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2006 critical care pearls



CriticalCare
REVIEW
SecondEdition
MichaelZevitz
ScottH.Plantz
RichardLenhardt
McGraw-Hill
MedicalPublishingDivision
NewYorkChicagoSanFranciscoLisbonLondon
MadridMexicoCityMilanNewDelhi
SanJuanSeoulSingapore


SydneyToronto

Copyright©2006byTheMcGraw-HillCompanies,Inc.Allrightsreserved.
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ofthepublisher.
ISBN:978-0-07-181163-7
MHID:0-07-181163-X
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DEDICATION
ForY.
Mike
Formyfather,AlanHuntlyPlantz,whoselove,support
andbrilliancehasalwaysbeenmyguidinglight.
Scott
FormyParents,fortheirconstantlove.
Richard
Thispageintentionallyleftblank
EDITORS
PranavAmin,M.D.
DepartmentofNeurology
MikeZevitz,M.D.
DukeUniversityMedicalCenter
AssistantProfessor
Durham,NC
ChicagoMedicalSchool
Chicago,IL


LindaAnderson,M.D.
DepartmentofInternalMedicine
ScottH.Plantz,M.D.
PulmonaryandCriticalCareMedicineSection
AssociateProfessor
UniversityofNebraskaMedicalCenter
ChicagoMedicalSchool
Omaha,NE
SinaiMedicalCenter
Chicago,IL
MichaelL.Ault,M.D.
InstructorinAnesthesiology
RichardLenhardt,M.D.
SectionofCriticalCareMedicine
HarvardMedicalSchool
DepartmentofAnesthesiology
Boston,MA
NorthwesternUniversityMedicalSchool
Chicago,IL
CONTRIBUTINGAUTHORS
HowardBelzberg,M.D.


BobbyAbrams,M.D.
LosAngelesCountyandUniversityofSouthern
AttendingPhysician
CaliforniaMedicalCenter
MacombHospital
LosAngeles,CA
Macomb,MI
BrianBonanni,M.D.
JonathanAdler,M.D.
DukeUniversityMedicalCenter
AssistantinEmergencyMedicine,Massachusetts
Durham,NC
GeneralHospital
InstructorinMedicine,
JonM.Braverman,M.D.
HarvardMedicalSchool
DenverHealthMedicalCenter
Boston,MA
UniversityofColoradoSchoolofMedicine
Denver,CO
IshtiaqAhmad,Ph.D.,M.B.B.S.


ResearchAssociate
GwendaLynBreckler,D.O.
LaboratoryofCellularandMolecularCerebral
Dept.ofSurgery
Ischemia
Mt.SinaiHospital
DepartmentsofNeurologyandAnatomy&Cell
Chicago,IL
Biology
CenterofMolecularMedicineandGenetics
DavidF.M.Brown,M.D.
CenterofMolecularandCellularToxicology
InstructorinMedicine
WayneStateUniversitySchoolofMedicine
HarvardMedicalSchool
Detroit,MI
MassachusettsGeneralHospital
Boston,MA
JamesW.Albers,M.D.,Ph.D.
DepartmentofNeurology
EdwardBuckley,M.D.


UniversityofMichigan
DepartmentofNeurology
AnnArbor,MI
DukeUniversityMedicalCenter
Durham,NC
W.MichaelAlberts,M.D.
ProfessorandAssociateChair
LeslieS.Carroll,M.D.
DepartmentofInternalMedicine
AssistantProfessor
H.LeeMoffittCancerCenter&ResearchInstitute
ChicagoMedicalSchool
UniversityofSouthFlorida
ToxicologyDirector
Tampa,FL
Mt.SinaiMedicalCenter
Chicago,IL
5
EduardoCastro,M.D.
DouglasB.Coursin,M.D.
InstructorinMedicine


ProfessorofAnesthesiologyandInternalMedicine
HarvardMedicalSchool
AssociateDirectoroftheTraumaand
MassachusettsGeneralHospital
LifeSupportCenter
Boston,MA
UniversityofWisconsinSchoolofMedicine
Madison,WI
SeemantChatruvedi,M.D.
AssistantProfessorofNeurology
RubenVargas-Cuba,M.D.
WayneStateUniversitySchoolofmedicine
InstructorinMedicine
Co-Director,HarperHospitalAcuteStrokeUnit
ChiefMedicalResident
Detroit,MI
DepartmentofMedicine
TulaneUniversitySchoolofMedicine
WillieChen,M.D.
NewOrleans,LA
Louisville,KY


