Critical Illness-Related Corticosteroid Insufficiency (CIRCI): A Narrative Review from a Multispecialty Task Force of the Society of Critical Care Medicine (SCCM) and the European Society of Intensive Care Medicine (ESICM).
Identifieur interne : 000172 ( PubMed/Curation ); précédent : 000171; suivant : 000173Critical Illness-Related Corticosteroid Insufficiency (CIRCI): A Narrative Review from a Multispecialty Task Force of the Society of Critical Care Medicine (SCCM) and the European Society of Intensive Care Medicine (ESICM).
Auteurs : Djillali Annane [Belgique] ; Stephen M. Pastores ; Wiebke Arlt ; Robert A. Balk ; Albertus Beishuizen ; Josef Briegel ; Joseph Carcillo ; Mirjam Christ-Crain ; Mark S. Cooper ; Paul E. Marik ; Gianfranco Umberto Meduri ; Keith M. Olsen ; Bram Rochwerg ; Sophia C. Rodgers ; James A. Russell ; Greet Van Den BergheSource :
- Critical care medicine [ 1530-0293 ] ; 2017.
Abstract
To provide a narrative review of the latest concepts and understanding of the pathophysiology of critical illness-related corticosteroid insufficiency (CIRCI).
DOI: 10.1097/CCM.0000000000002724
PubMed: 28938251
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Critical Illness-Related Corticosteroid Insufficiency (CIRCI): A Narrative Review from a Multispecialty Task Force of the Society of Critical Care Medicine (SCCM) and the European Society of Intensive Care Medicine (ESICM).</title><author><name sortKey="Annane, Djillali" sort="Annane, Djillali" uniqKey="Annane D" first="Djillali" last="Annane">Djillali Annane</name><affiliation wicri:level="1"><nlm:affiliation>1General ICU Department, Raymond Poincaré hospital (APHP), Health Science Centre Simone Veil, Université Versailles SQY-Paris Saclay; Garches, France.2Department of Anesthesiology and Critical Care Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, United States of America.3Institute of Metabolism and Systems Research (IMSR), University of Birmingham & Centre for Endocrinology, Diabetes and Metabolism (CEDAM), Birmingham Health Partners, Birmingham, United Kingdom.4Division of Pulmonary and Critical Care Medicine, Rush University Medical Center, Chicago, IL, United States of America.5Department of Intensive Care Medicine, Medisch Spectrum Twente, Enschede, Netherlands6Anesthesiology and Critical Care Medicine, Klinik für Anästhesiologie, Klinikum der Universität, Munich, Germany.7Department of Critical Care Medicine and Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States of America.8Department of Endocrinology, Diabetology and Metabolism, Department of Clinical Research, University Hospital Basel, Basel, Switzerland.9Department of Endocrinology, Concord Hospital, University of Sydney, Sydney, New South Wales, Australia.10Division of Pulmonary and Critical Care Medicine, Eastern Virginia Medical School, Norfolk, VA, United States of America.11Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Memphis Veterans Affairs Medical Center, Memphis, TN, United States of America.12Dean, College of Pharmacy, University of Arkansas for Medical Sciences, Little Rock, AR, United States of America.13Division of Critical Care, Department of Medicine, McMaster University, Hamilton, Ontario, Canada.14Clinical Adjunct Faculty, University of New Mexico and Sandoval Regional Medical Center, Albuquerque, NM, United States of America.15Division of Critical Care Medicine, Centre for Heart Lung Innovation, St. Paul's Hospital, University of British Columbia, Vancouver, Canada.16Clinical Division and Laboratory of Intensive Care Medicine, Department of Cellular and Molecular Medicine, KU Leuven University and Hospitals, B-3000 Leuven, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>1General ICU Department, Raymond Poincaré hospital (APHP), Health Science Centre Simone Veil, Université Versailles SQY-Paris Saclay; Garches, France.2Department of Anesthesiology and Critical Care Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, United States of America.3Institute of Metabolism and Systems Research (IMSR), University of Birmingham & Centre for Endocrinology, Diabetes and Metabolism (CEDAM), Birmingham Health Partners, Birmingham, United Kingdom.4Division of Pulmonary and Critical Care Medicine, Rush University Medical Center, Chicago, IL, United States of America.5Department of Intensive Care Medicine, Medisch Spectrum Twente, Enschede, Netherlands6Anesthesiology and Critical Care Medicine, Klinik für Anästhesiologie, Klinikum der