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217 results on '"Francis DeRoos"'

201. Clostridium botulinum

Author

Adeel Abbasi, Francis DeRoos, José Artur Paiva, J.M. Pereira, Brian G. Harbrecht, Donald P. Levine, Patricia D. Brown, Lara Wijayasiri, Andrew Rhodes, Maurizio Cecconi, Jonathan R. Egan, Marino S. Festa, Chadwick D. Miller, Daniel W. Entrikin, W. Gregory Hundley, James McCord, Giorgio Della Rocca, Maria Gabriella Costa, Nima Majlesi, Diane P. Calello, Richard D. Shih, Dominic W. K. Spray, Raghu R. Seethala, Benjamin S. Abella, Claudio Ronco, Mikko Haapio, Nagesh S. Anavekar, Andrew A. House, Rinaldo Bellomo, Andrew M. Morris, Scott E. Bell, Kathryn M. Beauchamp, Sarah E. Pinski, Arianne Boylan, Jens-Peter Witt, Todd F. VanderHeiden, Philip F. Stahel, Gorazd Voga, José Rodolfo Rocco, Daniel B. Craig, Suzanne M. Shepherd, William H. Shoff, Samuel Waller, Sonia Labeau, Dominique Vandijck, Stijn Blot, John Tobias Nagurney, Donald D. Trunkey, John C. Mayberry, Christopher M. Watson, Robert G. Sawyer, Laura J. Moore, Ares Krishna Menon, Rüdiger Autschbach, Werner Baulig, Donat R. Spahn, Michael T. Ganter, Jeffry L. Kashuk, Judd E. Hollander, Julie P. Chou, Tom Lim, Andrew G. Lee, Christopher H. Mody, Lewis J. Kaplan, Roselle Crombie, Gina Luckianow, Derrick Sun, John H. Burton, Eric A. J. Hoste, Zhongping Huang, William R. Clark, Harold Litt, Jeremy Cordingley, Thomas J. Marrie, Lucido L. Ponce, Claudia S. Robertson, Carla Nester, Patrick D. Brophy, Anders Kallner, Brent P. Goodman, Oliver L. Hung, and Stefan Herget-Rosenthal

Published
2012

202. Continuous Arterio-venous Hemofiltration (CAVHF)

Author

Adeel Abbasi, Francis DeRoos, José Artur Paiva, J.M. Pereira, Brian G. Harbrecht, Donald P. Levine, Patricia D. Brown, Lara Wijayasiri, Andrew Rhodes, Maurizio Cecconi, Jonathan R. Egan, Marino S. Festa, Chadwick D. Miller, Daniel W. Entrikin, W. Gregory Hundley, James McCord, Giorgio Della Rocca, Maria Gabriella Costa, Nima Majlesi, Diane P. Calello, Richard D. Shih, Dominic W. K. Spray, Raghu R. Seethala, Benjamin S. Abella, Claudio Ronco, Mikko Haapio, Nagesh S. Anavekar, Andrew A. House, Rinaldo Bellomo, Andrew M. Morris, Scott E. Bell, Kathryn M. Beauchamp, Sarah E. Pinski, Arianne Boylan, Jens-Peter Witt, Todd F. VanderHeiden, Philip F. Stahel, Gorazd Voga, José Rodolfo Rocco, Daniel B. Craig, Suzanne M. Shepherd, William H. Shoff, Samuel Waller, Sonia Labeau, Dominique Vandijck, Stijn Blot, John Tobias Nagurney, Donald D. Trunkey, John C. Mayberry, Christopher M. Watson, Robert G. Sawyer, Laura J. Moore, Ares Krishna Menon, Rüdiger Autschbach, Werner Baulig, Donat R. Spahn, Michael T. Ganter, Jeffry L. Kashuk, Judd E. Hollander, Julie P. Chou, Tom Lim, Andrew G. Lee, Christopher H. Mody, Lewis J. Kaplan, Roselle Crombie, Gina Luckianow, Derrick Sun, John H. Burton, Eric A. J. Hoste, Zhongping Huang, William R. Clark, Harold Litt, Jeremy Cordingley, Thomas J. Marrie, Lucido L. Ponce, Claudia S. Robertson, Carla Nester, Patrick D. Brophy, Anders Kallner, Brent P. Goodman, Oliver L. Hung, and Stefan Herget-Rosenthal

