2003 ANNUAL UPDATE - link.springer.com978-1-4757-5548-0/1.pdf · ANNUAL UPDATE 2003 Editor J ......

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INTENSIVE CARE MEDICINE 2003 ANNUAL UPDATE VINCENT

Transcript of 2003 ANNUAL UPDATE - link.springer.com978-1-4757-5548-0/1.pdf · ANNUAL UPDATE 2003 Editor J ......

INTENSIVE CARE

MEDICINE

2003

ANNUAL UPDATE

JEAN~LOUIS VINCENT

Springer-Verlag Berlin Heidelberg GmbH

INTENSIVE CARE

MEDICINE

ANNUAL UPDATE

2003

Editor

J ean..-Louis Vincent MD, PhD, FCCM, FCCP

Head, Department of Intensive Care Erasme Hospital, Free University of Brussels

Brussels, Belgium

With 176 Figures and 96 Tables

~Springer

Jean-Louis Vincent, MD, PhD, FCCM, FCCP Head, Department of Intensive Care Erasme Hospital Free University of Brussels Route de Lennik 808 B-1 070 Brussels Belgium

ISBN 978-1-4757-5550-3 ISBN 978-1-4757-5548-0 (eBook) DOI 10.1007/978-1-4757-5548-0

Printed on acid-free paper.

©Springer-Verlag Berlin Heidelberg 2003

Softcover reprint of the hardcover 1st edition 2003 All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher Springer-Verlag Berlin Heidelberg GmbH. except for brief excerpts in connection with reviews or schol-arly analysis. Use in connection with any form of information storage and retrieval, elec­tronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden.

The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights.

While the advice and information in this book are believed to be true and accurate at the date of going to press, neither the authors nor the editor nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein.

9 8 7 6 5 4 3 2 1 SPIN 10954263

www.springer-ny.com

Contents

Epithelial-Endothelial Alterations

Role of Epithelial ICAM-1 in Endotoxin-Induced Lung Injury 3 (B. Beck-Schimmer, R. C. Schimmer, and T. Pasch)

Pulmonary Endothelium-Bound Enzymes in the Normal and the Diseased Lung . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

(S.E. Orfanos, A. Kotanidou, and C. Roussos)

Endothelial Cell Replacement Therapy in the Critically Ill 21 (S. V. Baudouin)

Sepsis: Mechanisms and Therapy

Reconciling Clinical Criteria and the Use of Genetically Engineered Animals in Sepsis Research . . . . . . 35

(G. Albuszies, C. Ince, and P. Radermacher)

Human Genetics and Human Sepsis: Is the Tail Wagging the Dog? . . . . . . . . . . . . . . . . . . . . . . . . 46

(D. Burgner and M. Levin)

Microarray Technology in Sepsis: Tool or Toy . . . . . . . . . . . . 55 (S. Russwurm, H. P. Deigner, and K. Reinhart)

Update on Anti-Endotoxin Therapies (R. Stephens and M. Mythen)

65

An Update of Childhood Meningococcal Sepsis . . . . . . . . . . . 76 (]. Ramet, N. Najafi, and A. Benatar)

The Effect of Alcohol Consumption on Risk of Sepsis and ARDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86

(E. L. Burnham, M. Moss, and G. S. Martin)

VI Contents

Supplementing Arginine during Sepsis: from Theory to Clinical Practice . . . . . . . . . . . . . . . . . . . . . . 97

(M. Poeze and M.J. Bruins)

Coagulation Abnormalities

Severe Thrombotic Microangiopathy in Critically Ill Patients . 109 (F. Pene, Y. E. Claessens, and f. P. Mira)

Heparin in the Treatment of Critically Ill Patients on the ICU Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120

(M. Levi, A. Cornelie de Pont, and E. de Jonge)

Endogenous Anticoagulants and the Role of Heparin in the Treatment of Severe Sepsis . . . . . . . . . . . . . . . . . . . . . 129

(C.J. Wiedermann and C. Pechlaner)

Is Recombinant Activated Factor VII a Universal Hemostatic? . 136 (P. Diprose, R. Gill, and M. Herbertson)

Infectious Challenges

Nasal Carriage of Staphylococcus aureus: Associated Risks and Preventive Measures . . . . . . . . . . . . . . . . . . . . . . . . . . . 149

(H.F.L. Wertheim and J. A.J. W. Kluytmans)

Current Dilemmas in the Management of Adults with Severe Community-Acquired Pneumonia . .. .... . .. .. 162

(J. Rello, f. A. Paiva, and C. S. Dias)

Evaluation of Non-Resolving and Progressive Pneumonia ... . 175 (R. Menendez and A. Torres)

Candida in Lung Specimens from Non-Neutropenic ICU Patients: Infection or Colonization? . . . . . . . . . . . . . . . . . . . . 188

(E. Azoulay and B. Schlemmer)

A Reappraisal of Selective Decontamination of the Digestive Tract . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 199

(A. Heininger, W.A. Krueger, and K.E. Unertl)

Management of Catheter-Related Sepsis in the ICU ... ..... 209 (B. Mourvillier and f. F. Timsit)

Empiric Antibiotics in Critical Illness: Do they Help or Harm? 219 (M.A. Aarts and J. C. Marshall)

Contents VII

Acute Respiratory Failure

Mortality Rates in Patients with ARDS: What Should be the Reference Standard? . . . . . . . . . . . . . . . 231

(N.D. Ferguson, F. Frutos- Vivar, and A. Esteban)

Sigh in Acute Respiratory Failure . . . . . . . . . . . . . . . . . . . . . 243 (N. Patroniti, G. Foti, and A. Pesenti)

The Conditioning of Medical Gases during Spontaneous Breathing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 255

(D. Chiumello, N. Bottino, and P. Pelosi)

Recent Innovations in Mechanical Ventilatory Support . . . . . . 264 (N. Macintyre)

Expiratory Flow Limitation in Mechanically Ventilated Patients 272 (A. Koutsoukou, C. Roussos, and]. Milic-Emili)

Respiratory Muscle Unloading during Mechanical Ventilation . 280 (]. Beck, ]. Spahija, and C. Sinderby)

High Frequency Oscillation (HFO): Physiological Basis for a Potentially 'Optimal' Protective Ventilatory Strategy . . . 288

(A. Rossi, T. E. Stewart, and V. M. Ranieri)

