S E Lapinsky

Summary

Affiliation: University of Toronto
Country: Canada

Publications

  1. pmc Prospective evaluation of an internet-linked handheld computer critical care knowledge access system
    Stephen E Lapinsky
    Technology Application Unit, Mount Sinai Hospital and Interdepartmental Division of Critical Care, University of Toronto, Toronto, Ontario, Canada
    Crit Care 8:R414-21. 2004
  2. doi request reprint Obstetric infections
    Stephen E Lapinsky
    Intensive Care Unit, Mount Sinai Hospital, University of Toronto, 600 University Avenue, Room 18 214, Toronto, Ontario M5G 1X5, Canada
    Crit Care Clin 29:509-20. 2013
  3. pmc Wireless technology in the ICU: boon or ban?
    Aviv S Gladman
    Crit Care 11:165. 2007
  4. pmc Pro/con debate: should synthetic colloids be used in patients with septic shock?
    James Downar
    Department of Medicine, Divisions of Critical Care and Palliative Medicine, University of Toronto, Toronto, Canada
    Crit Care 13:203. 2009
  5. pmc Clinical review: SARS - lessons in disaster management
    Laura Hawryluck
    University Health Network and the Interdepartmental Division of Critical Care, University of Toronto, Toronto, Ontario, Canada
    Crit Care 9:384-9. 2005
  6. pmc Critical care procedure logging using handheld computers
    J Carlos Martinez-Motta
    Technology Application Unit, Mount Sinai Hospital, Toronto, Ontario, Canada
    Crit Care 8:R336-42. 2004
  7. pmc The hemodynamic tolerability and feasibility of sustained low efficiency dialysis in the management of critically ill patients with acute kidney injury
    Heather E Fieghen
    Department of Medicine, University of Toronto, Toronto, ON, Canada
    BMC Nephrol 11:32. 2010
  8. pmc Bench-to-bedside review: Recruitment and recruiting maneuvers
    Stephen E Lapinsky
    Intensive Care Unit, Mount Sinai Hospital, and Interdepartmental Division of Critical Care, University of Toronto, Toronto, Canada
    Crit Care 9:60-5. 2005
  9. pmc Clinical information systems in the intensive care unit: primum non nocere
    Stephen E Lapinsky
    Interdepartmental Division of Critical Care, University of Toronto, Intensive Care Unit, Mount Sinai Hospital, Toronto, Ontario, Canada
    Crit Care 13:107. 2009
  10. pmc Survey of information technology in Intensive Care Units in Ontario, Canada
    Stephen E Lapinsky
    Intensive Care Unit, Mount Sinai Hospital, Toronto, Canada
    BMC Med Inform Decis Mak 8:5. 2008