G.PaulDabrowski,M.D.
RonaldD.Chervin,M.D.,MS
AssistantProfessorofSurgery
SleepDisordersCenter
UniversityofPennsylvania
DepartmentofNeurology
Philadelphia,PA
UniversityofMichiganHealthSystem
AnnArbor,MI
BrianJ.Daley,M.D.
AssistantProfessor
DavidChiu,M.D.
DivisionofTraumaandCriticalCare
AssistantProfessorofNeurology
TheUniversityofTennesseeMedicalCenter
Director,StrokeCenter
Knoxville,TN
BaylorCollegeofMedicine
TheMethodistHospital
CarlW.Decker,M.D.
Houston,TX


MadiganArmyMedicalCenter
FortLewis,WA
CharlesH.Cook,M.D.
AssistantProfessorofSurgeryandCriticalCare
JoshuaDeLeon,M.D.
TheOhioStateUniversityHospitals
AssistantProfessorofMedicine
Columbus,OH
MountSinaiSchoolofMedicine
NewYork,NY
JosephT.Cooke,M.D.,FACCP
Director,CardiacCatherizationandInvasive
AssociateProfessorofClinicalMedicine
Cardiology
AssociateDirector,MedicalCriticalCare
ElmhurstHospitalCenter
TheNewYorkHospital-CornellMedicalCenter
Elmhurst,NY
NewYork,NY
PeterEmblad,M.D.
WilliamM.Coplin,M.D.


BostonCityHospital
AssistantProfessor
Boston,MA
NeurologyandNeurologicalSurgery
WayneStateUniversity
PhillipFairweather,M.D.
Detroit,MI
ClinicalAssistantProfessor
MountSinaiSchoolofMedicine
C.JamesCorrall,M.D.,MPH
NewYork,NY
ClinicalAssociateProfessorofPediatrics
DepartmentofEmergencyMedicine
ClinicalAssociateProfessorofEmergency
ElmhurstHospitalCenter
Medicine
Elmhurst,NY
IndianaUniversitySchoolofMedicine
Indianapolis,IN
CraigFeied,M.D.
ClinicalAssociateProfessor


GeorgeWashingtonUniversity
WashingtonHospitalCenter
Washington,D.C.
EvaL.Feldman,M.D.,Ph.D.
RajanGupta,M.D.
DepartmentofNeurology
InstructorofSurgeryandTrauma
UniversityofMichigan
SurgicalCriticalCareFellow
AnnArbor,MI
UniversityofPennsylvania
Philadelphia,PA
LouisFlancbaum,M.D.,FACS,FCCM,FCCP
AssociateProfessorofSurgery,Anesthesiology,
SusanM.Harding,M.D.
andHumanNutrition
AssistantProfessorofMedicine
TheOhioStateUniversityHospitals
PulmonaryandCriticalCareMedicine
Columbus,OH
UniversityofAlabama


Birmingham,AL
MarkFranklin,M.D.
DepartmentofAnesthesiology
MarilynT.Haupt,M.D.
NorthwesternUniversityMedicalSchool
Professor,DepartmentofMedicine
Chicago,IL
WayneStateUniversitySchoolofMedicine
Detroit,MI
RajeshR.Gandhi,M.D.
CriticalCare/TraumaFellow
JeffreyW.Hawkins,M.D.
UniversityofPennsylvania
Co-Director,PulmonaryandCriticalCare
Philadelphia,PA
Medicine
NorwoodClinic
JudithL.Geidebring,M.D.
Birmingham,AL
Lecturer
UniversityofMichigan


ThomasW.Hejkal,M.D.
AnnArbor,MI
DepartmentofOphthalmology
UniversityofNebraskaMedicalCenter
ShereeGivre,M.D.
Omaha,NE
ClinicalAssistantProfessor
DepartmentofEmergencyMedicine
JamesF.Holmes,M.D.
MountSinaiSchoolofMedicine
UniversityofCalifornia,Davis
NewYork,NY
SchoolofMedicine
AssociateDirector
Sacramento,CA
DepartmentofEmergencyMedicine
ElmhurstHospitalCenter
EddieHooker,M.D.
Elmhurst,NY
AssistantProfessor
UniversityofLouisville


BillGossman,M.D.
Louisville,KY
ChicagoMedicalSchool
Mt.SinaiMedicalCenter
ShyamIvaturi,M.D.
Chicago,IL
Ridgeland,MS
VicenteH.Gracias,M.D.
CameronJavid,M.D.
InstructorofSurgeryandTrauma
DepartmentofOphthalmology
SurgicalCriticalCareFellow
TulaneUniversity
UniversityofPennsylvania
NewOrleans,LA
Philadelphia,PA
MishithJoshi,M.D.
L.JohnGreenfield,Jr.,M.D.,Ph.D.
StrokeFellow
AssistantProfessor
DepartmentofNeurology


DepartmentofNeurology
WayneStateUniversity
UniversityofMichigan
Detroit,MI
AnnArbor,MI
MarcJ.Kahn,M.D.
KevinR.Lee,M.D.
AssistantProfessorofMedicine
ChiefResident
InternalMedicineResidencyProgramDirector
NeurologicalSurgery
AssociateDirectorforStudentPrograms
WayneStateUniversity
DepartmentofMedicine
Detroit,MI
SectionofHematology/MedicalOncology
TulaneUniversitySchoolofMedicine
Klaus-DieterK.L.Lessnau,M.D.
NewOrleans,LA
NewYork,NY
HenryJ.Kaminski,M.D.