Withdrawal from Mechanical Ventilation in Patients with COPD: The Issue of Congestive Heart Failure

(B. Cabello and]. Mancebo)

Inhalation Therapies

295

Inhalation Therapy during Mechanical Ventilation . . . . . . . . 305 (E. Kondili, C. Alexopoulou, and D. Georgopoulos)

Trials of Surfactant Replacement Therapy in Patients with ARDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 317

(M.]. Schultz,]. Kesecioglu, and B. Lachmann)

Surfactant Therapy: Beyond a Rescue Therapy for ARDS . . . . 331 (].]. Haitsma, R. A. Lachmann, and B. Lachmann)

VIII Contents

Perioperative Complications

High Risk Surgical Patients: Why We Should Pre-Optimize ... 341 (B. Vallet, G. Lebuffe, and E. Wiel)

Pain Control in the Intensive Care Unit . . . . . . . . . . . . . . . . . 348 (S. Brett and U. Waheed)

Respiratory Failure Post-Coronary Bypass Surgery ......... 355 (S. Yende and R. Wunderink)

Postoperative Respiratory Management . . . . . . . . . . . . . . . . . 366 (G.K. Albaugh and R.P. Dellinger)

Myocardial Ischemia or Cardiac Failure: Which Constitutes the Major Perioperative Risk? . . . . . . . . . . 377

(P. Older and A. Hall)

Cardiac Crises

Acute Coronary Syndromes .... . .................... 391 (!.F. Coutts, S. R. Redwood, and A. Rhodes)

Pre-Hospital Reperfusion Strategies to Optimize Outcomes in Acute Myocardial Infarction . . . . . . . . . . . . . . . . . . . . . . . 412

(P. Goldstein)

Glucose, Free Fatty Acids, and Insulin Following Acute Myocardial Ischemia . . . . . . . . . . . . . . . . . . . . . . . . . . 427

(H. B. van Wezel and S. W. M. de ]on g)

Quantifying Left Ventricular Ejection Effectiveness . . . . . . . . . 436 (M. R. Pinsky)

Cardiogenic Shock ................................ 447 (S.M. Hollenberg)

Cardiopulmonary Resuscitation

Inhibition of the Sarcolemmal Sodium-Hydrogen Exchanger: A Potential Treatment for Resuscitation from Cardiac Arrest .. 461

(R.]. Gazmuri, I.M. Ayoub, and]. Kolarova)

Contents IX

Immediate Defibrillation for Out-of-hospital Ventricular Fibrillation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 472

(P. E. Pepe, f. G. Wigginton, and R. L. Fowler)

Monitoring Systems

Cardiac Output Monitoring: Will New Technologies Replace the Pulmonary Artery Catheter? . . . . . . . . . . . . . . . . . . . . . . 481

(J.A.L. Pittman and K.f. Gupta)

Assessment of Cardiac Preload and Volume Responsiveness using Echocardiography . . . . . . . . . . . . . . . . . . . . . . . . . . . 491

(M. Slama and f. L. Teboul)

Early Transesophageal Echo Doppler Approach in Trauma: Emergence of a New Tool . . . . . . . . . . . . . . . . . . . . . . . . . . 499

(0. Richard, f.M. Caussanel, and Y. Lambert)

Management of Circulatory and Respiratory Failure Using Less Invasive Hemodynamic Monitoring . . . . . . . . . . . 508

(F. Michard and A. Perel)

Minimally Invasive Hemodynamic Monitoring . . . . . . . . . . . 521 (W. T. Peruzzi, R. Gould, and L. Brodsky)

Oxygen Availability

Microvascular Alterations in Patients with Circulatory Failure 535 (D. De Backer, f. Creteur, and M.f. Dubois)

Critical Tissue Oxygen Thresholds for the Induction of Apoptosis in Critical Illness . . . . . . . . . . . . . . . . . . . . . . 545

(B. Venkatesh, G. Gobe, and T.f. Morgan)

Reflectance Spectrophotometry and Tissue Oxygenation in Experimental and Clinical Practice . . . . . . . . . . . . . . . . . 553

(M.P. Buise, f. van Rommel, and C. !nee)

The Case for Tissue Base Excess . . . . . . . . . . . . . . . . . . . . . 564 (T.f. Morgan and B. Venkatesh)

Clinical Use of Venoarterial PC02 Difference in Septic Shock . 574 (J. L. Teboul and X. Monnet)

X Contents

Fluid Therapy

Hypovolemia: An Integration of Organ System Physiology . . . 585 (D. L. Traber)

New Light on Volume Therapy in the Critically Ill? . . . . . . . . 594 (!.Boldt)

Ethyl Pyruvate: A Novel Anti-inflammatory Agent ... . ..... 604 (M.P. Fink)

Clinical Use of Artificial Oxygen Carriers (N. Dettori, R. Kocian, and D. R. Spahn)

Is There a Role for Red Blood Cell Transfusion

615

in the Critically Ill Patient? . . . . . . . . . . . . . . . . . . . . . . . . . . 623 (H.L. Corwin, M.D. Hampers, and S.D. Surgenor)

Transfusion Triggers (L. T. Goodnough)

Renal Failure

630

Use of Dopaminergic Agonists for Renal Protection in the ICU 637 (P.T. Murray)

Interpreting the Mechanisms of CRRT in Sepsis: The Peak Concentration Hypothesis . . . . . . . . . . . . . . . . . . . 649

(C. Tetta, R. Bellomo, and C. Ronco)

SLEDD and Hybrid Renal Replacement Therapies for Acute Renal Failure in the ICU . . . . . . . . . . . . . . . . . . . . 663

(W. Van Biesen and N. Lameire)

Brain-lung Interactions

Advanced Airway Management in the Neurologically Injured Patient . . . . . . . . . . . . . . . . . . 679

(A. Gabrielli, L.J. Caruso, and A.]. Layon)

Treatment Conflicts between the Injured Brain and the Lung . 701 (T. Lescot, L. Abdennour, and L. Puybasset)

Contents XI

Ventilatory Management in Head Injured Patients . . . . . . . . . 710 (P. Pelosi, G. Apostolou, and D. Chiumello)

Neurological Crises

Induction of Ischemic Tolerance in the Brain: A Novel Neuroprotective Strategy? . . . . . . . . . . . . . . . . . . . . 725

(A.M. Brambrink and J.P. Korner)

