Page 1925 - Hall et al (2015) Principles of Critical Care-McGraw-Hill
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1352        Index


                 Public Health Service Panel on Cost-    signs from more invasive monitoring,   secular trends, 9t, 10
                        Effectiveness in Health and         321–322                          statistical control charts for performance
                        Medicine, United States        diagnosis of                             monitoring, 10
                        (PCEHM), 39                      empirical, 324f, 326              sources of variability in, 11
                 Public reporting of quality metrics, 10–11  risk factors, 322, 323f     Quality metrics, public reporting of, 10–11
                 Pulmonary angiography in diagnosing     special problems in intensive-care unit,   Quality of life, health-related, 104–105
                        pulmonary embolic disorders, 326    322, 323f                    Quality scale, 11
                 Pulmonary artery catheters, 24–25, 24t,    tests, 323–326, 324f, 325t   Questioning approach, learning and using, in
                        245–246, 456–457               epidemiology of, in intensive-care unit,   critical care, 6
                   in burn patients, 1186                   318–321                      Quetiapine, 153
                   distal tip thermistor, 246            pathophysiology, 319–321, 319f,    Q-wave myocardial infarction, 294
                                https://kat.cr/user/tahir99/
                   in diagnosing right heart syndromes, 312  320f, 321f
                 Pulmonary artery hypertension, 259    prophylaxis against venous        R
                 Pulmonary artery occlusion pressure, 263   thromboembolism, 332–333     Rabies virus, 673
                 Pulmonary artery pressure, hypercapnia    air embolism, 333–335         Radiography in diagnosing right heart
                        and, 317                         fat embolism, 335–336, 335t            syndromes, 311
                 Pulmonary barotrauma, 1321            special considerations            Radiology, interventional, 209
                 Pulmonary capillary permeability, 1048–1049  chronic obstructive pulmonary    RAMPART trial, 784
                 Pulmonary circulation                      disease, 332                 Ramsay Hunt syndrome, 670
                   edema, 239–240, 240f                  patients with coagulation or platelet   Ramsay Sedation Score, 148
                   pressures, flow, and resistance in       disorders, 332               Randomized controlled trials, 45–46
                        pulmonary vessels, 238–239, 239f  pregnancy, 332                 Range of motion
                 Pulmonary crackles, 259               treatment of, 326–332               active, 163–164
                 Pulmonary edema, 239–240, 240f, 1048–1049  anticoagulation, 327–329       passive, 163
                   diagnosis and management of, 200–201  prognosis and intensity of, 326–327  Rapidly progressive glomerulonephritis, 922
                 Pulmonary effects, obesity and, 1307–1308  supportive care, 327         Rapid response teams, 77–83
                 Pulmonary embolic disorders. See Air   Pulmonary toxicity, 894–896, 895t  conditions reviewed and interventions
                        embolism; Fat embolism;      Pulmonary vasodilator therapy, 259         performed, 81
                        Pulmonary thromboembolism    Pulmonary venoocclusive disease, 895  deterioration of patients, 80, 81f
                 Pulmonary embolism, 221, 873–874, 873f  Pulseless electrical activity, 170, 170t  evidence for effectiveness of, 81–83, 82f
                   ECMO for, 481                     Pulse oximetry, 243                   nomenclature surrounding, 81
                   spinal injuries and, 1151           arterial blood gases and, 498       outcomes of cardiac arrests, 80
                 Pulmonary evaluation in organ       Pulse pressure waveform analysis, 247–248  principles underlying, 80–81, 80f, 81t
                        transplantation, 1112–1113, 1112t  Pump failure, 309               serious adverse events
                 Pulmonary fibrosis, 517–520         Pumpless, extracorporeal lung assist    in hospitalized patients, 77, 78t
                   acute cardiopulmonary failure, 518       (PECLA), 471                     preceded by signs of instability, 77,
                   cardiovascular management of, 519  Pupillary reflex, 833                     78–79t, 79–80, 80f
                   detecting reversible features, 519, 519t  Purpura, 1294, 1294t, 1295f  Rate-based indicator, 8–9
                   effects on pulmonary circulation, 518  posttransfusion, 852           Rebleeding, 776
                   gas exchange, 518                 Push enteroscopy, 1020–1021         Recluse spider bite, 1223
                   laboratory abnormalities, 517–518  Puumala virus, 742                 Recombinant human activated protein C,
                   long-term management of idiopathic, 520  P values, 9, 46–47                  sepsis and, 574
                   outcome, 518–519                    confidence intervals, and power, 46–47  Recompression therapy, in decompression
                   oxygen therapy, 519               Pyelonephritis, emphysematous, 701         illness, 1322–1323, 1323f
                   respiratory mechanics, 518        Pyocystitis, 701                    Red blood cell transfusions, 842
                   ventilator management of, 519–520  Pyonephrosis, 212, 700               in critical illness, 843
                 Pulmonary function abnormalities, 109  Pyuria, 696                        during initial resuscitation, 252
                 Pulmonary gas exchange, abnormalities in,                               Reduced intensity conditioning (RIC), 603
                        372–373                      Q                                   Refractory angina, 298
                 Pulmonary hypertension, 312, 1103, 1307  Q fever, 751                   Refractory hepatic hydrothorax, 223
                   acute-on-chronic, 314, 314t       QRS complexes, 280                  Refractory hypoxemia, 517
                   scleroderma and, 1243             Qualitative data, role in critical care research   Refractory status epilepticus (RSE),
                   sickle cell disease and, 910–911, 911f   and, 48                             780, 785, 875
                 Pulmonary infiltrates in HIV-infected   Quality                         Regionalization, 62
                        individuals, 636–638, 637–638t  defining, 7                        barriers in, 64, 64t
                 Pulmonary overpressurization, 1321    indicators in, 8–9, 8t              evidence in, 63–64
                 Pulmonary resection surgery, evaluation of   models of, 11                implementation strategies in, 64, 65ft
                        risk prior to, 1057–1058       reasons for measuring, 7–8          potential benefits in, 63
                 Pulmonary risk, clinical assessment of,   Quality assurance, 3            role of intensivists in, 64
                        1057–1060                    Quality indicators in critical care, 12–15, 14t  special challenges in, 68
                 Pulmonary system, electrical trauma    Quality measurement                unintended consequences in, 63
                        and, 1178                      research concepts relevant to, 9–10, 9t  Regional techniques for analgesia,
                 Pulmonary thromboembolism, 318–333      bias in, 9, 9t                         147–148
                   clinical manifestations               chance, 9, 9t                   Regression to the mean, 9–10, 9t
                     history, examination, and laboratory   confounding measures, 9t, 10  Rehabilitation, spinal injuries and, 1152
                        data, 321, 321t                  regression to the mean, 9–10, 9t  Reliability, 85








            Index.indd   1352                                                                                           23-01-2015   15:33:53
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