Universität, Munich, Germany.7Department of Critical Care Medicine and Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States of America.8Department of Endocrinology, Diabetology and Metabolism, Department of Clinical Research, University Hospital Basel, Basel, Switzerland.9Department of Endocrinology, Concord Hospital, University of Sydney, Sydney, New South Wales, Australia.10Division of Pulmonary and Critical Care Medicine, Eastern Virginia Medical School, Norfolk, VA, United States of America.11Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Memphis Veterans Affairs Medical Center, Memphis, TN, United States of America.12Dean, College of Pharmacy, University of Arkansas for Medical Sciences, Little Rock, AR, United States of America.13Division of Critical Care, Department of Medicine, McMaster University, Hamilton, Ontario, Canada.14Clinical Adjunct Faculty, University of New Mexico and Sandoval Regional Medical Center, Albuquerque, NM, United States of America.15Division of Critical Care Medicine, Centre for Heart Lung Innovation, St. Paul's Hospital, University of British Columbia, Vancouver, Canada.16Clinical Division and Laboratory of Intensive Care Medicine, Department of Cellular and Molecular Medicine, KU Leuven University and Hospitals, B-3000 Leuven</wicri:regionArea></affiliation></author><author><name sortKey="Pastores, Stephen M" sort="Pastores, Stephen M" uniqKey="Pastores S" first="Stephen M" last="Pastores">Stephen M. Pastores</name></author><author><name sortKey="Arlt, Wiebke" sort="Arlt, Wiebke" uniqKey="Arlt W" first="Wiebke" last="Arlt">Wiebke Arlt</name></author><author><name sortKey="Balk, Robert A" sort="Balk, Robert A" uniqKey="Balk R" first="Robert A" last="Balk">Robert A. Balk</name></author><author><name sortKey="Beishuizen, Albertus" sort="Beishuizen, Albertus" uniqKey="Beishuizen A" first="Albertus" last="Beishuizen">Albertus Beishuizen</name></author><author><name sortKey="Briegel, Josef" sort="Briegel, Josef" uniqKey="Briegel J" first="Josef" last="Briegel">Josef Briegel</name></author><author><name sortKey="Carcillo, Joseph" sort="Carcillo, Joseph" uniqKey="Carcillo J" first="Joseph" last="Carcillo">Joseph Carcillo</name></author><author><name sortKey="Christ Crain, Mirjam" sort="Christ Crain, Mirjam" uniqKey="Christ Crain M" first="Mirjam" last="Christ-Crain">Mirjam Christ-Crain</name></author><author><name sortKey="Cooper, Mark S" sort="Cooper, Mark S" uniqKey="Cooper M" first="Mark S" last="Cooper">Mark S. Cooper</name></author><author><name sortKey="Marik, Paul E" sort="Marik, Paul E" uniqKey="Marik P" first="Paul E" last="Marik">Paul E. Marik</name></author><author><name sortKey="Meduri, Gianfranco Umberto" sort="Meduri, Gianfranco Umberto" uniqKey="Meduri G" first="Gianfranco Umberto" last="Meduri">Gianfranco Umberto Meduri</name></author><author><name sortKey="Olsen, Keith M" sort="Olsen, Keith M" uniqKey="Olsen K" first="Keith M" last="Olsen">Keith M. Olsen</name></author><author><name sortKey="Rochwerg, Bram" sort="Rochwerg, Bram" uniqKey="Rochwerg B" first="Bram" last="Rochwerg">Bram Rochwerg</name></author><author><name sortKey="Rodgers, Sophia C" sort="Rodgers, Sophia C" uniqKey="Rodgers S" first="Sophia C" last="Rodgers">Sophia C. Rodgers</name></author><author><name sortKey="Russell, James A" sort="Russell, James A" uniqKey="Russell J" first="James A" last="Russell">James A. Russell</name></author><author><name sortKey="Van Den Berghe, Greet" sort="Van Den Berghe, Greet" uniqKey="Van Den Berghe G" first="Greet" last="Van Den Berghe">Greet Van Den Berghe</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28938251</idno><idno type="pmid">28938251</idno><idno type="doi">10.1097/CCM.0000000000002724</idno><idno type="wicri:Area/PubMed/Corpus">000172</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000172</idno><idno type="wicri:Area/PubMed/Curation">000172</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000172</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Critical Illness-Related Corticosteroid Insufficiency (CIRCI): A Narrative Review from a Multispecialty Task Force of the Society of Critical Care Medicine (SCCM) and the European Society of Intensive Care Medicine (ESICM).