Published
2012

203. Child-Pugh

Author

Adeel Abbasi, Francis DeRoos, José Artur Paiva, J.M. Pereira, Brian G. Harbrecht, Donald P. Levine, Patricia D. Brown, Lara Wijayasiri, Andrew Rhodes, Maurizio Cecconi, Jonathan R. Egan, Marino S. Festa, Chadwick D. Miller, Daniel W. Entrikin, W. Gregory Hundley, James McCord, Giorgio Della Rocca, Maria Gabriella Costa, Nima Majlesi, Diane P. Calello, Richard D. Shih, Dominic W. K. Spray, Raghu R. Seethala, Benjamin S. Abella, Claudio Ronco, Mikko Haapio, Nagesh S. Anavekar, Andrew A. House, Rinaldo Bellomo, Andrew M. Morris, Scott E. Bell, Kathryn M. Beauchamp, Sarah E. Pinski, Arianne Boylan, Jens-Peter Witt, Todd F. VanderHeiden, Philip F. Stahel, Gorazd Voga, José Rodolfo Rocco, Daniel B. Craig, Suzanne M. Shepherd, William H. Shoff, Samuel Waller, Sonia Labeau, Dominique Vandijck, Stijn Blot, John Tobias Nagurney, Donald D. Trunkey, John C. Mayberry, Christopher M. Watson, Robert G. Sawyer, Laura J. Moore, Ares Krishna Menon, Rüdiger Autschbach, Werner Baulig, Donat R. Spahn, Michael T. Ganter, Jeffry L. Kashuk, Judd E. Hollander, Julie P. Chou, Tom Lim, Andrew G. Lee, Christopher H. Mody, Lewis J. Kaplan, Roselle Crombie, Gina Luckianow, Derrick Sun, John H. Burton, Eric A. J. Hoste, Zhongping Huang, William R. Clark, Harold Litt, Jeremy Cordingley, Thomas J. Marrie, Lucido L. Ponce, Claudia S. Robertson, Carla Nester, Patrick D. Brophy, Anders Kallner, Brent P. Goodman, Oliver L. Hung, and Stefan Herget-Rosenthal

Published
2012

204. Complicated Parapneumonic Effusion

Author

Adeel Abbasi, Francis DeRoos, José Artur Paiva, J.M. Pereira, Brian G. Harbrecht, Donald P. Levine, Patricia D. Brown, Lara Wijayasiri, Andrew Rhodes, Maurizio Cecconi, Jonathan R. Egan, Marino S. Festa, Chadwick D. Miller, Daniel W. Entrikin, W. Gregory Hundley, James McCord, Giorgio Della Rocca, Maria Gabriella Costa, Nima Majlesi, Diane P. Calello, Richard D. Shih, Dominic W. K. Spray, Raghu R. Seethala, Benjamin S. Abella, Claudio Ronco, Mikko Haapio, Nagesh S. Anavekar, Andrew A. House, Rinaldo Bellomo, Andrew M. Morris, Scott E. Bell, Kathryn M. Beauchamp, Sarah E. Pinski, Arianne Boylan, Jens-Peter Witt, Todd F. VanderHeiden, Philip F. Stahel, Gorazd Voga, José Rodolfo Rocco, Daniel B. Craig, Suzanne M. Shepherd, William H. Shoff, Samuel Waller, Sonia Labeau, Dominique Vandijck, Stijn Blot, John Tobias Nagurney, Donald D. Trunkey, John C. Mayberry, Christopher M. Watson, Robert G. Sawyer, Laura J. Moore, Ares Krishna Menon, Rüdiger Autschbach, Werner Baulig, Donat R. Spahn, Michael T. Ganter, Jeffry L. Kashuk, Judd E. Hollander, Julie P. Chou, Tom Lim, Andrew G. Lee, Christopher H. Mody, Lewis J. Kaplan, Roselle Crombie, Gina Luckianow, Derrick Sun, John H. Burton, Eric A. J. Hoste, Zhongping Huang, William R. Clark, Harold Litt, Jeremy Cordingley, Thomas J. Marrie, Lucido L. Ponce, Claudia S. Robertson, Carla Nester, Patrick D. Brophy, Anders Kallner, Brent P. Goodman, Oliver L. Hung, and Stefan Herget-Rosenthal

