Update in Critical Care Medicine
Authors: Robert Fromm, Kalpalatha Guntupalli
Journal: Annals of Internal Medicine (2000)

Updates from the Annual Session19 December 2000Update in Critical Care MedicineRobert Fromm Jr., MD and Kalpalatha Guntupalli, MDRobert Fromm Jr., MDFrom Methodist Hospital and Ben Taub General Hospital, Houston, Texas.Search for more papers by this author and Kalpalatha Guntupalli, MDFrom Methodist Hospital and Ben Taub General Hospital, Houston, Texas.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-133-12-200012190-00013 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail The intensive care unit (ICU) is among the most expensive and technology-driven areas of the hospital and is the place where severely ill medical and surgical patients converge. Although advances in the machinery for cardiac and respiratory support helped create intensive care medicine, low-technology innovations are adding benefits today. The following studies from 1999 illustrate how relatively simple ideas and solutions in the ICU can reduce mortality and complication rates and save costs.This year's Update in Critical Care Medicine highlights important literature that will lead to changes in the management of critically ill patients. Other articles discussed here are ...References1. Esteban A, Frutos F, Tobin MJ, Alia I, Solsona JF, Valverdu I, et al . A comparison of four methods of weaning patients from mechanical ventilation. Spanish Lung Failure Collaborative Group. N Engl J Med. 1995;332:345-50. CrossrefMedlineGoogle Scholar2. Zilberberg MD, Epstein SK. Acute lung injury in the medical ICU: comorbid conditions, age, etiology, and hospital outcome. Am J Respir Crit Care Med. 1998;157 4 Pt 1 1159-64. CrossrefMedlineGoogle Scholar3. Steiner T, Mendoza G, De Georgia M, Schellinger P, Holle R, Hacke W. Prognosis of stroke patients requiring mechanical ventilation in a neurological critical care unit. Stroke. 1997;28:711-5. CrossrefMedlineGoogle Scholar4. Nunn JF, Milledge JS, Singaraya J. Survival of patients ventilated in an intensive therapy unit. Br Med J. 1979;1:1525-7. CrossrefMedlineGoogle Scholar5. Witek TJ, Schachter EN, Dean NL, Beck GJ. Mechanically assisted ventilation in a community hospital. Immediate outcome, hospital charges, and follow-up of patients. Arch Intern Med. 1985;145:235-9. CrossrefMedlineGoogle Scholar6. McLean RF, McIntosh JD, Kung GY, Leung DM, Byrick RJ. Outcome of respiratory intensive care for the elderly. Crit Care Med. 1985;13:625-9. CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Methodist Hospital and Ben Taub General Hospital, Houston, Texas.Corresponding Author: Robert E. Fromm Jr., MD, MPH, Emergency Medicine, Methodist Hospital, 6565 Fannin Street, Room 196, Houston, TX 77030.Current Author Addresses: Dr. Fromm: Emergency Medicine, Methodist Hospital, 6565 Fannin Street, Room 196, Houston, TX 77030.Dr. Guntupalli: Ben Taub General Hospital, 1504 Taub Loop, Houston, TX 77030. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 19 December 2000Volume 133, Issue 12Page: 974-980KeywordsAcute respiratory distress syndromeCathetersIntensive care unitsLungsMortalityOxygenPneumoniaTidal volumeVentilatorsWeaning ePublished: 19 December 2000 Issue Published: 19 December 2000 Copyright & PermissionsCopyright © 2000 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...