Collaborators

Detail Information

Publications44

  1. pmc Prospective evaluation of an internet-linked handheld computer critical care knowledge access system
    Stephen E Lapinsky
    Technology Application Unit, Mount Sinai Hospital and Interdepartmental Division of Critical Care, University of Toronto, Toronto, Ontario, Canada
    Crit Care 8:R414-21. 2004
    ..We evaluated the feasibility and potential benefits of a handheld computer based knowledge access system linking a central academic intensive care unit (ICU) to multiple community-based ICUs...
  2. doi request reprint Obstetric infections
    Stephen E Lapinsky
    Intensive Care Unit, Mount Sinai Hospital, University of Toronto, 600 University Avenue, Room 18 214, Toronto, Ontario M5G 1X5, Canada
    Crit Care Clin 29:509-20. 2013
    ..Severe pneumonitis caused by influenza virus and varicella zoster infection may occur. Malaria may be more severe in the pregnant woman, and carries significant risk to both mother and fetus. ..
  3. pmc Wireless technology in the ICU: boon or ban?
    Aviv S Gladman
    Crit Care 11:165. 2007
    ..However, increased use of cellular phones and ever changing communication technologies require ongoing vigilance by healthcare device manufacturers, hospitals and device users, to prevent potentially hazardous events due to EMI...
  4. pmc Pro/con debate: should synthetic colloids be used in patients with septic shock?
    James Downar
    Department of Medicine, Divisions of Critical Care and Palliative Medicine, University of Toronto, Toronto, Canada
    Crit Care 13:203. 2009
    ..You have been asked by the hospital chief of staff whether there should be a suspension of the use of synthetic colloids until further information is available. You need to make a decision...
  5. pmc Clinical review: SARS - lessons in disaster management
    Laura Hawryluck
    University Health Network and the Interdepartmental Division of Critical Care, University of Toronto, Toronto, Ontario, Canada
    Crit Care 9:384-9. 2005
    ..By describing our successes and failures, we hope to help others to learn and avoid the problems we encountered as they develop their own disaster management plans in anticipation of similar future situations...
  6. pmc Critical care procedure logging using handheld computers
    J Carlos Martinez-Motta
    Technology Application Unit, Mount Sinai Hospital, Toronto, Ontario, Canada
    Crit Care 8:R336-42. 2004
    ..We conducted this study to evaluate the feasibility of implementing an internet-linked handheld computer procedure logging system in a critical care training program...
  7. pmc The hemodynamic tolerability and feasibility of sustained low efficiency dialysis in the management of critically ill patients with acute kidney injury
    Heather E Fieghen
    Department of Medicine, University of Toronto, Toronto, ON, Canada
    BMC Nephrol 11:32. 2010
    ..We also compared the feasibility of SLED administration with that of CRRT and intermittent hemodialysis (IHD)...
  8. pmc Bench-to-bedside review: Recruitment and recruiting maneuvers
    Stephen E Lapinsky
    Intensive Care Unit, Mount Sinai Hospital, and Interdepartmental Division of Critical Care, University of Toronto, Toronto, Canada
    Crit Care 9:60-5. 2005
    ..In this review we discuss the pathophysiologic basis for the use of recruitment maneuvers and recent evidence, as well as the practical application of the technique...
  9. pmc Clinical information systems in the intensive care unit: primum non nocere
    Stephen E Lapinsky
    Interdepartmental Division of Critical Care, University of Toronto, Intensive Care Unit, Mount Sinai Hospital, Toronto, Ontario, Canada
    Crit Care 13:107. 2009
    ..The importance of evaluation and technology assessment in the implementation and use of new computing technology is highlighted...
  10. pmc Survey of information technology in Intensive Care Units in Ontario, Canada
    Stephen E Lapinsky
    Intensive Care Unit, Mount Sinai Hospital, Toronto, Canada
    BMC Med Inform Decis Mak 8:5. 2008
    ..We surveyed ICUs in the province of Ontario, Canada, to determine the availability, implementation and variability of information systems...
  11. ncbi request reprint Electromagnetic interference in critical care
    Stephen E Lapinsky
    Intensive Care Unit, Mount Sinai Hospital, Toronto, Canada M5G1X5
    J Crit Care 21:267-70. 2006
    ..This article reviews the current understanding of electromagnetic interference as it applies to the technology-rich critical care environment...
  12. ncbi request reprint Critical care lessons from severe acute respiratory syndrome
    Stephen E Lapinsky
    Mount Sinai Hospital, University Health Network, and the Interdepartmental Division of Critical Care, University of Toronto, Toronto, Ontario, Canada
    Curr Opin Crit Care 10:53-8. 2004
    ..This paper reviews the current status of this knowledge base, with particular reference to the critically ill patient...
  13. ncbi request reprint Safety and efficacy of a sustained inflation for alveolar recruitment in adults with respiratory failure
    S E Lapinsky
    Department of Medicine, Mount Sinai Hospital, Ontario, Canada
    Intensive Care Med 25:1297-301. 1999
    ..To assess the safety and efficacy of a sustained inflation, used as a lung volume recruitment maneuver in ventilated patients with hypoxemic respiratory failure...
  14. doi request reprint Epidemic viral pneumonia
    Stephen E Lapinsky
    Mount Sinai Hospital and the Interdepartmental Division of Critical Care, University of Toronto, Toronto, Ontario, Canada
    Curr Opin Infect Dis 23:139-44. 2010
    ..This review describes these epidemics and other causes of epidemic viral pneumonia...
  15. pmc Handheld computers in critical care
    S E Lapinsky
    Intensive Care Unit, Mount Sinai Hospital, and Interdepartmental Division of Critical Care and Department of Medicine, University of Toronto, Room 1825, 600 University Ave, Toronto, ON M5G 1X5, Canada
    Crit Care 5:227-31. 2001
    ..We evaluated the role of this technology for managing patient data and accessing medical reference information, in an academic intensive-care unit (ICU)...
  16. ncbi request reprint ICU management of severe acute respiratory syndrome
    Stephen E Lapinsky
    Mount Sinai Hospital, Interdepartmental Division of Critical Care, University of Toronto, 600 University Ave, M5G 1X5, Toronto, Canada
