2022
Imaging in the Intensive Care Unit
Toy D, Siegel M, Rubinowitz A. Imaging in the Intensive Care Unit. Seminars In Respiratory And Critical Care Medicine 2022, 43: 899-923. PMID: 36442475, DOI: 10.1055/s-0042-1750041.Peer-Reviewed Original ResearchConceptsICU patientsIll patientsPathologic disease statesInterstitial lung diseaseIntensive care unitCT pulmonary angiographySpecific clinical scenariosModality of choicePortable chest radiographsHospital courseRadiologic manifestationsCare unitPleural effusionPulmonary angiographyLung diseaseICU settingChest radiographsSmall pneumothoracesRadiographic examinationAdditional abnormalitiesPatientsClinical scenariosPatient careInvasive devicesDiagnostic accuracy
2021
Reflections on New Evidence on Crisis Standards of Care in the COVID-19 Pandemic.
Tolchin B, Latham SR, Bruce L, Ferrante LE, Kraschel K, Jubanyik K, Hull SC, Herbst JL, Kapo J, Moritz ED, Hughes J, Siegel MD, Mercurio MR. Reflections on New Evidence on Crisis Standards of Care in the COVID-19 Pandemic. The Journal Of Clinical Ethics 2021, 32: 358-360. PMID: 34928864, DOI: 10.1086/jce2021324358.Commentaries, Editorials and LettersConceptsSOFA scoreBlack patientsCrisis standardsSequential Organ Failure Assessment scoreOrgan Failure Assessment scoreAccurate prognostic scoresNext public health emergencyCOVID-19 patientsLife-saving medical resourcesMedical resourcesCOVID-19 pandemicSame scoring systemPublic health emergencyPrognostic scoreBody of evidenceRare casePatientsScoring systemTriage purposesAssessment scoresHealth emergencyCareHealthcare systemCOVID-19Scores
2019
Evaluation of Swallow Function Post-Extubation: Is It Necessary to Wait 24 Hours?
Leder SB, Warner HL, Suiter DM, Young NO, Bhattacharya B, Siner JM, Davis KA, Maerz LL, Rosenbaum SH, Marshall PS, Pisani MA, Siegel MD, Brennan JJ, Schuster KM. Evaluation of Swallow Function Post-Extubation: Is It Necessary to Wait 24 Hours? Annals Of Otology Rhinology & Laryngology 2019, 128: 619-624. PMID: 30841709, DOI: 10.1177/0003489419836115.Peer-Reviewed Original ResearchConceptsIntensive care unitSwallow evaluationDifferent intensive care unitsRe-intubation rateYale Swallow ProtocolMajority of patientsPost-extubation dysphagiaIntubation durationNosocomial pneumoniaPost extubationLonger hospitalizationCare unitProspective InvestigationSwallow ProtocolSwallowingHoursDysphagiaHospitalizationIntubationPneumoniaPatientsIncidenceEvaluation
2015
An Official American Thoracic Society Policy Statement: Managing Conscientious Objections in Intensive Care Medicine
Lewis-Newby M, Wicclair M, Pope T, Rushton C, Curlin F, Diekema D, Durrer D, Ehlenbach W, Gibson-Scipio W, Glavan B, Langer L, Manthous C, Rose C, Scardella A, Shanawani H, Siegel MD, Halpern SD, Truog RD, White DB. An Official American Thoracic Society Policy Statement: Managing Conscientious Objections in Intensive Care Medicine. American Journal Of Respiratory And Critical Care Medicine 2015, 191: 219-227. PMID: 25590155, DOI: 10.1164/rccm.201410-1916st.Peer-Reviewed Original ResearchMeSH KeywordsAccess to InformationAdolescentAdultAgedAttitude of Health PersonnelBioethical IssuesChildConscienceDisclosureFemaleGuidelines as TopicHealth Services AccessibilityHumansInfantIntensive Care UnitsMaleMiddle AgedOrganizational PolicyPatient RightsPregnancyProfessional AutonomySocieties, MedicalUnited StatesWorkforceConceptsCritical care settingCare settingsConscientious objectionMedical servicesAmerican Thoracic Society StatementIntensive care unit cliniciansMoral integrityTimely accessIntensive care medicineHospital administratorsMultidisciplinary expert committeeAvailable medical servicesPolicy statementsSociety statementCare medicineAdult medicineClinician judgmentPatient accessPatient advocacyCliniciansPatientsDiverse working groupExcessive hardshipsInstitutional mechanismsMoral dialogue