Published
2012

205. Chironex fleckerfi

Author

Adeel Abbasi, Francis DeRoos, José Artur Paiva, J.M. Pereira, Brian G. Harbrecht, Donald P. Levine, Patricia D. Brown, Lara Wijayasiri, Andrew Rhodes, Maurizio Cecconi, Jonathan R. Egan, Marino S. Festa, Chadwick D. Miller, Daniel W. Entrikin, W. Gregory Hundley, James McCord, Giorgio Della Rocca, Maria Gabriella Costa, Nima Majlesi, Diane P. Calello, Richard D. Shih, Dominic W. K. Spray, Raghu R. Seethala, Benjamin S. Abella, Claudio Ronco, Mikko Haapio, Nagesh S. Anavekar, Andrew A. House, Rinaldo Bellomo, Andrew M. Morris, Scott E. Bell, Kathryn M. Beauchamp, Sarah E. Pinski, Arianne Boylan, Jens-Peter Witt, Todd F. VanderHeiden, Philip F. Stahel, Gorazd Voga, José Rodolfo Rocco, Daniel B. Craig, Suzanne M. Shepherd, William H. Shoff, Samuel Waller, Sonia Labeau, Dominique Vandijck, Stijn Blot, John Tobias Nagurney, Donald D. Trunkey, John C. Mayberry, Christopher M. Watson, Robert G. Sawyer, Laura J. Moore, Ares Krishna Menon, Rüdiger Autschbach, Werner Baulig, Donat R. Spahn, Michael T. Ganter, Jeffry L. Kashuk, Judd E. Hollander, Julie P. Chou, Tom Lim, Andrew G. Lee, Christopher H. Mody, Lewis J. Kaplan, Roselle Crombie, Gina Luckianow, Derrick Sun, John H. Burton, Eric A. J. Hoste, Zhongping Huang, William R. Clark, Harold Litt, Jeremy Cordingley, Thomas J. Marrie, Lucido L. Ponce, Claudia S. Robertson, Carla Nester, Patrick D. Brophy, Anders Kallner, Brent P. Goodman, Oliver L. Hung, and Stefan Herget-Rosenthal

Published
2012

206. Crowning

Author

Adeel Abbasi, Francis DeRoos, José Artur Paiva, J.M. Pereira, Brian G. Harbrecht, Donald P. Levine, Patricia D. Brown, Lara Wijayasiri, Andrew Rhodes, Maurizio Cecconi, Jonathan R. Egan, Marino S. Festa, Chadwick D. Miller, Daniel W. Entrikin, W. Gregory Hundley, James McCord, Giorgio Della Rocca, Maria Gabriella Costa, Nima Majlesi, Diane P. Calello, Richard D. Shih, Dominic W. K. Spray, Raghu R. Seethala, Benjamin S. Abella, Claudio Ronco, Mikko Haapio, Nagesh S. Anavekar, Andrew A. House, Rinaldo Bellomo, Andrew M. Morris, Scott E. Bell, Kathryn M. Beauchamp, Sarah E. Pinski, Arianne Boylan, Jens-Peter Witt, Todd F. VanderHeiden, Philip F. Stahel, Gorazd Voga, José Rodolfo Rocco, Daniel B. Craig, Suzanne M. Shepherd, William H. Shoff, Samuel Waller, Sonia Labeau, Dominique Vandijck, Stijn Blot, John Tobias Nagurney, Donald D. Trunkey, John C. Mayberry, Christopher M. Watson, Robert G. Sawyer, Laura J. Moore, Ares Krishna Menon, Rüdiger Autschbach, Werner Baulig, Donat R. Spahn, Michael T. Ganter, Jeffry L. Kashuk, Judd E. Hollander, Julie P. Chou, Tom Lim, Andrew G. Lee, Christopher H. Mody, Lewis J. Kaplan, Roselle Crombie, Gina Luckianow, Derrick Sun, John H. Burton, Eric A. J. Hoste, Zhongping Huang, William R. Clark, Harold Litt, Jeremy Cordingley, Thomas J. Marrie, Lucido L. Ponce, Claudia S. Robertson, Carla Nester, Patrick D. Brophy, Anders Kallner, Brent P. Goodman, Oliver L. Hung, and Stefan Herget-Rosenthal

