Update in Critical Care Medicine
Authors: Martin J. Tobin
Journal: Annals of Internal Medicine (1996)

Updates from the Annual Session1 December 1996Update in Critical Care MedicineMartin J. Tobin, MD and John M. Luce, MDMartin J. Tobin, MDFrom Loyola University of Chicago, Maywood, Illinois; and San Francisco General Hospital, San Francisco, California.Search for more papers by this author and John M. Luce, MDFrom Loyola University of Chicago, Maywood, Illinois; and San Francisco General Hospital, San Francisco, California.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-125-11-199612010-00007 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail The practice of critical care medicine extends from medical ethics to the technical aspects of mechanical ventilation. Recent studies have produced several important findings. First, physicians often make unilateral decisions to limit treatment. Second, studies of the severely ill have uncovered a wide spectrum of systemic inflammatory syndromes, some of which are often not associated with infection. Third, some simple new techniques to wean patients from mechanical ventilation appear to be superior to traditional ones. Finally, the use of noninvasive ventilation strategies reduces the need for intubation of patients with chronic obstructive pulmonary disease.Medical EthicsEnhancing Communication Did Not ...References1. Bone RC, Fisher CJ Jr, Clemmer TP, Slotman GJ, Metz CA, Balk RA. Sepsis syndrome: a valid clinical entity. Methylprednisolone Severe Sepsis Study Group. Crit Care Med. 1989; 17:389-93. Google Scholar2. American College of Chest Physicians/Society of Critical Care Medicine Consensus Conference. Definitions for sepsis and organ failure and guidelines for use of innovative therapies in sepsis. Crit Care Med. 1992; 20:864-75. Google Scholar3. Bernard GR, Artigas A, Brigham KL, Carlet J, Falke K, Hudson L, et al. The American-European Consensus Conference of ARDS. Definitions, mechanisms, relevant outcomes, and clinical trial coordination. Am J Respir Crit Care Med. 1994; 149:818-24. Google Scholar4. Esteban A, Alia I, Ibanez J, Benito S, Tobin MJ. Modes of mechanical ventilation and weaning. A national survey of Spanish hospitals. The Spanish Lung Failure Collaborative Group. Chest. 1994; 106:1188-93. Google Scholar5. Pingleton SK. Complications of acute respiratory failure. Am Rev Respir Dis. 1988; 137:1463-93. Google Scholar Author, Article, and Disclosure InformationAuthors: Martin J. Tobin, MD; John M. Luce, MDAffiliations: From Loyola University of Chicago, Maywood, Illinois; and San Francisco General Hospital, San Francisco, California.Corresponding Author: Martin J. Tobin, MD, Division of Pulmonary Medicine, Loyola University of Chicago, 2160 First Avenue, Maywood, IL 60153.Current Author Addresses: Dr. Tobin: Division of Pulmonary Medicine, Loyola University of Chicago, 2160 First Avenue, Maywood, IL 60153. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byPostoperative Ventilatory Management 1 December 1996Volume 125, Issue 11Page: 909-916KeywordsAcute respiratory distress syndromeBreathingDeath ratesIntensive care unitsIntubationLungsSepsisTidal volumeVentilatorsWeaning ePublished: 15 August 2000 Issue Published: 1 December 1996 Copyright & PermissionsCopyright © 1996 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...