Critical Care

  • Heart failure guidelines: What you need to know about the 2017 focused update
    Lee Rodney Haselhuhn, MD, Daniel J. Brotman, MD and Ilan Shor Wittstein, MD
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 123-139; DOI: https://doi.org/10.3949/ccjm.86a.18022

    Prevention, preserved ejection fraction, hypertension, iron, sleep apnea, and acute decompensation.

  • Shortness of breath, fever, cough, and more in an elderly woman
    Brody D. Slostad, MD, Megha Prasad, MD and Nandan S. Anavekar, MD
    Cleveland Clinic Journal of Medicine September 2018, 85 (9) 685-692; DOI: https://doi.org/10.3949/ccjm.85a.18030

    The patient’s many problems include ventricular tachycardia, requiring an implanted cardioverter-defi brillator and amiodarone.

  • Which patients with a parapneumonic effusion need a chest tube?
    Scott A. Helgeson, MD, Brett T. Hiroto, MD, Scott J. Billings, MD, Courtney L. Scott, DO and Michele D. Lewis, MD
    Cleveland Clinic Journal of Medicine August 2018, 85 (8) 609-611; DOI: https://doi.org/10.3949/ccjm.85a.17036

    Hospitalized patients with pneumonia who develop a complicated effusion or empyema need one.

  • What should I address at follow-up of patients who survive critical illness?
    Dmitriy M. Golovyan, MD, Sikandar H. Khan, DO, Sophia Wang, MD and Babar A. Khan, MBBS
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 523-526; DOI: https://doi.org/10.3949/ccjm.85a.17104

    Cognitive decline, psychiatric disturbances, and physical weakness can persist 1 year or longer.

  • Critical care medicine: An ongoing journey
    Steven R. Insler, DO
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 527-528; DOI: https://doi.org/10.3949/ccjm.85a.18015

    Although 70% of ICU patients survive hospitalization, the mortality rate 1 year after discharge may exceed 50%.

  • Cardiorenal syndrome, March 2018
    Benjamin J. Freda, DO
    Cleveland Clinic Journal of Medicine May 2018, 85 (5) 360; DOI: https://doi.org/10.3949/ccjm.85c.05001

    A reader comments on acute cardiorenal syndrome (March 2018).

  • In reply: Cardiorenal syndrome
    Guramrinder S. Thind, MD, Mark Loehrke, MD, FACP and Jeffrey L. Wilt, MD, FACP, FCCP
    Cleveland Clinic Journal of Medicine May 2018, 85 (5) 361; DOI: https://doi.org/10.3949/ccjm.85c.05002
  • Hemodynamically, the kidney is at the heart of cardiorenal syndrome
    Justin L. Grodin, MD, MPH
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 240-242; DOI: https://doi.org/10.3949/ccjm.85a.17126

    In heart failure, the heart and the kidneys share a rocky relationship.

  • Man’s best friend, fatal in the end
    Evelyn Ling, MD, Stacey Howell, MD, Mai Vang, BS and Paul Aronowitz, MD
    Cleveland Clinic Journal of Medicine February 2017, 84 (2) 146-150; DOI: https://doi.org/10.3949/ccjm.84a.16061

    A dog bite in a patient without a spleen can have serious consequences.

  • Altered mental status and an acid-base disturbance January 2017
    Cleveland Clinic Journal of Medicine March 2017, 84 (3) 214;

    Errors occurred in: Mani S, Rutecki GW. A patient with altered mental status and an acid-base disturbance. Cleve Clin J Med 2017; 84:27–34.

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