</title><author><name sortKey="Annane, Djillali" sort="Annane, Djillali" uniqKey="Annane D" first="Djillali" last="Annane">Djillali Annane</name><affiliation wicri:level="1"><nlm:affiliation>1General ICU Department, Raymond Poincaré hospital (APHP), Health Science Centre Simone Veil, Université Versailles SQY-Paris Saclay; Garches, France.2Department of Anesthesiology and Critical Care Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, United States of America.3Institute of Metabolism and Systems Research (IMSR), University of Birmingham & Centre for Endocrinology, Diabetes and Metabolism (CEDAM), Birmingham Health Partners, Birmingham, United Kingdom.4Division of Pulmonary and Critical Care Medicine, Rush University Medical Center, Chicago, IL, United States of America.5Department of Intensive Care Medicine, Medisch Spectrum Twente, Enschede, Netherlands6Anesthesiology and Critical Care Medicine, Klinik für Anästhesiologie, Klinikum der Universität, Munich, Germany.7Department of Critical Care Medicine and Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States of America.8Department of Endocrinology, Diabetology and Metabolism, Department of Clinical Research, University Hospital Basel, Basel, Switzerland.9Department of Endocrinology, Concord Hospital, University of Sydney, Sydney, New South Wales, Australia.10Division of Pulmonary and Critical Care Medicine, Eastern Virginia Medical School, Norfolk, VA, United States of America.11Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Memphis Veterans Affairs Medical Center, Memphis, TN, United States of America.12Dean, College of Pharmacy, University of Arkansas for Medical Sciences, Little Rock, AR, United States of America.13Division of Critical Care, Department of Medicine, McMaster University, Hamilton, Ontario, Canada.14Clinical Adjunct Faculty, University of New Mexico and Sandoval Regional Medical Center, Albuquerque, NM, United States of America.15Division of Critical Care Medicine, Centre for Heart Lung Innovation, St. Paul's Hospital, University of British Columbia, Vancouver, Canada.16Clinical Division and Laboratory of Intensive Care Medicine, Department of Cellular and Molecular Medicine, KU Leuven University and Hospitals, B-3000 Leuven, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>1General ICU Department, Raymond Poincaré hospital (APHP), Health Science Centre Simone Veil, Université Versailles SQY-Paris Saclay; Garches, France.2Department of Anesthesiology and Critical Care Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, United States of America.3Institute of Metabolism and Systems Research (IMSR), University of Birmingham & Centre for Endocrinology, Diabetes and Metabolism (CEDAM), Birmingham Health Partners, Birmingham, United Kingdom.4Division of Pulmonary and Critical Care Medicine, Rush University Medical Center, Chicago, IL, United States of America.5Department of Intensive Care Medicine, Medisch Spectrum Twente, Enschede, Netherlands6Anesthesiology and Critical Care Medicine, Klinik für Anästhesiologie, Klinikum der Universität, Munich, Germany.7Department of Critical Care Medicine and Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States of America.8Department of Endocrinology, Diabetology and Metabolism, Department of Clinical Research, University Hospital Basel, Basel, Switzerland.9Department of Endocrinology, Concord Hospital, University of Sydney, Sydney, New South Wales, Australia.10Division of Pulmonary and Critical Care Medicine, Eastern Virginia Medical School, Norfolk, VA, United States of America.11Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Memphis Veterans Affairs Medical Center, Memphis, TN, United States of America.12Dean, College of Pharmacy, University of Arkansas for Medical Sciences, Little Rock, AR, United States of America.13Division of Critical Care, Department of Medicine, McMaster University, Hamilton, Ontario, Canada.14Clinical Adjunct Faculty, University of New Mexico and Sandoval Regional Medical Center, Albuquerque, NM, United States of America.15Division of Critical Care Medicine, Centre for Heart Lung Innovation, St. Paul's Hospital, University of British Columbia, Vancouver, Canada.16Clinical Division and Laboratory of Intensive Care Medicine, Department of Cellular and Molecular Medicine, KU Leuven University and Hospitals, B-3000 Leuven</wicri:regionArea></affiliation></author><author><name sortKey="Pastores, Stephen M" sort="Pastores, Stephen M" uniqKey="Pastores S" first="Stephen M" last="Pastores">Stephen M. Pastores</name></author><author><name sortKey="Arlt, Wiebke" sort="Arlt, Wiebke" uniqKey="Arlt W" first="Wiebke" last="Arlt">Wiebke Arlt</name></author><author><name sortKey="Balk, Robert A" sort="Balk, Robert