Critical Care

  • 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.

  • A patient with altered mental status and an acid-base disturbance
    Shylaja Mani, MD and Gregory W. Rutecki, MD
    Cleveland Clinic Journal of Medicine January 2017, 84 (1) 27-34; DOI: https://doi.org/10.3949/ccjm.84a.16042

    Acid-base disorders can be diagnosed and characterized using a systematic, fi ve-step approach.

  • Cardiogenic shock: From ECMO to Impella and beyond
    Cardiogenic shock: From ECMO to Impella and beyond
    Mehdi H. Shishehbor, DO, MPH, PhD, Nader Moazami, MD, Michael Z.-Y. Tong, MD, MBP, Shinya Unai, MD, W. H. Wilson Tang, MD and Edward G. Soltesz, Md, MPH
    Cleveland Clinic Journal of Medicine April 2017, 84 (4) 287-295; DOI: https://doi.org/10.3949/ccjm.84gr.17002

    Several devices can serve as a bridge to recovery, transplant, or a long-term device.

  • Parsimonious blood use and lower transfusion triggers: What is the evidence?
    Moises Auron, MD, FAAP, FACP, SFHM, Marina Y. Duran Castillo, MD, FACP and Ajay Kumar, MD, MRCP, FACP, SFHM
    Cleveland Clinic Journal of Medicine January 2017, 84 (1) 43-51; DOI: https://doi.org/10.3949/ccjm.84a.15134

    Cumulative data have confi rmed the safety of a conservative approach to transfusion.

  • Necrotizing pancreatitis: Diagnose, treat, consult
    Tiffany Y. Chua, MD, R. Matthew Walsh, MD, FACS, Mark E. Baker, MD and Tyler Stevens, MD
    Cleveland Clinic Journal of Medicine August 2017, 84 (8) 639-648; DOI: https://doi.org/10.3949/ccjm.84a.16052

    Patients may need intensive care, nutritional support, antibiotics, and radiologic, endoscopic, or surgical interventions.

  • The ABCs of managing systolic heart failure: Past, present, and future
    Ike S. Okwuosa, MD, Oluseyi Princewill, MD, MPH, Chiemeke Nwabueze, MD, Lena Mathews, MD, Steven Hsu, MD, Nisha A. Gilotra, MD, Sabra Lewsey, MD, MPH, Roger S. Blumenthal, MD and Stuart D. Russell, MD
    Cleveland Clinic Journal of Medicine October 2016, 83 (10) 753-765; DOI: https://doi.org/10.3949/ccjm.83a.16006

    Digitalis, diuretics, and bedrest have given way to neurohormonal blockade and physical rehabilitation.

  • Evolution of heart failure management: Miles to go
    James B. Young, MD
    Cleveland Clinic Journal of Medicine October 2016, 83 (10) 766-768; DOI: https://doi.org/10.3949/ccjm.83a.16043

    Despite progress, too many patients still suffer, too many die too young, and the costs are still too great.

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