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1.
Intensive Care Med ; 45(6): 911, 2019 Jun.
Article in English | MEDLINE | ID: mdl-30989263

ABSTRACT

The original version of this article unfortunately contained a mistake.

2.
Intensive Care Med ; 45(6): 770-788, 2019 06.
Article in English | MEDLINE | ID: mdl-30911808

ABSTRACT

INTRODUCTION: This narrative review focusing on critical care echocardiography (CCE) has been written by a group of experts in the field, with the aim of outlining the state of the art in CCE in the 10 years after its official recognition and definition. RESULTS: In the last 10 years, CCE has become an essential branch of critical care ultrasonography and has gained general acceptance. Its use, both as a diagnostic tool and for hemodynamic monitoring, has increased markedly, influencing contemporary cardiorespiratory management. Recent studies suggest that the use of CCE may have a positive impact on outcomes. CCE may be used in critically ill patients in many different clinical situations, both in their early evaluation of in the emergency department and during intensive care unit (ICU) admission and stay. CCE has also proven its utility in perioperative settings, as well as in the management of mechanical circulatory support. CCE may be performed with very simple diagnostic objectives. This application, referred to as basic CCE, does not require a high level of training. Advanced CCE, on the other hand, uses ultrasonography for full evaluation of cardiac function and hemodynamics, and requires extensive training, with formal certification now available. Indeed, recent years have seen the creation of worldwide certification in advanced CCE. While transthoracic CCE remains the most commonly used method, the transesophageal route has gained importance, particularly for intubated and ventilated patients. CONCLUSION: CCE is now widely accepted by the critical care community as a valuable tool in the ICU and emergency department, and in perioperative settings.


Subject(s)
Critical Care/trends , Echocardiography/trends , Critical Care/methods , Echocardiography/methods , Hemodynamics/physiology , Humans , Intensive Care Units/organization & administration , Intensive Care Units/trends
3.
Oecologia ; 58(1): 76-83, 1983 Apr.
Article in English | MEDLINE | ID: mdl-28310650

ABSTRACT

In this study we investigated the relationship between food availability, feeding ecology and territoriality in a population of Cactus Finches, Geospiza scandens, on Isla Daphne Major, Galápagos, between 1979 and 1981.We monitored the phenologies of the principal food types on the island and related them to changes in the feeding ecology of G. scandens. Feeding patterns closely tracked the availability of resources, with a similar pattern in each of the three years. Birds relied heavily on Opuntia fruits in the dry season. G. scandens defends year-round territories based on Opuntia. Variation in Opuntia phenologies between individual territories and between years was documented in order to provide a measure of territory quality over the three years. A correlation was demonstrated between the area of cactus within a territory and mating success of the owner. We suggest that territory quality also affects the survival of the owners during periods of food scarcity and that the mating and survival advantage of a high-quality territory occur at different times and to different degrees in different years. Hence the importance of territorial quality can only be judged over a long-term period in these long lived and sedentary birds.

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