A" uniqKey="Balk R" first="Robert A" last="Balk">Robert A. Balk</name></author><author><name sortKey="Beishuizen, Albertus" sort="Beishuizen, Albertus" uniqKey="Beishuizen A" first="Albertus" last="Beishuizen">Albertus Beishuizen</name></author><author><name sortKey="Briegel, Josef" sort="Briegel, Josef" uniqKey="Briegel J" first="Josef" last="Briegel">Josef Briegel</name></author><author><name sortKey="Carcillo, Joseph" sort="Carcillo, Joseph" uniqKey="Carcillo J" first="Joseph" last="Carcillo">Joseph Carcillo</name></author><author><name sortKey="Christ Crain, Mirjam" sort="Christ Crain, Mirjam" uniqKey="Christ Crain M" first="Mirjam" last="Christ-Crain">Mirjam Christ-Crain</name></author><author><name sortKey="Cooper, Mark S" sort="Cooper, Mark S" uniqKey="Cooper M" first="Mark S" last="Cooper">Mark S. Cooper</name></author><author><name sortKey="Marik, Paul E" sort="Marik, Paul E" uniqKey="Marik P" first="Paul E" last="Marik">Paul E. Marik</name></author><author><name sortKey="Meduri, Gianfranco Umberto" sort="Meduri, Gianfranco Umberto" uniqKey="Meduri G" first="Gianfranco Umberto" last="Meduri">Gianfranco Umberto Meduri</name></author><author><name sortKey="Olsen, Keith M" sort="Olsen, Keith M" uniqKey="Olsen K" first="Keith M" last="Olsen">Keith M. Olsen</name></author><author><name sortKey="Rochwerg, Bram" sort="Rochwerg, Bram" uniqKey="Rochwerg B" first="Bram" last="Rochwerg">Bram Rochwerg</name></author><author><name sortKey="Rodgers, Sophia C" sort="Rodgers, Sophia C" uniqKey="Rodgers S" first="Sophia C" last="Rodgers">Sophia C. Rodgers</name></author><author><name sortKey="Russell, James A" sort="Russell, James A" uniqKey="Russell J" first="James A" last="Russell">James A. Russell</name></author><author><name sortKey="Van Den Berghe, Greet" sort="Van Den Berghe, Greet" uniqKey="Van Den Berghe G" first="Greet" last="Van Den Berghe">Greet Van Den Berghe</name></author></analytic><series><title level="j">Critical care medicine</title><idno type="eISSN">1530-0293</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To provide a narrative review of the latest concepts and understanding of the pathophysiology of critical illness-related corticosteroid insufficiency (CIRCI).</div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">28938251</PMID><DateCreated><Year>2017</Year><Month>09</Month><Day>22</Day></DateCreated><DateRevised><Year>2017</Year><Month>11</Month><Day>17</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1530-0293</ISSN><JournalIssue CitedMedium="Internet"><Volume>45</Volume><Issue>12</Issue><PubDate><Year>2017</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Critical care medicine</Title><ISOAbbreviation>Crit. Care Med.</ISOAbbreviation></Journal><ArticleTitle>Critical Illness-Related Corticosteroid Insufficiency (CIRCI): A Narrative Review from a Multispecialty Task Force of the Society of Critical Care Medicine (SCCM) and the European Society of Intensive Care Medicine (ESICM).</ArticleTitle><Pagination><MedlinePgn>2089-2098</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/CCM.0000000000002724</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To provide a narrative review of the latest concepts and understanding of the pathophysiology of critical illness-related corticosteroid insufficiency (CIRCI).</AbstractText><AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">A multi-specialty task force of international experts in critical care medicine and endocrinology and members of the Society of Critical Care Medicine and the European Society of Intensive Care Medicine.</AbstractText><AbstractText Label="DATA SOURCES" NlmCategory="METHODS">Medline, Database of Abstracts of Reviews of Effects (DARE), Cochrane Central Register of Controlled Trials (CENTRAL) and the Cochrane Database of Systematic Reviews.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Three major pathophysiologic events were considered to constitute CIRCI: dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis, altered cortisol metabolism, and tissue resistance to glucocorticoids. The dysregulation of the HPA axis is complex, involving multidirectional crosstalk between the CRH/ACTH pathways, autonomic nervous system, vasopressinergic system, and immune system. Recent studies have demonstrated that plasma clearance of cortisol is markedly reduced during critical illness, explained by suppressed expression and activity of the primary cortisol-metabolizing enzymes in the liver and kidney. Despite the elevated cortisol levels during critical illness, tissue resistance to glucocorticoids is believed to occur due to insufficient glucocorticoid alpha-mediated anti-inflammatory activity.