Published
2012

207. Collapsed Lung

Author

Adeel Abbasi, Francis DeRoos, José Artur Paiva, J.M. Pereira, Brian G. Harbrecht, Donald P. Levine, Patricia D. Brown, Lara Wijayasiri, Andrew Rhodes, Maurizio Cecconi, Jonathan R. Egan, Marino S. Festa, Chadwick D. Miller, Daniel W. Entrikin, W. Gregory Hundley, James McCord, Giorgio Della Rocca, Maria Gabriella Costa, Nima Majlesi, Diane P. Calello, Richard D. Shih, Dominic W. K. Spray, Raghu R. Seethala, Benjamin S. Abella, Claudio Ronco, Mikko Haapio, Nagesh S. Anavekar, Andrew A. House, Rinaldo Bellomo, Andrew M. Morris, Scott E. Bell, Kathryn M. Beauchamp, Sarah E. Pinski, Arianne Boylan, Jens-Peter Witt, Todd F. VanderHeiden, Philip F. Stahel, Gorazd Voga, José Rodolfo Rocco, Daniel B. Craig, Suzanne M. Shepherd, William H. Shoff, Samuel Waller, Sonia Labeau, Dominique Vandijck, Stijn Blot, John Tobias Nagurney, Donald D. Trunkey, John C. Mayberry, Christopher M. Watson, Robert G. Sawyer, Laura J. Moore, Ares Krishna Menon, Rüdiger Autschbach, Werner Baulig, Donat R. Spahn, Michael T. Ganter, Jeffry L. Kashuk, Judd E. Hollander, Julie P. Chou, Tom Lim, Andrew G. Lee, Christopher H. Mody, Lewis J. Kaplan, Roselle Crombie, Gina Luckianow, Derrick Sun, John H. Burton, Eric A. J. Hoste, Zhongping Huang, William R. Clark, Harold Litt, Jeremy Cordingley, Thomas J. Marrie, Lucido L. Ponce, Claudia S. Robertson, Carla Nester, Patrick D. Brophy, Anders Kallner, Brent P. Goodman, Oliver L. Hung, and Stefan Herget-Rosenthal

Published
2012

208. Contrast Medium-Induced Nephropathy

Author

Adeel Abbasi, Francis DeRoos, José Artur Paiva, J.M. Pereira, Brian G. Harbrecht, Donald P. Levine, Patricia D. Brown, Lara Wijayasiri, Andrew Rhodes, Maurizio Cecconi, Jonathan R. Egan, Marino S. Festa, Chadwick D. Miller, Daniel W. Entrikin, W. Gregory Hundley, James McCord, Giorgio Della Rocca, Maria Gabriella Costa, Nima Majlesi, Diane P. Calello, Richard D. Shih, Dominic W. K. Spray, Raghu R. Seethala, Benjamin S. Abella, Claudio Ronco, Mikko Haapio, Nagesh S. Anavekar, Andrew A. House, Rinaldo Bellomo, Andrew M. Morris, Scott E. Bell, Kathryn M. Beauchamp, Sarah E. Pinski, Arianne Boylan, Jens-Peter Witt, Todd F. VanderHeiden, Philip F. Stahel, Gorazd Voga, José Rodolfo Rocco, Daniel B. Craig, Suzanne M. Shepherd, William H. Shoff, Samuel Waller, Sonia Labeau, Dominique Vandijck, Stijn Blot, John Tobias Nagurney, Donald D. Trunkey, John C. Mayberry, Christopher M. Watson, Robert G. Sawyer, Laura J. Moore, Ares Krishna Menon, Rüdiger Autschbach, Werner Baulig, Donat R. Spahn, Michael T. Ganter, Jeffry L. Kashuk, Judd E. Hollander, Julie P. Chou, Tom Lim, Andrew G. Lee, Christopher H. Mody, Lewis J. Kaplan, Roselle Crombie, Gina Luckianow, Derrick Sun, John H. Burton, Eric A. J. Hoste, Zhongping Huang, William R. Clark, Harold Litt, Jeremy Cordingley, Thomas J. Marrie, Lucido L. Ponce, Claudia S. Robertson, Carla Nester, Patrick D. Brophy, Anders Kallner, Brent P. Goodman, Oliver L. Hung, and Stefan Herget-Rosenthal

