Current opinion in critical care
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Curr Opin Crit Care · Jun 2017
ReviewPassive leg raising for assessment of volume responsiveness: a review.
To evaluate the existing evidence on the passive leg raising (PLR) test for fluid responsiveness prediction. ⋯ The current review underlines that PLR is an easy-to-perform and reliable method to assess fluid responsiveness. Its excellent performance is maintained even in many situations in which other dynamic predictive indices are not consistent and represents a valid alternative to the fluid challenge to avoid unnecessary volume administration.
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Curr Opin Crit Care · Jun 2017
ReviewSupportive technology in the resuscitation of out-of-hospital cardiac arrest patients.
To discuss the increasing value of technological tools to assess and augment the quality of cardiopulmonary resuscitation (CPR) and, in turn, improve chances of surviving out-of-hospital cardiac arrest (OHCA). ⋯ After 5 decades of focus on manual chest compressions for CPR, new technologies for monitoring, guiding, and enhancing CPR performance may enhance outcomes from OHCA significantly in the coming years.
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Curr Opin Crit Care · Apr 2017
ReviewPostinterventional critical care management of aneurysmal subarachnoid hemorrhage.
Subarachnoid hemorrhage from a ruptured aneurysm (aSAH) is a complex disorder with the potential to have devastating effects on the brain as well as other organ systems. After more than 3 decades of research, the underlying pathophysiologic mechanisms remain incompletely understood and important questions remain regarding the evaluation and management of these patients. The purpose of this review is to analyze the recent literature and improve our understanding of certain key clinical aspects. ⋯ The brief review will focus on the postinterventional care of aSAH patients outlining the recent advances over the past few years.
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Curr Opin Crit Care · Apr 2017
ReviewIntracranial pressure management in patients with traumatic brain injury: an update.
Intracranial pressure (ICP) monitoring and treatment is central in the management of traumatic brain injury. Despite 4 decades of clinical use, several aspects remain controversial, including the indications for ICP and treatment options. ⋯ Aggressive strategies for ICP control, like surgical decompression or hypothermia, carefully tested, have controversial effects on outcome. Several articles have made worthwhile contributions to important clinical issues, but with no real breakthroughs.