GillianLewke,P.A.,CMA
CaseWesternReserveUniversitySchoolof
PhysicianAssistant
Medicine
RockfordMemorialHospital
DepartmentofVeteransAffairsMedicalCenter
Rockford,IL
UniversityHospitalsofCleveland
Cleveland,OH
JosephLieber,M.D.
AssociateAttendinginMedicine
StuartKessler,M.D.
Chief,MedicalConsultService
ViceChairman,DepartmentofEmergency
ElmhurstHospitalCenter
Medicine
Elmhurst,NY
MountSinaiSchoolofMedicine
ClinicalAssociateProfessorofMedicine
NewYork,NY
MountSinaiSchoolofMedicine


Director,DepartmentofEmergencyMedicine
NewYork,NY
ElmhurstHospitalCenter
Elmhurst,NY
MaryW.Lieh-Lai,M.D.
Director,ICU
AliM.Khorrami,M.D.,Ph.D.
AssociateProfessor,DepartmentofPediatrics
UniversityEyeInstitute
Children’sHospitalofMichigan
Syracuse,NY
WayneStateUniversitySchoolofMedicine
Detroit,MI
AlbertS.Khouri,M.D.
KentuckyLionsEyeCenter
MarijanaLjubanovic,M.D.
Louisville,KY
FellowinCriticalCareMedicine
SectionofCriticalCareMedicine
LanceW.Kreplick,M.D.
DepartmentofAnesthesiology


AssistantProfessor
NorthwesternUniversityMedicalSchool
UniversityofIllinois
Chicago,IL
EHSChristHospital
OakLawn,IL
BernardLopez,M.D.
AssistantProfessor
AndrewLee,M.D.
ThomasJeffersonMedicalCollege
DepartmentofOphthalmology
ThomasJeffersonUniversityHospital
BaylorCollegeofMedicine
Philadelphia,PA
Houston,TX
KennethMaiese,M.D.
DeborahAnneLee,M.D.,Ph.D.
AssociateProfessor
AssistantProfessor
LaboratoryofCellularandMolecularCerebral
DepartmentofPsychiatryandNeurology


Ischemia
SectionofChildNeurology
DepartmentsofNeurologyandAnatomy&Cell
ClinicalAssistantProfessor
Biology
DepartmentofPediatrics
CenterofMolecularMedicineandGenetics
DirectoroftheChildNeurologyTrainingProgram
CenterofMolecularandCellularToxicology
TulaneUniversityMedicalCenter
WayneStateUniversitySchoolofMedicine
NewOrleans,LA
Detroit,MI
JohnT.Malcynski,M.D.
GholamK.Motamedi,M.D.
InstructorofSurgeryandTrauma
DepartmentofNeurology
SurgicalCriticalCareFellow
BaylorCollegeofMedicine
UniversityofPennsylvania
Houston,TX


Philadelphia,PA
DebasishMridha,M.D.
MaryNanS.Mallory,M.D.
DepartmentofNeurology
Instructor
WayneStateUniversitySchoolofMedicine
UniversityofLouisville
Detroit,MI
Louisville,KY
AnthonyM.Murro,M.D.
SanjeevManiar,M.D.
AssociateProfessorofNeurology
DepartmentofNeurology
DepartmentofNeurology
WayneStateUniversity
MedicalCollegeofGeorgia
Detroit,MI
Augusta,GA
GregoryP.Marelich,M.D.,FACP,FCCP
DebraMyers,M.D.
AssistantProfessorofClinicalInternalMedicine


Pulmonary/CriticalCareDivision
DivisionofPulmonaryandCriticalCareMedicine
SleepDisordersMedicine
UniversityofCaliforniaDavisMedicalCenter
AssistantProfessor
Sacramento,CA
DepartmentofInternalMedicine
WayneStateUniversitySchoolofMedicine
JosephMasci,M.D.
Detroit,MI
AssociateDirectorofMedicine
MountSinaiServices
SarahT.Nath,M.D.
ElmhurstHospitalCenter
SleepDisordersCenter
Elmhurst,NY
DepartmentofNeurology
AssociateProfessorofMedicine
UniversityofMichiganHealthSystem
MountSinaiSchoolofMedicine
AnnArbor,MI


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