Published
2012

209. Candida Infection

Author

Adeel Abbasi, Francis DeRoos, José Artur Paiva, J.M. Pereira, Brian G. Harbrecht, Donald P. Levine, Patricia D. Brown, Lara Wijayasiri, Andrew Rhodes, Maurizio Cecconi, Jonathan R. Egan, Marino S. Festa, Chadwick D. Miller, Daniel W. Entrikin, W. Gregory Hundley, James McCord, Giorgio Della Rocca, Maria Gabriella Costa, Nima Majlesi, Diane P. Calello, Richard D. Shih, Dominic W. K. Spray, Raghu R. Seethala, Benjamin S. Abella, Claudio Ronco, Mikko Haapio, Nagesh S. Anavekar, Andrew A. House, Rinaldo Bellomo, Andrew M. Morris, Scott E. Bell, Kathryn M. Beauchamp, Sarah E. Pinski, Arianne Boylan, Jens-Peter Witt, Todd F. VanderHeiden, Philip F. Stahel, Gorazd Voga, José Rodolfo Rocco, Daniel B. Craig, Suzanne M. Shepherd, William H. Shoff, Samuel Waller, Sonia Labeau, Dominique Vandijck, Stijn Blot, John Tobias Nagurney, Donald D. Trunkey, John C. Mayberry, Christopher M. Watson, Robert G. Sawyer, Laura J. Moore, Ares Krishna Menon, Rüdiger Autschbach, Werner Baulig, Donat R. Spahn, Michael T. Ganter, Jeffry L. Kashuk, Judd E. Hollander, Julie P. Chou, Tom Lim, Andrew G. Lee, Christopher H. Mody, Lewis J. Kaplan, Roselle Crombie, Gina Luckianow, Derrick Sun, John H. Burton, Eric A. J. Hoste, Zhongping Huang, William R. Clark, Harold Litt, Jeremy Cordingley, Thomas J. Marrie, Lucido L. Ponce, Claudia S. Robertson, Carla Nester, Patrick D. Brophy, Anders Kallner, Brent P. Goodman, Oliver L. Hung, and Stefan Herget-Rosenthal

Published
2012

210. Chylous Pleural Effusion

Author

Adeel Abbasi, Francis DeRoos, José Artur Paiva, J.M. Pereira, Brian G. Harbrecht, Donald P. Levine, Patricia D. Brown, Lara Wijayasiri, Andrew Rhodes, Maurizio Cecconi, Jonathan R. Egan, Marino S. Festa, Chadwick D. Miller, Daniel W. Entrikin, W. Gregory Hundley, James McCord, Giorgio Della Rocca, Maria Gabriella Costa, Nima Majlesi, Diane P. Calello, Richard D. Shih, Dominic W. K. Spray, Raghu R. Seethala, Benjamin S. Abella, Claudio Ronco, Mikko Haapio, Nagesh S. Anavekar, Andrew A. House, Rinaldo Bellomo, Andrew M. Morris, Scott E. Bell, Kathryn M. Beauchamp, Sarah E. Pinski, Arianne Boylan, Jens-Peter Witt, Todd F. VanderHeiden, Philip F. Stahel, Gorazd Voga, José Rodolfo Rocco, Daniel B. Craig, Suzanne M. Shepherd, William H. Shoff, Samuel Waller, Sonia Labeau, Dominique Vandijck, Stijn Blot, John Tobias Nagurney, Donald D. Trunkey, John C. Mayberry, Christopher M. Watson, Robert G. Sawyer, Laura J. Moore, Ares Krishna Menon, Rüdiger Autschbach, Werner Baulig, Donat R. Spahn, Michael T. Ganter, Jeffry L. Kashuk, Judd E. Hollander, Julie P. Chou, Tom Lim, Andrew G. Lee, Christopher H. Mody, Lewis J. Kaplan, Roselle Crombie, Gina Luckianow, Derrick Sun, John H. Burton, Eric A. J. Hoste, Zhongping Huang, William R. Clark, Harold Litt, Jeremy Cordingley, Thomas J. Marrie, Lucido L. Ponce, Claudia S. Robertson, Carla Nester, Patrick D. Brophy, Anders Kallner, Brent P. Goodman, Oliver L. Hung, and Stefan Herget-Rosenthal