Positron Emission Tomography: Anticipated Usefulness in Critical Care Settings . . . . . . . . . . 737

(F. Lamontagne, F. Benard, and 0. Lesur)

Measurement of Regional Cerebral Blood Flow by Near Infrared Spectroscopy and Indocyanine Green Dye Dilution . . . . . . . . 747

(E. Keller, A. Nadler, and H. Alkadhi)

Invasive Multimodal Online Monitoring in Severe Stroke Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . 758

(T. Steiner and F. Meisel)

Critical Care of Myasthenic Crisis . . . . . . . . . . . . . . . . . . . . 765 (N. ]anjua and S. A. Mayer)

Neuromuscular Abnormalities in Critical Illness . . . . . . . . . . 776 (T. Sharshar, H. D. Outin, and B. de ]onghe)

Emergency Medicine

Interhospital Pediatric Intensive Care Transport . . . . . . . . . . 791 (G. D. Vos and G. Ramsay)

Carbon Monoxide Poisoning (]. Varon and P. E. Marik)

800

Club Drugs: A New Challenge in Clinical Toxicology . . . . . . . 811 (P. Lheureux, A. Penaloza, and M. Gris)

XII Contents

Gl Crises

New Insights into the Pathophysiology and Severity Assessment of Acute Pancreatitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 823

(D.]. van Westerloo, M.]. Bruno, and T. van der Poll)

Necrosectomy for Severe Acute Pancreatitis (A. Leppiiniemi)

838

Acute Liver Failure in the ICU .................. . .... 847 (E. Sizer, f. Wendon, and W. Bernal)

Metabolic Support

Critical Role of Hormones in Traumatic Injury and Outcome . 861 ( T. S. A. Samy, L. W. Rue III, and I.H. Chaudry)

Hyperglycemia and the Lung . . . . . . . . . . . . . . . . . . . . . . . . 873 (R.f. Cusack, f. Ball, and B.]. Philips)

Glycolysis in Sepsis and other Stress Conditions . . . . . . . . . . 881 (S. Karyampudi and M. Singer)

Dehydroepiandrosterone (DHEA) and its Sulfate (DHEAS) in Critical Illness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 891

(A. Beishuizen and A.B.]. Groeneveld)

Vasopressin and Hypothalamic-Pituitary-Adrenal Axis Relationships . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 901

(F. Lauzier, N. Gallo-Payet, and 0. Lesur)

Clinical Applications of Indirect Calorimetry in the Intensive Care Setting . . . . . . . . . . . . . . . . . . . . . . . . . 912

(P. Singer and J.D. Cohen)

Management, Education, and Ethics

Can Nosocomial Infections and Iatrogenic Events Serve as Quality-of-Care Indicators in the ICU? . . . . . . . . . . . . . . . 923

(M. Garrouste Orgeas, L. Soufir, and f. F. Timsit)

Contents XIII

Hospital and ICU Organizational Structure and Quality of Care for Surgical Patients . . . . . . . . . . . . . . . 934

(].B. Dimick, P J. Pronovost, and P. A. Lipsett)

Volume and Outcome in Pediatric Critical Care: How Much is Enough? • . . . . . . . . . . . . . . . . . . . . . . . . . . . 945

(R. S. Watson and M. E. Hartman)

Human Factors and ICU Outcomes . . . . . . . . . . . . . . . . . . . 953 (D. T. Huang, f.B. Sexton, and D.C. Angus)

The Risk of Nursing in an Error-Prone Environment . . . . . . . 963 (!. M. Binnekade, M. B. Vroom, and f. Kesecioglu)

Identifying the Patient-at-Risk: Technology and ICU Outreach Services . . . . . . . . . . . . . . . . 971

(D. C. Scales, f. T. Granton, and W.J. Sibbald)

Multimedia Medical Education and E-Learning . . . . . . . . . . . 982 (M. Antonelli, G. Bello, and M.A. Pennisi)

End-of-Life Care in the ICU: Toward a Newer Concept of Futility . . . . . . . . . . . . . . . . . . . 991

(D. Crippen)

Subject Index ................................... 1001

List of Contributors

Aarts MA Dept of Surgery EN 9-234 Toronto General Hospital 200 Elizabeth Street Toronto, Ontario M5G 2C4 Canada

Abdennour L Unit of Neuroanesthesiology Dept of Intensive Care Hopital de la Pitie-Salp~trierie 47-83 Bvd de l'hOpital 75013 Paris France

Albaugh GK Section of Critical Care Medicine Cooper Health System One Cooper Plaza-459 Kelemen Camden, NJ 08103 USA

Albuszies G Dept of Anesthesiology University Hospital SteinhovelstraBe 9 89070 U1m Germany

Alexopoulou C Dept of Intensive Care University Hospital of Heraklion Heraklion 71110 Crete Greece

Alkadhi H Institute of Neuroradiology University of Zurich FrauenklinikstraBe 10 8091 Zurich Switzerland

Anantha Samy TS Center for Surgical Research and Dept of Surgery University of Alabama at Birmingham Volker Hall G094 1670 University Blvd Birmingham, AL 35294-0019 USA

Angus DC Room 604 Scaife Hall The CRISMA Laboratory Critical Care Medicine University of Pittsburgh 3550 Terrace Street Pittsburgh, PA 15261 USA

Antonelli M Dept of Anesthesiology and Intensive Care Universita Cattolica del Sacro Cuore Policlinico A. Gemelli Largo A. Gemelli 8 00168 Rome Italy

Apostolou G Dept of Clinical and Biological Science Universita degli Studi dell'Insubria Varese Italy

Ayoub 1M Medical Service (111F) North Chicago VA Medical Center 3001 Green Bay Road North Chicago, IL 60064 USA

XVI List of Contributors

Azoulay E Dept of Intensive Care Hopital Saint-Louis 1 Av Claude Vellefaux 75010 Paris France

Ball J Intensive Care Unit St James' Wing St George's Hospital Blackshaw Road London SW17 OQT UK

Baudouin SV Dept of Anesthesiology Leazes Wing Royal Victoria Infirmary Newcastle-upon-Tyne NE1 4LP UK

Beck] Dept of Medicine Sainte-Justine Hospital 3175 Chemin de la C6te Ste-Catherine 7th floor Montreal, Quebec H3T 1C5 Canada