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Novel insights into the pathophysiology of CIRCI add to the limitations of the current diagnostic tools to identify at-risk patients and may also impact how corticosteroids are used in patients with CIRCI.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Annane</LastName><ForeName>Djillali</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>1General ICU Department, Raymond Poincaré hospital (APHP), Health Science Centre Simone Veil, Université Versailles SQY-Paris Saclay; Garches, France.2Department of Anesthesiology and Critical Care Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, United States of America.3Institute of Metabolism and Systems Research (IMSR), University of Birmingham & Centre for Endocrinology, Diabetes and Metabolism (CEDAM), Birmingham Health Partners, Birmingham, United Kingdom.4Division of Pulmonary and Critical Care Medicine, Rush University Medical Center, Chicago, IL, United States of America.5Department of Intensive Care Medicine, Medisch Spectrum Twente, Enschede, Netherlands6Anesthesiology and Critical Care Medicine, Klinik für Anästhesiologie, Klinikum der Universität, Munich, Germany.7Department of Critical Care Medicine and Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States of America.8Department of Endocrinology, Diabetology and Metabolism, Department of Clinical Research, University Hospital Basel, Basel, Switzerland.9Department of Endocrinology, Concord Hospital, University of Sydney, Sydney, New South Wales, Australia.10Division of Pulmonary and Critical Care Medicine, Eastern Virginia Medical School, Norfolk, VA, United States of America.11Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Memphis Veterans Affairs Medical Center, Memphis, TN, United States of America.12Dean, College of Pharmacy, University of Arkansas for Medical Sciences, Little Rock, AR, United States of America.13Division of Critical Care, Department of Medicine, McMaster University, Hamilton, Ontario, Canada.14Clinical Adjunct Faculty, University of New Mexico and Sandoval Regional Medical Center, Albuquerque, NM, United States of America.15Division of Critical Care Medicine, Centre for Heart Lung Innovation, St. Paul's Hospital, University of British Columbia, Vancouver, Canada.16Clinical Division and Laboratory of Intensive Care Medicine, Department of Cellular and Molecular Medicine, KU Leuven University and Hospitals, B-3000 Leuven, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pastores</LastName><ForeName>Stephen M</ForeName><Initials>SM</Initials></Author><Author ValidYN="Y"><LastName>Arlt</LastName><ForeName>Wiebke</ForeName><Initials>W</Initials></Author><Author ValidYN="Y"><LastName>Balk</LastName><ForeName>Robert A</ForeName><Initials>RA</Initials></Author><Author ValidYN="Y"><LastName>Beishuizen</LastName><ForeName>Albertus</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Briegel</LastName><ForeName>Josef</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Carcillo</LastName><ForeName>Joseph</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Christ-Crain</LastName><ForeName>Mirjam</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Cooper</LastName><ForeName>Mark S</ForeName><Initials>MS</Initials></Author><Author ValidYN="Y"><LastName>Marik</LastName><ForeName>Paul E</ForeName><Initials>PE</Initials></Author><Author ValidYN="Y"><LastName>Meduri</LastName><ForeName>Gianfranco Umberto</ForeName><Initials>GU</Initials></Author><Author ValidYN="Y"><LastName>Olsen</LastName><ForeName>Keith M</ForeName><Initials>KM</Initials></Author><Author ValidYN="Y"><LastName>Rochwerg</LastName><ForeName>Bram</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>Rodgers</LastName><ForeName>Sophia C</ForeName><Initials>SC</Initials></Author><Author ValidYN="Y"><LastName>Russell</LastName><ForeName>James A</ForeName><Initials>JA</Initials></Author><Author ValidYN="Y"><LastName>Van den Berghe</LastName><ForeName>Greet</ForeName><Initials>G</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Crit Care Med</MedlineTA><NlmUniqueID>0355501</NlmUniqueID><ISSNLinking>0090-3493</ISSNLinking></MedlineJournalInfo></MedlineCitation><PubmedData><History><PubMedPubDate 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