the relationship between simultaneously measured NBP and IAP recordings in these patients

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Driving Pressure / Delta Review Article

Driving Pressure / Delta Review Article

In 2015, Amato et al released a groundbreaking article in NEJM that posited driving pressure, or ΔP, as the major determinant of morbidity/mortality in ARDS patients. This was eye-opening because traditional teachings focus on PEEP and Tidal Volume as the major players in ARDS management. Driving pressure (ΔP) is best thought of as the difference between ….

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The Controversy around Surviving Sepsis continues

The Controversy around Surviving Sepsis continues

The controversy around Surviving Sepsis continues with the newest update to the guidelines. The challenge presented to clinicians in the absence of a reliable test for diagnosing sepsis is significant, and in the face of increasing regulatory and institutional pressures to meet “sepsis trigger” targets for care, the field is ripe for dissent once again.

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