Beck-Schimmer B Institute of Anesthesiology and Institute of Physiology University of Zurich-Irchel RaemistraEe 100 8091 Zurich Switzerland

Beishuizen A Dept of Intensive Care VU University Medical Center De Boelelaan 1117 1081 HV Amsterdam The Netherlands

Bello G Dept of Anesthesiology and Intensive Care Universita Cattolica del Sacro Cuore Policlinico A. Gemelli Largo A. Gemelli 8 00168 Rome Italy

Bellomo C Dept of Nephrology, Dialysis, and Transplantation St Bortolo Hospital Viale Rodolfi 31 Vicenza Italy

Benard F Dept of Nuclear Medicine and Radiobiology Universiz of Sherbrooke 3001, 12 Avenue Nord Sherbrooke, Quebec J1H 3J5 Canada

Benatar A Pediatric Intensive Care Unit AZ-Vrije Universiteit Brussel 101 Laarbeeklaan 1090 Brussels Belgium

Bernal W Liver Intensive Care Unit Institute of Liver Studies King's College Hospital Bessemer Road London SE15 9RS UK

Binnekade ]M Dept of Intensive Care Academic Medical Center University of Amsterdam Mail stop G3-206 PO Box 22700 1100 DE Amsterdam The Netherlands

Boldt J Dept of Anesthesiology and Intensive Care Medicine Klinikum der Stadt Ludwigshafen BremserstraEe 79 67063 Ludwigshafen Germany

Bottino N Dept of Anesthesiology and Intensive Care Universita degli Studi di Milano Ospedale Policlinico-IRCCS Via F. Sforza 35 20122 Milan Italy

Brambrink AM Department of Anesthesiology Johannes Gutenberg-University Mainz LangenbeckstraBe 1 55131 Mainz Germany

Brett S Department of Anaesthesia and Intensive Care Hammersmith Hospital Du Cane Road London W12 OHS UK

Brodsky L Section of Critical Care Medicine Northwestern University Feinberg School of Medicine 251 E. Huron Feinberg 8-336 Chicago, IL 60611 USA

Bruins MJ Bioavailability Unilever Health Institute Unilever Research Vlaardingen PO Box 114 3130 AC Vlaardingen The Netherlands

Bruno MJ Division of Gastroenterology and Hepatology Academic Medical Center Meibergdreef 9 C2-321 1105 AZ Amsterdam The Netherlands

Buise MP Dept of Anesthesiology Erasmus MC Rotterdam Dr. Molewaterplein 40 3000 CA Rotterdam The Netherlands

Burnham EL Division of Pulmonary, Allergy, and Critical Care Grady Memorial Hospital 69 Jesse Hill Jr Drive SE Suite 2D-004 Atlanta, GA 30303 USA

List of Contributors XVII

Burgner D Pediatric Infectious Diseases School of Pediatrics and Child Health University of Western Australia Princess Margaret Medical Center GPO Box D184 Perth WA 6840 Australia

Cabello B Dept of Intensive Care Hospital de la Santa Creu I Sant Pau Av SAM Claret 167 08025 Barcelona Spain

Caruso LJ Dept of Anesthesiology and Surgery University of Florida College of Medicine PO Box 100254 Gainesville, FL 32610-0254 USA

Caussanel ]M Service d' Aide Medicale Urgente (SAMU 78) Service Mobile d'Urgence et de Reanimation Versailles Hospital 177 rue de Versailles 78150 Le Chesnay France

Chaudry IH Center for Surgical Research and Dept of Surgery University of Alabama at Birmingham Volker Hall G094 1670 University Blvd Birmingham, AL 35294-0019 USA

Chiumello D Dept of Anesthesiology and Intensive Care Universita degli Studi di Milano Ospedale Policlinico-IRCCS Via F. Sforza 35 20122 Milan Italy

XVIII list of Contributors

Claessens YE Medical Intensive Care Unit Cochin University Hospital 27 rue du Faubourg Saint-Jacques 75679 Paris cedex 14 France

Cohen ]D Department of General Intensive Care Rabin Medical Center Campus Beilinson 49100 Petah Tikva Israel

Cornelie de Pont A Dept of Vascular Medicine/Internal Medicine Academic Medical Centre F-4 Meibergdreef 9 1105 AZ Amsterdam The Netherlands

Corwin HL Section Critical Care Medicine Dept of Anesthesiology Dartmouth Hitchcock Medical Center Dartmouth Medical School One Medical Center Drive Lebanon NH 03756 USA

Coutts ]F Department of Cardiology Guys & St Thomas' NHS Trust Lambeth Palace Rd London SE1 7EH UK

Creteur / Dept of Intensive Care Erasme Hospital Free University of Brussels 808 Route de Lennik 1070 Brussels Belgium

Crippen D Dept of Critical Care Medicine University of Pittsburgh Medical Center 616 Scaife Hall Pittsburgh, PA 15261 USA

Cusack R/ Intensive Care Unit St James' Wing St George's Hospital Blackshaw Road London SW17 OQT UK

De Backer D Dept of Intensive Care Erasme Hospital Free University of Brussels 808 Route de Lennik 1070 Brussels Belgium

Deigner HP Clinics of Anesthesiology and Intensive Care Friedrich Schiller University of Jena BachstraBe 18 07743 Jena Germany

de]ongSWM Department of Anesthesiology Academic Medical Center Meibergdreef 9 1105 AZ Amsterdam The Netherlands

de ]onge E Dept of Vascular Medicine/ Internal Medicine Academic Medical Centre F-4 Meibergdreef 9 1105 AZ Amsterdam The Netherlands

de ]onghe B Dept of Intensive Care Centre Hospitalier de Poissy 10 rue du champ-Gaillard 78300 Poissy France

Dellinger RP Section of Critical Care Medicine Cooper Health System One Cooper Plaza-459 Kelemen Camden, NJ 08103 USA

Dettori N Dept of Anesthesiology University Hospital Lausanne 1011 Lausanne Switzerland

Dias CS Critical Care Dept Hospital Universitari Joan XXIII Carrer Dr Mallafre Guasch 4 43007 Tarragona Spain

Dimick]B The John Hopkins Hospital 600 N. Wolfe Street Blalock 685 Baltimore, MA 21287-4685 USA

Diprose P Division of Cardiac Anesthesia Dept of Anesthesia E Level Center Block Southampton University Hospital Southampton S016 6YD UK