Published
2012

211. CPP

Author

Adeel Abbasi, Francis DeRoos, José Artur Paiva, J.M. Pereira, Brian G. Harbrecht, Donald P. Levine, Patricia D. Brown, Lara Wijayasiri, Andrew Rhodes, Maurizio Cecconi, Jonathan R. Egan, Marino S. Festa, Chadwick D. Miller, Daniel W. Entrikin, W. Gregory Hundley, James McCord, Giorgio Della Rocca, Maria Gabriella Costa, Nima Majlesi, Diane P. Calello, Richard D. Shih, Dominic W. K. Spray, Raghu R. Seethala, Benjamin S. Abella, Claudio Ronco, Mikko Haapio, Nagesh S. Anavekar, Andrew A. House, Rinaldo Bellomo, Andrew M. Morris, Scott E. Bell, Kathryn M. Beauchamp, Sarah E. Pinski, Arianne Boylan, Jens-Peter Witt, Todd F. VanderHeiden, Philip F. Stahel, Gorazd Voga, José Rodolfo Rocco, Daniel B. Craig, Suzanne M. Shepherd, William H. Shoff, Samuel Waller, Sonia Labeau, Dominique Vandijck, Stijn Blot, John Tobias Nagurney, Donald D. Trunkey, John C. Mayberry, Christopher M. Watson, Robert G. Sawyer, Laura J. Moore, Ares Krishna Menon, Rüdiger Autschbach, Werner Baulig, Donat R. Spahn, Michael T. Ganter, Jeffry L. Kashuk, Judd E. Hollander, Julie P. Chou, Tom Lim, Andrew G. Lee, Christopher H. Mody, Lewis J. Kaplan, Roselle Crombie, Gina Luckianow, Derrick Sun, John H. Burton, Eric A. J. Hoste, Zhongping Huang, William R. Clark, Harold Litt, Jeremy Cordingley, Thomas J. Marrie, Lucido L. Ponce, Claudia S. Robertson, Carla Nester, Patrick D. Brophy, Anders Kallner, Brent P. Goodman, Oliver L. Hung, and Stefan Herget-Rosenthal

Published
2012

212. Consumption Coagulopathy

Author

Adeel Abbasi, Francis DeRoos, José Artur Paiva, J.M. Pereira, Brian G. Harbrecht, Donald P. Levine, Patricia D. Brown, Lara Wijayasiri, Andrew Rhodes, Maurizio Cecconi, Jonathan R. Egan, Marino S. Festa, Chadwick D. Miller, Daniel W. Entrikin, W. Gregory Hundley, James McCord, Giorgio Della Rocca, Maria Gabriella Costa, Nima Majlesi, Diane P. Calello, Richard D. Shih, Dominic W. K. Spray, Raghu R. Seethala, Benjamin S. Abella, Claudio Ronco, Mikko Haapio, Nagesh S. Anavekar, Andrew A. House, Rinaldo Bellomo, Andrew M. Morris, Scott E. Bell, Kathryn M. Beauchamp, Sarah E. Pinski, Arianne Boylan, Jens-Peter Witt, Todd F. VanderHeiden, Philip F. Stahel, Gorazd Voga, José Rodolfo Rocco, Daniel B. Craig, Suzanne M. Shepherd, William H. Shoff, Samuel Waller, Sonia Labeau, Dominique Vandijck, Stijn Blot, John Tobias Nagurney, Donald D. Trunkey, John C. Mayberry, Christopher M. Watson, Robert G. Sawyer, Laura J. Moore, Ares Krishna Menon, Rüdiger Autschbach, Werner Baulig, Donat R. Spahn, Michael T. Ganter, Jeffry L. Kashuk, Judd E. Hollander, Julie P. Chou, Tom Lim, Andrew G. Lee, Christopher H. Mody, Lewis J. Kaplan, Roselle Crombie, Gina Luckianow, Derrick Sun, John H. Burton, Eric A. J. Hoste, Zhongping Huang, William R. Clark, Harold Litt, Jeremy Cordingley, Thomas J. Marrie, Lucido L. Ponce, Claudia S. Robertson, Carla Nester, Patrick D. Brophy, Anders Kallner, Brent P. Goodman, Oliver L. Hung, and Stefan Herget-Rosenthal

Published
2012

213. Cardiac Output Monitor

Author

Adeel Abbasi, Francis DeRoos, José Artur Paiva, J.M. Pereira, Brian G. Harbrecht, Donald P. Levine, Patricia D. Brown, Lara Wijayasiri, Andrew Rhodes, Maurizio Cecconi, Jonathan R. Egan, Marino S. Festa, Chadwick D. Miller, Daniel W. Entrikin, W. Gregory Hundley, James McCord, Giorgio Della Rocca, Maria Gabriella Costa, Nima Majlesi, Diane P. Calello, Richard D. Shih, Dominic W. K. Spray, Raghu R. Seethala, Benjamin S. Abella, Claudio Ronco, Mikko Haapio, Nagesh S. Anavekar, Andrew A. House, Rinaldo Bellomo, Andrew M. Morris, Scott E. Bell, Kathryn M. Beauchamp, Sarah E. Pinski, Arianne Boylan, Jens-Peter Witt, Todd F. VanderHeiden, Philip F. Stahel, Gorazd Voga, José Rodolfo Rocco, Daniel B. Craig, Suzanne M. Shepherd, William H. Shoff, Samuel Waller, Sonia Labeau, Dominique Vandijck, Stijn Blot, John Tobias Nagurney, Donald D. Trunkey, John C. Mayberry, Christopher M. Watson, Robert G. Sawyer, Laura J. Moore, Ares Krishna Menon, Rüdiger Autschbach, Werner Baulig, Donat R. Spahn, Michael T. Ganter, Jeffry L. Kashuk, Judd E. Hollander, Julie P. Chou, Tom Lim, Andrew G. Lee, Christopher H. Mody, Lewis J. Kaplan, Roselle Crombie, Gina Luckianow, Derrick Sun, John H. Burton, Eric A. J. Hoste, Zhongping Huang, William R. Clark, Harold Litt, Jeremy Cordingley, Thomas J. Marrie, Lucido L. Ponce, Claudia S. Robertson, Carla Nester, Patrick D. Brophy, Anders Kallner, Brent P. Goodman, Oliver L. Hung, and Stefan Herget-Rosenthal

