Current opinion in critical care
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To re-emphasize the epidemiology, pathophysiology, diagnosis, and treatment of cardiac tamponade. ⋯ Cardiac tamponade is responsible for an obstructive shock. Causes of pericardial effusion are numerous. Echocardiography is the fundamental tool for the diagnosis and therapeutic management. Volume resuscitation and catecholamines are temporary treatments, pericardial drainage remaining the only effective treatment.
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Several alternative treatments have been proposed to decrease mortality of patients with acute respiratory distress syndrome (ARDS). We will discuss most recent trials and meta-analysis studies on nonconventional ventilatory and pharmacological treatments of ARDS patients. ⋯ Existing data suggest that some of the available nonconventional treatments may be effective in more severe ARDS patients. New techniques and drugs that should facilitate prevention or healing of lung injury are under investigation.
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To review the contemporary management of patients with pulmonary hypertension in critical care. ⋯ This article reviews recent and key findings on the management of pulmonary hypertension in critically ill patients.