TY  - CHAP
M1  - Book, Section
TI  - Antimicrobial Therapies in the ICU
A1  - Czosnowski, Quinn A.
A1  - George, Jomy M.
A2  - Lee, Kiwon
PY  - 2012
T2  - The NeuroICU Book
AB  - J.L.,  a  28-year-old  man,  was  admitted  with  a  severe  traumatic  brain  injury  following  a  motor  vehicle  crash.  He  required  intubation  and  mechanical  ventilation  upon  arrival  at  the  hospital.  He  had  no  significant  past  medical  or  social  history.  His  admission  height  and  weight  were  72  inches  and  85  kg,  respectively.The  patient  progressed  without  complication  until  the  morning  of  hospital  day  6.  During  rounds  it  is  identified  that  J.L.  has  an  increasing  white  blood  cell  count  (from  11.4  to  15.1  cells/mm3),  was  febrile  overnight  (39°C),  and  has  macroscopically  purulent  sputum  on  examination.  His  morning  chest  radiograph  shows  that  he  has  a  new  right-sided  infiltrate.  Arterial  blood  gases  (ABGs)  on  an  inspiratory  oxygen  concentration  of  40%  are  as  follows:  Pao2  76  mm  Hg,  Paco2  36  mm  Hg,  HCO3−  20  mEq/L,  and  pH  7.31.  Blood  pressure  (BP)  is  130/80  mm  Hg  and  heart  rate  (HR)  is  90  bpm.  The  team  suspects  late-onset  ventilator-associated  pneumonia  and  conducts  a  bronchoscopic  bronchoalveolar  lavage  (BAL),  along  with  blood  and  urine  cultures.  Following  the  sample  collection  empiric  antibiotics  are  to  be  started.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - neurology.mhmedical.com/content.aspx?aid=1101645820
ER  -