Published
2012

214. Determining the need for admission in patients with new-onset seizures

Author

Francis DeRoos, Roger J. Lewis, and Philip L. Henneman

Subjects
Adult, Male, Pediatrics, medicine.medical_specialty, Adolescent, Physical examination, Hypoglycemia, California, Central nervous system disease, Epilepsy, Patient Admission, Status Epilepticus, Neuritis, Central Nervous System Diseases, Recurrence, Seizures, Humans, Medicine, Hospitals, Teaching, Blood urea nitrogen, Aged, Retrospective Studies, Aged, 80 and over, medicine.diagnostic_test, business.industry, Lumbar puncture, Retrospective cohort study, Emergency department, Length of Stay, Middle Aged, medicine.disease, Surgery, Emergency Medicine, Female, Emergency Service, Hospital, business, Follow-Up Studies
Abstract

Study objectives: To determine which adult patients with new-onset seizures require admission and whether those who require admission can be identified in the emergency department. Design: Retrospective chart review of patients seen during a 5-yearperiod. Setting: Urban county teaching hospital in southern California. Participants: Three hundred thirty-three adult patients with new-onset seizures. Patients were excluded if they had acute head trauma, hypoglycemia from diabetic therapy, or alcohol- or recreational drug-related seizures. Interventions: Standardized medical evaluation including physical examination, CBC, SMA-7 (electrolytes, blood urea nitrogen, creatinine, glucose), calcium, cranial computed tomography (CT), lumbar puncture if indicated, and admission to the hospital. Results: Forty-six percent of patients (136 of 294) admitted toour hospital required admission as judged by a retrospective evaluation of the ED and hospital course. The numbers of patients who had a clinically significant result with each part of the evaluation were: physical examination, 75 of 333 (23%); CBC, 25 of 319 (8%); SMA-7, 21 of 329 (6%); calcium, 2 of 208 (1%); CT, 134 of 325 (41%); and lumbar puncture, 19 of 227 (8%). Ninety-five percent of patients requiring admission (129 of 136) were detected by the standardized medical evaluation. Conclusion: One half of patients with new-onset seizures require admission. Patients with new-onset seizures who require admission can usually be detected by a standardized medical evaluation in the ED.

Published
1994

215. An international consensus study of neuroleptic malignant syndrome diagnostic criteria using the Delphi method

Author

James L. Levenson, Julian N. Trollor, Sanjay Gupta, Abigail Cohen, Varadaraj R. Velamoor, Stephan C. Mann, Perminder S. Sachdev, Patricia I. Rosebush, Henry Rosenberg, Stanley N. Caroff, Charles B. Watson, Ronald J. Gurrera, Francis DeRoos, Michael A. Policastro, Andrew Francis, Jayne R. Wilkinson, Ahsan Mahmood, Brendan T. Carroll, and Steven J. Frucht

Subjects
Tachycardia, medicine.medical_specialty, Consensus, Delphi Technique, business.industry, Data Collection, MEDLINE, Delphi method, Interdisciplinary Studies, medicine.disease, Tachypnea, Blood pressure elevation, Neuroleptic malignant syndrome, Psychiatry and Mental health, Emergency medicine, Practice Guidelines as Topic, medicine, Humans, Neuroleptic Malignant Syndrome, Blood pressure fluctuation, Antipsychotic Medications, medicine.symptom, business, Psychiatry
Abstract