2014
Unresolved pulmonary embolism leading to a diagnosis of pulmonary artery sarcoma
Gutiérrez A, Sauler M, Mitchell JM, Siegel MD, Trow TK, Bacchetta M, Fares WH. Unresolved pulmonary embolism leading to a diagnosis of pulmonary artery sarcoma. Heart & Lung 2014, 43: 574-576. PMID: 24928184, DOI: 10.1016/j.hrtlng.2014.05.006.Peer-Reviewed Case Reports and Technical NotesConceptsPulmonary artery sarcomaPulmonary embolismPresumed pulmonary embolismUnresolved pulmonary embolismCT pulmonary angiogramAnticoagulation treatmentProgressive symptomsPulmonary angiogramSurgical resectionPulmonary arteryPoor prognosisRare tumorAdditional imagingDifferential diagnosisProper diagnosisEmbolismSarcomaDiagnosisResectionPatientsDyspneaArteryPrognosisAngiogramsMetastasis
2011
Safe initiation of oral diets in hospitalized patients based on passing a 3-ounce (90 cc) water swallow challenge protocol
Leder SB, Suiter DM, Warner HL, Acton LM, Siegel MD. Safe initiation of oral diets in hospitalized patients based on passing a 3-ounce (90 cc) water swallow challenge protocol. QJM 2011, 105: 257-263. PMID: 22006561, DOI: 10.1093/qjmed/hcr193.Peer-Reviewed Original ResearchConceptsSpecific diet recommendationsOral dietChallenge protocolDiet recommendationsOvert signsThin liquidsProspective single groupOptimum patient careDysphagia testingAspiration eventsHospitalized patientsSafe initiationCase seriesOral alimentationAcute careTertiary careTeaching hospitalInclusion criteriaMedian volumeIntake informationCare providersPatientsPatient careShort-term successCareThe Management of the Critically Ill Obstetric Patient
Honiden S, Abdel-Razeq SS, Siegel MD. The Management of the Critically Ill Obstetric Patient. Journal Of Intensive Care Medicine 2011, 28: 93-106. PMID: 21841145, DOI: 10.1177/0885066611411408.Peer-Reviewed Original ResearchConceptsObstetric patientsCritically Ill Obstetric PatientIntensive care unit admissionIll obstetric patientsCare unit admissionCritical care physiciansMortality prediction toolProvision of careAcid-base statusUnit admissionHypertensive disordersICU mortalityMaternal outcomesRespiratory failureCesarean deliveryCommon indicationCare physiciansPostpartum hemorrhageCardiac arrestPhysiologic changesTreatment choicePatientsSpecial populationsRadiographic testsExposure limits
2010
Analytic Reviews: Managing the Agitated Patient in the ICU: Sedation, Analgesia, and Neuromuscular Blockade
Honiden S, Siegel MD. Analytic Reviews: Managing the Agitated Patient in the ICU: Sedation, Analgesia, and Neuromuscular Blockade. Journal Of Intensive Care Medicine 2010, 25: 187-204. PMID: 20663774, DOI: 10.1177/0885066610366923.Peer-Reviewed Original ResearchConceptsIntensive care unit physiciansICU lengthPharmacologic featuresVentilator daysCritical illnessMost patientsPharmacologic therapyIll patientsNeuroleptic medicationUnit physiciansNeuromuscular blockadeObjective assessment toolReversible etiologyPatient outcomesCognitive dysfunctionStructured protocolICU environmentPatientsPsychological distressAssessment toolDistressAnalgesiaUndertreatmentICUMedications