Dubois M] Dept of Intensive Care Erasme Hospital Free University of Brussels 808 Route de Lennik 1070 Brussels Belgium

Esteban A Unidad de Cuidados Intensivos Hospital Universitario de Getafe Carretera de Toledo Km 12,500 28905 Getafe Madrid Spain

Ferguson ND Dept of Medicine Division of Respirology/Critical Care University of Toronto 200 Elizabeth Street Toronto, Ontario M5G 2C4 Canada

Fink MP Dept of Critical Care Medicine University of Pittsburgh Medical School 3550 Terrace Street Room 616 Scaife Hall Pittsburgh, PA 15261 USA

list of Contributors XIX

Foti G Institute of Anesthesia and Intensive Care Unit Department of Surgical Science and Intensive Care Milano-bicocca University San Gerardo Hospital Via Donizetti 106 Monza Milan Italy

Fowler RL Dept of Surgery University of Texas Southwestern Medical Center 5323 Harry Hines Blvd Dallas, TX 75490-8579 USA

Frutos-Vivar F Unidad de Cuidados Intensivos Hospital Universitario de Getafe Carretera de Toledo Km 12,500 28905 Getafe Madrid Spain

Gabrielli A Dept of Anesthesiology and Surgery University of Florida College of Medicine PO Box 100254 Gainesville, FL 32610-0254 USA

Gallo-Payet N Endocrinology Service Dept of Medicine Universiz of Sherbrooke 3001, 12 Avenue Nord Sherbrooke, Quebec JlH 3J5 Canada

Garrouste Orgeas M Dept of Intensive Care St. Joseph Hospital Paris France

Gazmuri R] Medical Service (111F) North Chicago VA Medical Center 3001 Green Bay Road North Chicago, IL 60064 USA

XX List of Contributors

Georgopoulos D Dept of Intensive Care University Hospital of Heraklion Heraklion 71110 Crete Greece

Gill R Division of Cardiac Anesthesia Dept of Anesthesia E Level Center Block Southampton University Hospital Southampton S016 6YD UK

Gobe G Dept of Molecular and Cellular Pathology University of Queensland Herston, QLD 4006 Australia

Goldstein P Dept of Emergency Medicine Centre Hospitalier Regional Universitaire de Lille Lille 59037 Lille Cedex France

Goodnough LT Division of Laboratory Medicine Washington University School of Medicine 660 South Euclid Avenue St Louis, MO 63110 USA

Gould R Section of Critical Care Medicine Northwestern University Feinberg School of Medicine 251 E. Huron Feinberg 8-336 Chicago, IL 60611 USA

Granton J Dept of Critical Care University of Toronto Health Network TGH-10EN-220 200 Elizabeth Street Toronto, Ontario Canada

Gris M Department of Emergency Medicine Acute Poisons Unit Erasme University Hospital Route de Lennik 808 1070 Brussels Belgium

Groeneveld AB] Dept of Intensive Care VU University Medical Center De Boelelaan 1117 1081 HV Amsterdam The Netherlands

Gupta K] Dept of Anesthesia and Intensive Care Royal United Hospital Bath BA1 3NG United Kingdom

Haitsma]] Department of Anesthesiology Room EE 2393 Erasmus University Rotterdam Post Box 1738 3000 DR Rotterdam The Netherlands

Hall A Dept of Intensive Care Western Hospital Footscray 3011 Melbourne Australia

Hampers MD Section Critical Care Medicine Dept of Anesthesiology Dartmouth Hitchcock Medical Center Dartmouth Medical School One Medical Center Drive Lebanon, NH 03756 USA

Hartman ME Dept of Critical Care Medicine University of Pittsburgh 606C Scaife Hall 3550 Terrace Street Pittsburgh, PA 15261 USA

Heininger A Dept of Anesthesiology and Intensive Care Medicine University Hospital Tiibingen Hoppe-Seyler Str 3 72076 Ti.ibingen Germany

Herbertson M Division of Cardiac Anesthesia Dept of Anesthesia E Level Center Block Southampton University Hospital Southampton S016 6YD UK

Hollenberg SM Section of Cardiology Cooper Hospital/ University Medical Center One Cooper Plaza Room 404 Camden, NJ 08103 USA

Huang DT Room 604 Scaife Hall The CRISMA Laboratory Critical Care Medicine University of Pittsburgh 3550 Terrace Street Pittsburgh, PA 15261 USA

!nee C Dept of Anesthesiology Academic Medical Center Meibergdreef 9 1105 AZ Amsterdam The Netherlands

]anjua N Depts of Neurocritical Care Columbia Presbyterian Medical Center 710 W 1681h St, Box 119 New York, NY 10032 USA

Kacion R Dept of Anesthesiology University Hospital Lausanne 1011 Lausanne Switzerland

List of Contributors XXI

Karyampudi S Bloomsbury Institute of Intensive Care Medicine University College London Fifth Floor, Jules Thorn Building Middlesex Hospital Mortimer Street London W1 T 3AA UK

Keller E Department of Neurosurgery University Hospital FrauenklinikstraBe 10 8091 Zi.irich Switzerland

Kesecioglu MB Dept of Anesthesiology, Cardiothoracic and Neurosurgical Intensive Care Unit Division of Perioperative Medicine and Emergency Care University Medical Center Utrecht Mail stop E03-511 PO Box 85500 3508 GA Utrecht The Netherlands

Kluytmans ]A]W Department of Clinical Microbiology Amphia Hospital Breda Location Langendijk PO Box 90158 4800 RK Breda The Netherlands

Kocian R Dept of Anesthesiology University Hospital Lausanne 1011 Lausanne Switzerland

Kolarova J Medical Service ( 111 F) North Chicago VA Medical Center 3001 Green Bay Road North Chicago, IL 60064 USA

Kondili E Dept of Intensive Care University Hospital of Heraklion Heraklion 71110 Crete Greece

XXII List of Contributors

Korner IP Department of Anesthesiology Johannes Gutenberg-University Mainz LangenbeckstraBe 1 55131 Mainz Germany

Kotanidou A Department of Critical Care & Pulmonary Medicine University of Athens Medical School Evangelismos Hospital 45-47 lpsilandou Street 10675 Athens Greece

Koutsoukou A Critical Care Department Evangelismos General Hospital 45-47 Ipsilandou Street 10675 Athens Greece

