“These vascular changes, evident to the clinician by examination of the retina, are mirrored by changes in the kidney, leading to a… — Jean-Louis Vincent Change Copy Share Image
“7 Severe hemophagocytic syndrome with failure of one or more organs. The choice of cytoreductive regimen depends on the type of malignancy,… — Jean-Louis Vincent Failure Copy Share Image
“Nicardipine is metabolized by the liver, and excretion can be impaired in patients with abnormal hepatic function.” — Jean-Louis Vincent Patience Copy Share Image
“Most commonly, hypertensive emergencies occur in the setting of uncontrolled or unknown chronic hypertension. Hypertensive emergencies also may develop as secondary hypertension… — Jean-Louis Vincent Sleep apnea Copy Share Image
“Newer agents for treatment of seizures in critically ill patients include the phenytoin prodrug, fosphenytoin; the anesthetic agent, propofol; and the water-soluble… — Jean-Louis Vincent Patience Copy Share Image
“The relationship between BP and mortality in patients with stroke may be “U-shaped.” According to this notion, systolic BP (SBP) values above… — Jean-Louis Vincent Death Copy Share Image
“Although specific treatments for ALI/ARDS have been slow to emerge, the recent development of new strategies for mechanical ventilation that improve mortality,… — Jean-Louis Vincent Death Copy Share Image
“Acute pain is triggered by stimulation of peripheral nociceptors in the skin or deeper structures and is a complex process involving multiple… — Jean-Louis Vincent Copy Share Image
“On the basis of a recent meta-analysis,25,26 continuous peripheral analgesic techniques provide superior analgesia, reduce opioid consumption, and reduce opioid-related side effects… — Jean-Louis Vincent Side effects Copy Share Image
“Several sedation scales—the Richmond Agitation Sedation Scale (RASS), Adaptation to the Intensive Care Environment (ATICE) tool, and the Minnesota Sedation Assessment Tool… — Jean-Louis Vincent Copy Share Image
“Whenever possible, at least 10 to 15 mL of blood should be withdrawn and inoculated into 2 or 3 bottles or tubes at… — Jean-Louis Vincent Copy Share Image
“These effects result in depletion of cellular adenosine triphosphate (ATP) and potentially severe detrimental effects on cell function. It is important to… — Jean-Louis Vincent Copy Share Image
“Febrile patients with head trauma, subarachnoid hemorrhage, or stroke should receive antipyretics to prevent temperature-related increases in cerebral oxygen utilization.” — Jean-Louis Vincent Patience Copy Share Image
“VIP rule Ventilate: give oxygen therapy, endotracheal intubation if required. Infuse: give IV fluids. Pump: use vasoactive agents first to raise arterial… — Jean-Louis Vincent Mental health Copy Share Image
“Some physiologic responses to acute pain and stress are mediated by neuroendocrine activation and increased sympathetic tone. As a consequence, patients develop… — Jean-Louis Vincent Patience Copy Share Image
“aggressive BP reduction limits hematoma expansion without clear benefit on mortality.18,” — Jean-Louis Vincent Copy Share Image
“Aortic dissection results from an intimal tear in the aortic wall. The primary morbidity and mortality results from extension of the tear.… — Jean-Louis Vincent Blood pressure Copy Share Image
“Management essentials in the ICU: FASTHUG F=feeding. A=analgesia. S=sedation. T=thrombo-embolism prophylaxis. H=head of the bed elevated (30–45°). U=ulcer prophylaxis (PPI or H2… — Jean-Louis Vincent Management Copy Share Image
