Greening critical care

Greening critical care

Climate change and environmental stewardship are phrases that have been defining the past few decades and promoting change in our societies. The sensitivities of intensive care as a specialty make the process of greening an intensive care unit a challenge, but not one that is insurmountable. This paper discusses opportunities for critical care to reduce its environmental impact and provide a fr...

Greening western China: A critical view

The dominant narrative in a growing literature about China’s environment conceptualizes a series of recent large-scale ecological construction projects, particularly in western China, as evidence of a teleological graduation into eco-rational modernity, in which environmental improvement and economic growth are intertwined in a virtuous, mutually reinforcing circle. Such ecological modernizatio...

Critical Care Neurology and Neuro Critical Care

The Greening of Global Warming The Greening of Global Warming

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CRITICAL CARE/RESPIRATORY CARE Corticosteroid Replacement in Critical Illness

Intensivists routinely administer glucocorticoids, which are potent anti-inflammatory, immune, metabolic, and adrenergic modulating compounds at physiologic and pharmacologic doses. Recent investigations report increasing recognition of relative or absolute adrenal insufficiency in critically ill patients and the impact of cortisol responsiveness as a predictor of outcome for the critically ill...