Krueger WA Dept of Anesthesiology and Intensive Care Medicine University Hospital Tiibingen Hoppe-Seyler StraBe 3 72076 Tiibingen Germany

Lachmann B Dept of Anesthesiology Erasmus Medical Center PO Box 1738 3000 DR Rotterdam The Netherlands

Lachmann RA Department of Anesthesiology RoomE 2393 Erasmus University Rotterdam Post Box 1738 3000 DR Rotterdam The Netherlands

LambertY Service d' Aide Medicale Urgente (SAMU 78) Service Mobile d'Urgence et de Reanimation Versailles Hospital 177 rue de Versailles 78150 Le Chesnay France

Lameire N Renal Division University Hospital of Ghent De Pintelaan 185 9000 Ghent Belgium

Lamontagne F Medical Intensive Care Unit Dept of Medicine Universiz of Sherbrooke 3001, 12 Avenue Nord Sherbrooke, Quebec J1H 3J5 Canada

Lauzier F Medical Intensive Care Unit Dept of Medicine Universiz of Sherbrooke 3001, 12 Avenue Nord Sherbrooke, Quebec J1H 3J5 Canada

Layon A] Dept of Anesthesiology and Surgery University of Florida College of Medicine PO Box 100254 Gainesville, FL 32610-0254 USA

Lebuffe G Dept of Anesthesiology and Intensive Care II H6pital Claude Huriez Centre Hospitalier Universitaire Lille France

Leppiiniemi A Dept of Surgery Meilahti Hospital University of Helsinki Haartmaninkatu 4 PO Box 340 00029 HUS Finland

Lescot T Unit of Neuroanesthesiology Dept of Intensive Care H6pital de Ia Pitie-Salp~trierie 47-83 Bvd de l'h6pital 75013 Paris France

Lesur 0 Medical Intensive Care Unit Dept of Medicine Universi}l of Sherbrooke 3001, 12 Avenue Nord Sherbrooke, Quebec JlH 3J5 Canada

Levi M Dept of Vascular Medicine/ Internal Medicine Academic Medical Centre F-4 Meibergdreef 9 1105 AZ Amsterdam The Netherlands

Levin M Pediatric Infectious Diseases Imperial College Faculty of Medicine 7th floor, QEQM Wing St Mary's Campus London W2 1PG UK

Lheureux P Department of Emergency Medicine Erasme University Hospital Route de Lennik 808 1070 Brussels Belgium

Lipsett PA The John Hopkins Hospital 600 N. Wolfe Street Blalock 685 Baltimore, MA 21287-4685 USA

Macintyre N Dept of Respiratory Care Services, Pulmonary Function Laboratory, Pulmonary Rehabilitation Program Duke University Medical Center Box 3911, Room 7451 Duke North Durham, NC 27710 USA

Mancebo J Dept of Intensive Care Hospital de Ia Santa Creu I Sant Pau Av SAM Claret 167 08025 Barcelona Spain

List of Contributors XXIII

Marik PE Dept of Medicine and Critical Care University of Pittsburgh School of Medicine 3550 Terrace Street Pittsburgh, PA 15261 USA

Marshall ]C Division of Intensive Care Medicine EN 9-234 Toronto General Hospital 200 Elizabeth Street Toronto, Ontario M5G 2C4 Canada

Martin GS Division of Pulmonary, Allergy, and Critical Care Grady Memorial Hospital 69 Jesse Hill Jr Drive SE Suite 2D-004 Atlanta, GA 30303 USA

Mayer SA Depts of Neurology and Neurosurgery Columbia Presbyterian Medical Center 710 W 168th St, Box 39 New York, NY 10032 USA

Meisel F Dept of Neurology University of Heidelberg Im Neuenheimer Feld 400 69120 Heidelberg Germany

Menendez R Dept of Pulmonary Medicine Hospital Universitario La Fe Valencia Spain

Michard F Medical ICU Bictre Hospital 78 rue du General Leclerc 94275 Le Kremlin Bicetre cedex France

XXIV List of Contributors

Milic-Emili JM Meakins-Christie Laboratories McGill University Montreal, Quebec Canada

Mira]P Medical Intensive Care Unit Cochin University Hospital 27 rue du Faubourg Saint-Jacques 75679 Paris cedex 14 France

Monnet X Medical Intensive Care Unit CHU Bicetre Universite Paris XI 94275 Le Kremlin-Bicetre France

Morgan TJ Dept of Intensive Care Mater Misericordiae Hospital Queensland Australia

MossM Division of Pulmonary, Allergy, and Critical Care Grady Memorial Hospital 69 Jesse Hill Jr Drive SE Suite 2D-004 Atlanta, GA 30303 USA

Mourvillier B Dept of Intensive Care Hllpital Bichat Claude Bernard Rue Henri Huchard 46 75018 Paris France

Murray PT Section of Nephrology, MC 5100 University of Chicago Hospitals 5841 South Maryland Avenue Chicago, IL 60637 USA

Mythen M Portex Unit 6th Floor Cardiac Wing Institute of Child Health 30 Guilford Street London WC1N IEH UK

Nadler A Dept of Biomedicine University Hospital FrauenklinikstraEe 10 8091 Ziirich Switzerland

Najafi N Pediatric Intensive Care Unit AZ-Vrije Universiteit Brussel 101 Laarbeeklaan 1090 Brussels Belgium

Older P Dept of Intensive Care Western Hospital Footscray 3011 Melbourne Australia

Orfanos SE Department of Critical Care & Pulmonary Medicine University of Athens Medical School Evangelismos Hospital 45-47 Ipsilandou Street 10675 Athens Greece

Outin HD Dept of Intensive Care Centre Hospitalier de Poissy 10 rue du champ-Gaillard 78300 Poissy France

Paiva fA Hospital San Joao Porto Portugal

Pasch T Institute of Anesthesiology University of Zurich-Irchel RaemistraEe 100 8091 Zurich Switzerland

Patroniti N Institute of Anesthesia and Intensive Care Unit Department of Surgical Science and Intensive Care Milano-bicocca University San Gerardo Hospital Via Donizetti 106 Monza Milan Italy

Pechlaner C Medizinische Klinik University of Innsbruck AnichstraBe 35 6020 Innsbruck Austria

Pelosi P Dept of Intensive Care Ospedale di Circolo Fondazione Macchi Via Borri 57 2100 Varese Italy