Objective The lack of generally accepted diagnostic criteria for neuroleptic malignant syndrome (NMS) impedes research and clinical management of patients receiving antipsychotic medications. The purpose of this study was to develop NMS diagnostic criteria reflecting a broad consensus among clinical knowledge experts, represented by an international multispecialty physician panel. Participants Eleven psychiatrists, 2 neurologists, 2 anesthesiologists, and 2 emergency medicine specialists participated in a formal Delphi consensus procedure. Evidence A core bibliography consisting of 12 prominent, current reviews of the NMS literature was identified by an objective, comprehensive electronic search strategy. Each panel member was given a copy of these references and asked to examine them before commencing the survey process. Consensus process After reviewing the core bibliography, panel members were asked to list any clinical signs or symptoms or diagnostic studies that they believed, on the basis of their knowledge and clinical experience, were useful in making a diagnosis of NMS. In subsequent survey rounds, panel members assigned priority points to these items, and items that failed to receive a minimum priority score were eliminated from the next round. Information about individual panel member responses was fed back to the group anonymously in the form of the group median or mean and the number of members who had ranked or scored each survey item. The a priori consensus endpoint was defined operationally as a change of 10% or less in the mean priority score for any individual item, and an average absolute value change of 5% or less across all items, between consecutive rounds. The survey was conducted from January 2009 through September 2009. Results Consensus was reached on the fifth round regarding the following criteria: recent dopamine antagonist exposure, or dopamine agonist withdrawal; hyperthermia; rigidity; mental status alteration; creatine kinase elevation; sympathetic nervous system lability; tachycardia plus tachypnea; and a negative work-up for other causes. The panel also reached a consensus on the relative importance of these criteria and on the following critical values for quantitative criteria: hyperthermia, > 100.4°F or > 38.0°C on at least 2 occasions; creatine kinase elevation, at least 4 times the upper limit of normal; blood pressure elevation, ≥ 25% above baseline; blood pressure fluctuation, ≥ 20 mm Hg (diastolic) or ≥ 25 mm Hg (systolic) change within 24 hours; tachycardia, ≥ 25% above baseline; and tachypnea, ≥ 50% above baseline. Conclusions These diagnostic criteria significantly advance the field because they represent the consensus of an international multispecialty expert panel, include critical values, provide guidance regarding the relative importance of individual elements, and are less influenced by particular theoretical biases than most previously published criteria. They require validation before being applied in clinical settings.

Published
2010

216. Medications from the web: use of online pharmacies by emergency department patients

Author

Christine M. McCusker, Frances S. Shofer, Nicholas Peacock, Judd E. Hollander, Francis DeRoos, Maryann Mazer, and Jeanmarie Perrone

Subjects
Adult, Male, Pharmaceutical Services, Online, medicine.medical_specialty, Health Knowledge, Attitudes, Practice, Adolescent, Pharmacy, Young Adult, Hospitals, Urban, Informed consent, Medicine, Humans, Prospective Studies, Medical prescription, Hospital pharmacy, Hospitals, Teaching, Aged, Aged, 80 and over, Internet, business.industry, Emergency department, Middle Aged, Institutional review board, medicine.disease, Test (assessment), Cross-Sectional Studies, Family medicine, Emergency Medicine, The Internet, Female, Medical emergency, business, Emergency Service, Hospital
Abstract

Internet access and online pharmacies are a resource for purchasing medications. It is unclear if this venue is being used by emergency department (ED) patients to obtain medications.We sought to determine the frequency of and to characterize online pharmacy use by ED patients. We hypothesized that students and younger patients would be more likely than others to obtain medications via online pharmacies due to their familiarity with the Internet.This prospective, cross-sectional survey occurred in an urban university ED. We enrolled a convenience sample of adult patients. The study was Institutional Review Board approved, and informed consent was obtained. To determine differences between online pharmacy users and non-users, chi-squared or Fisher's exact tests were used for categorical data, and t-test or Wilcoxon rank sum tests were used for continuous variables.There were 1657 patients who completed the survey. The mean age was 39 years, standard deviation 16 years; 947/1657 (57%) reported awareness of online pharmacies; 89/1657 (5.4%) patients used the Internet to order medications. More patients with prescription plans ordered medications from online pharmacies (94.3% vs. 70%; p0.0001), and Internet users were more commonly on multiple medications (median 3 vs. 1; p0.0001). There was no difference in age (39.4 vs. 41 years; p=0.2) or student status (13.8% vs. 14.9%; p=0.8) between the two groups.Approximately 5% of ED patients used the Internet to obtain medications. Contrary to our hypothesis, younger patients were not more likely to use the Internet for medications. Patients on multiple medications and those with prescription plans used online pharmacies more frequently.

Published
2010

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