Penaloza A Department of Emergency Medicine Acute Poisons Unit Erasme University Hospital Route de Lennik 808 1070 Brussels Belgium

Pene F Medical Intensive Care Unit Cochin University Hospital 27 rue du Faubourg Saint-Jacques 75679 Paris cedex 14 France

Pennini MA Dept of Anesthesiology and Intensive Care Universita Cattolica del Sacro Cuore Policlinico A. Gemelli Largo A. Gemelli 8 00168 Rome Italy

Pepe PE Dept of Emergency Medicine University of Texas Southwestern Medical Center 5323 Harry Hines Blvd Dallas, TX 75490-8579 USA

List of Contributors XXV

PereZ A Dept of Anesthesiology and Intensive Care Sheba Medical Center Tel Aviv University 52621 Tel Hashomer Israel

Peruzzi WT Section of Critical Care Medicine Northwestern University Feinberg School of Medicine 251 E. Huron Feinberg 8-336 Chicago, IL 60611 USA

Pesenti A Institute of Anesthesia and Intensive Care Unit Department of Surgical Science and Intensive Care Milano-bicocca University San Gerardo Hospital Via Donizetti 106 Monza Milan Italy

Philips B] Department of Anaesthetics and Intensive Care St George's Hospital Medical School Cranmer Terrace London SW17 ORE UK

Pinsky MR Dept of Critical Care Medicine University of Pittsburgh Medical Center 606 Scaife Hall 3550 Terrace Street Pittsburgh, PA 15261 USA

Pittman ]AL Dept of Anesthesia and Intensive Care Royal Devon and Exeter Hospital Exeter Devon EX2 5DW UK

XXVI List of Contributors

Poeze M Department of Surgery and Intensive Care Medicine University Hospital Maastricht P. Debyelaan 25 6202 AZ Maastricht The Netherlands

Pronovost P] The John Hopkins Hospital 600 N. Wolfe Street Blalock 685 Baltimore, MA 21287-4685 USA

Puybasset L Unit of Neuroanesthesiology Dept of Intensive Care Hopital de Ia Pitie-Salpetrierie 47-83 Bvd de l'hOpital 75013 Paris France

Radermacher P Dept of Anesthesiology University Hospital SteinhovelstraBe 9 89070 Ulm Germany

Ramet] Pediatric Intensive Care Unit AZ-Vrije Universiteit Brussel 101 Laarbeeklaan B-1 090 Brussels Belgium

Ramsay G Dept of Surgery and Intensive Care University Hospital Maastricht PO Box 5800 6202 AZ Maastricht The Netherlands

Ranieri VM University of Turin Dipartimento di discipline Medico­Chirurgiche Sezione di Anestesiologia e Rianimazione Ospedale S. Giovanni Battista Corso Dogliotti 14 10126 Turin Italy

Redwood SR Department of Cardiology King's College London The Rayne Institute Guy's and St. Thomas' Hospitals London SE1 7EH UK

Reinhart K Clinics of Anesthesiology and Intensive Care Friedrich Schiller University of Jena BachstraBe 18 07743 Jena Germany

Rello] Critical Care Dept Hospital Universitari Joan XXIII Carrer Dr Mallafre Guasch 4 43007 Tarragona Spain

Rhodes A Dept of Intensive Care St George's Hospital Blackshaw Rd London SW17 OQT

Richard 0 Service d' Aide Medicale Urgente (SAMU 78) Service Mobile d'Urgence et de Reanimation Versailles Hospital 177 rue de Versailles 78150 Le Chesnay France

Ronco C Dept of Nephrology, Dialysis, and Transplantation St Bortolo Hospital Viale Rodolfi 31 Vicenza Italy

Rossi A University of Turin Dipartimento di discipline Medico­Chirurgiche Sezione di Anestesiologia e Rianimazione Ospedale S. Giovanni Battista Corso Dogliotti 14 10126 Turin Italy

Roussos C Critical Care Department Evangelismos General Hospital 45-47 lpsilandou Street 10675 Athens Greece

Rue LW III Center for Surgical Research and Dept of Surgery University of Alabama at Birmingham Volker Hall G094 1670 University Blvd Birmingham, AL 35294-0019 USA

Russwurm S Clinics of Anesthesiology and Intensive Care Friedrich Schiller University of Jena BachstraBe 18 07743 Jena Germany

Scales DC Dept of Critical Care Sunnybrook & Women's College Health Sciences Center 2075 Bayview Avenue Suite D474 Toronto, Ontario M4N 3M5 Canada

Schimmer RC Dept of Surgery University of Zurich RaemistraBe 100 8091 Zurich Switzerland

Schlemmer B Dept of Intensive Care Hopital Saint-Louis 1 Av Claude Vellefaux 75010 Paris France

Schultz M] Dept of Intensive Care Medicine C3-326 Academic Medical Center Meibergdreef 9 1105 AZ Amsterdam The Netherlands

List of Contributors XXVII

Sexton ]B The University of Texas Team Research Project Department of Psychology The University of Texas at Austin Austin TX USA

Sharshar T Respiratory Muscle Laboratory Royal Brompton Hospital Fulham Road London SW3 6NP UK

Sibbald W] Dept of Critical Care Sunnybrook & Women's College Health Sciences Center 2075 Bayview Avenue Suite D474 Toronto, Ontario M4N 3M5 Canada

Sinderby C Dept of Pediatrics Sainte-Justine Hospital 3175 Chemin de la Cote Ste-Catherine 7th floor Montreal, Quebec H3T 1C5 Canada

Singer M Bloomsbury Institute of Intensive Care Medicine University College London Fifth Floor, Jules Thorn Building Middlesex Hospital Mortimer Street London W1 T 3AA UK

Singer P Dept. of General Intensive Care Rabin Medical Center Campus Beilinson 49100 Petah Tikva Israel

Slama M Dept of Intensive Care, Nephrology Service CHU Sud Avenue Rene Laennec. 80054 Amiens Cedex 1 France

XXVIII List of Contributors

Soufir L Dept of Anesthesiology St. Joseph Hospital Paris France

Spahija] Dept of Medicine Sainte-Justine Hospital 3175 Chemin de Ia Cote Ste-Catherine 7th floor Montreal, Quebec H3T 1C5 Canada

Spahn DR Dept of Anesthesiology University Hospital Lausanne 1011 Lausanne Switzerland

SteinerT Dept of Neurology University of Heidelberg Im Neuenheimer Feld 400 69120 Heidelberg Germany

Stephens R Portex Unit 6th Floor Cardiac Wing Institute of Child Health 30 Guilford Street London WC1N IEH UK

Stewart TE University of Toronto Department of Medicine Mount Sinai Hospital Toronto Canada

Surgenor SD Section Critical Care Medicine Dept of Anesthesiology Dartmouth Hitchcock Medical Center Dartmouth Medical School One Medical Center Drive Lebanon, NH 03756 USA

Teboul ]L Medical Intensive Care Unit CHU Bicetre Universite Paris XI 94275 Le Kremlin-Bid~tre France

Tetta C Dept of Nephrology, Dialysis, and Transplantation St Bortolo Hospital Viale Rodolfi 31 Vicenza Italy

Timsit ]F Dept of Intensive Care Hopital Bichat Claude Bernard Rue Henri Huchard 46 75018 Paris France

Torres A Dept of Pulmonary Medicine Institut Clinic de Pneumologia i Cirugia Tonicica Hospital Clinic Villarroel 170 08036 Barcelona Spain

Traber DL Investigative Intensive Care Unit University of Texas Medical Branch 610 Texas Avenue Galveston, TX 77555-0833 USA

Unertl KE Dept of Anesthesiology and Intensive Care Medicine University Hospital Tiibingen Hoppe-Seyler StraBe 3 72076 Tiibingen Germany

Vallet B Dept of Anesthesiology and Intensive Care II Hopital Claude Huriez Centre Hospitalier Universitaire Lille France

Van Biesen W Renal Division University Hospital of Ghent De Pintelaan 185 9000 Ghent Belgium

van Bommel] Dept of Anesthesiology Erasmus MC Rotterdam Dr. Molewaterplein 40 3000 CA Rotterdam The Netherlands

van der Poll T Dept of Infectious Diseases, Tropical Medicine and AIDS Academic Medical Center Meibergdreef 9 C2-321 ll05 AZ Amsterdam The Netherlands

van Westerloo D] Division of Gastroenterology and Hepatology Academic Medical Center Meibergdreef 9 C2-321 ll05 AZ Amsterdam The Netherlands

van Wezel HB Department of Anesthesiology Academic Medical Center Meibergdreef 9 ll05 AZ Amsterdam The Netherlands

Varon] Pulmonary and Critical Care Section University of Texas Health Science Center 2219 Derrington Houston, TX 77030 USA

Venkatesh B Dept of Intensive Care Royal Brisbane Hospital Herston, QLD 4029 Australia

Vas GD Dept of Pediatrics Division of Pediatric Intensive Care University Hospital Maastricht PO Box 5800 6202 AZ Maastricht The Netherlands

List of Contributors XXIX

Vroom MB Dept of Intensive Care Academic Medical Center University of Amsterdam Mail stop G3-206 PO Box 22700 llOO DE Amsterdam The Netherlands

Waheed U Department of Anaesthesia and Intensive Care Hammersmith Hospital Du Cane Road London W12 OHS UK

Watson RS Dept of Critical Care Medicine University of Pittsburgh 606C Scaife Hall 3550 Terrace Street Pittsburgh, PA 15261 USA

Wendon] Liver Intensive Care Unit Institute of Liver Studies King's College Hospital Bessemer Road London SE15 9RS UK

Wertheim HFL University Hospital Erasmus MC Dr. Molewaterplein 40 Rotterdam The Netherlands

Wiedermann C] Medizinische Klinik University of lnnsbruck AnichstraBe 35 6020 Innsbruck Austria

WielE Dept of Anesthesiology and Intensive Care II Hopital Claude Huriez Centre Hospitalier Universitaire Lille France

XXX List of Contributors

Wigginton ]G Dept of Surgery University of Texas Southwestern Medical Center 5323 Harry Hines Blvd Dallas, TX 75490-8579 USA

Wunderink R Physicians Research Network University of Tennessee 1265 Union Ave-501 Crews Memphis, TN 38104 USA

Yende S Division of Pulmonary and Critical Care The University of Tennessee Health Science Center Memphis, TN 38104 USA

Common Abbreviations

AIDS

ALI APACHE

APC

ARDS

ATP

BAL

BiPAP

CBF

CNS

COPD

CPAP

CPP

CRP

CSF

CT

DIC

DNA

D02 EEG

EKG

EVLW

FRC

GCS

G-CSF

HIV

ICAM

ICH

ICP

ICU

IFN IL

Acquired immunodeficiency syndrome

Acute lung injury

Acute physiology and chronic health evaluation

Activated protein C

Acute respiratory distress syndrome

Adenosine triphosphate

Bronchoalveolar lavage Bilevel positive airway pressure

Cerebral blood flow

Central nervous system

Chronic obstructive pulmonary disease

Continuous positive airway pressure

Cerebral perfusion pressure

C-reactive protein

Cerebrospinal fluid

Computerized tomography

Disseminated intravascular coagulation

Deoxyribonucleic acid

Oxygen delivery

Electroencephalogram

Electrocardiogram

Extravascular lung water

Functional residual capacity

Glasgow coma scale

Granulocyte-colony stimulating factor

Human immunodeficiency virus

Intercellular adhesion molecule

Intracranial hypertension

Intracranial pressure

Intensive care unit

Interferon

Interleukin

XXXII Common Abbreviations

1/R Ischemia-reperfusion IV Intravenous LPS Lipopolysaccharide MAP Mean arterial pressure MOF Multiple organ failure MRI Magnetic resonance imaging NAD Nicotinamide adenine dinucleotide NF-KB Nuclear factor kappa-B NO Nitric oxide NOS Nitric oxide synthase PAC Pulmonary artery catheter PAl Plasminogen activator inhibitor PAOP Pulmonary artery occlusion pressure PEEP Positive end-expiratory pressure pHi Gastric intramucosal pH PSV Pressure support ventilation RBC Red blood cell RNA Ribonucleic acid ROS Reactive oxygen species SIRS Systemic inflammatory response syndrome SVR Systemic vascular resistance TBI Traumatic brain injury TLC Total lung capacity TNF Tumor necrosis factor VAP Ventilator-associated pneumonia VILI Ventilator-induced lung injury

vo2 Oxygen consumption WBC White blood cell ZEEP Zero end-expiratory pressure