    Intensive Care Med 29:870-5. 2003
    ..Research into identifying the etiological agent, evaluating modes of disease transmission, and treatment options is currently ongoing...
  17. pmc Clinical review: Ventilatory strategies for obstetric, brain-injured and obese patients
    Stephen E Lapinsky
    Intensive Care Unit, Mount Sinai Hospital, 600 University Ave, Toronto, Ontario, M5G 1X5, Canada
    Crit Care 13:206. 2009
    ..The present manuscript reviews the ventilatory management in three special populations, namely the patient with brain injury, the pregnant patient and the morbidly obese patient...
  18. doi request reprint H1N1 novel influenza A in pregnant and immunocompromised patients
    Stephen E Lapinsky
    Mount Sinai Hospital and the Interdepartmental Division of Critical Care, University of Toronto, Toronto, Ontario, Canada
    Crit Care Med 38:e52-7. 2010
    ..To describe the increased risk of severe disease and the appropriate management of patients at high risk such as pregnant women and immunosuppressed patients who acquire novel influenza A (H1N1)...
  19. pmc Recruitment and retention of lung volume
    Stephen E Lapinsky
    Associate Director, Intensive Care Unit, Mount Sinai Hospital and Interdisciplinary Division of Critical Care, University of Toronto, Toronto, Ontario, Canada
    Crit Care 7:9-10. 2003
  20. doi request reprint Evaluation of standard and modified severity of illness scores in the obstetric patient
    Stephen E Lapinsky
    Intensive Care Unit, Mount Sinai Hospital and the Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, ON, Canada M5G 1X5
    J Crit Care 26:535.e1-7. 2011
    ..To test discrimination and calibration of APACHE-II and SAPS-II risk prediction scores in a cohort of obstetric patients, and to evaluate the effect of modifying these scores for the physiological changes in pregnancy...
  21. ncbi request reprint Mobile computing in critical care
    Stephen E Lapinsky
    Technology Application Unit and Intensive Care Unit, Mount Sinai Hospital, Interdepartmental Division of Critical Care, University of Toronto, Toronto, ON, Canada M5G 1X5
    J Crit Care 22:41-4. 2007
    ..In the critical care environment, the risk of transmitting microorganisms by such a portable device should always be considered...
  22. ncbi request reprint Critically ill patients with severe acute respiratory syndrome
    Robert A Fowler
    Interdepartmental Division of Critical Care Medicine, University of Toronto, Ontario
    JAMA 290:367-73. 2003
    ..Severe acute respiratory syndrome (SARS) is a newly recognized infectious disease capable of causing severe respiratory failure...
  23. ncbi request reprint Prospective trial of high-frequency oscillation in adults with acute respiratory distress syndrome
    S Mehta
    Departments of Medicine and Anesthesia, Mount Sinai Hospital, Toronto, Ontario, Canada
    Crit Care Med 29:1360-9. 2001
    ..In addition, early institution of HFOV may be advantageous...
  24. pmc Practising evidence-based medicine: the design and implementation of a multidisciplinary team-driven extubation protocol
    P K Chan
    Department of Medicine, Queen Elisabeth Hospital, Intensive Care Unit, Kowloon, Hong Kong, China
    Crit Care 5:349-54. 2001
    ..CONCLUSION: An MDT approach to protocol-directed extubation can be implemented safely and effectively in a multidisciplinary ICU. Such an effort is viewed favourably by the entire team and is useful in enhancing team building...
  25. ncbi request reprint Transmission of severe acute respiratory syndrome during intubation and mechanical ventilation
    Robert A Fowler
    Interdepartmental Division of Critical Care Medicine, University of Toronto, Sunnybrook and Women s College Health Sciences Centre, Toronto, Ontario, Canada
    Am J Respir Crit Care Med 169:1198-202. 2004
    ..74; 95% CI, 0.11 to 4.92; p = 0.6) compared with their respective reference cohorts. Specific infection control recommendations concerning the care of critically ill patients may help limit further nosocomial transmission...
  26. ncbi request reprint Pro/con clinical debate: steroids are a key component in the treatment of SARS. Con: No, steroids are not a key component of the treatment regimen for SARS
    Marcus J Kargel
    Interdepartmental Division of Critical Care, University of Toronto, Toronto, Ontario, Canada
    Crit Care 8:105-7. 2004
  27. doi request reprint Predictors of mortality in patients undergoing autologous hematopoietic cell transplantation admitted to the intensive care unit
    M A Trinkaus
    University of Toronto Autologous Blood and Marrow Transplant Program, Princess Margaret Hospital, Toronto, Canada
    Bone Marrow Transplant 43:411-5. 2009
    ..Our observations may assist clinical decision-making regarding the continuation of intensive care delivered 24 h after ICU admission...
  28. pmc Utility of routine chest radiographs in a medical-surgical intensive care unit: a quality assurance survey
    N Chahine-Malus
    Mount Sinai Hospital, Toronto, Ontario, Canada
    Crit Care 5:271-5. 2001
    ..To determine the utility of routine chest radiographs (CXRs) in clinical decision-making in the intensive care unit (ICU)...
  29. pmc Illness in intensive care staff after brief exposure to severe acute respiratory syndrome
    Damon C Scales
    Mount Sinai Hospital, University Health Network, 600 University Avenue, Toronto, Ontario M5G 1X5, Canada
    Emerg Infect Dis 9:1205-10. 2003
  30. ncbi request reprint Medical informatics in the intensive care unit: overview of technology assessment
    Neill Adhikari
    Department of Critical Care Medicine, Sunnybrook and Women s College Health Sciences Centre, Toronto, Canada
    J Crit Care 18:41-7. 2003
    ..Although studies of these applications in the ICU setting are increasing, there are currently very few published randomized trials...
  31. pmc Surgical procedure logging with use of a hand-held computer
    Sandra Fischer
    Mount Sinai Hospital and Interdepartmental Division of Critical Care, University of Toronto, Ont
    Can J Surg 45:345-50. 2002
    ..To evaluate the feasibility of incorporating hand-held computing technology in a surgical residency program, by means of hand-held devices for surgical procedure logging linked through the Internet to a central database...
  32. doi request reprint Prolonged time to alarm in infusion devices operated at low flow rates
    Roy Ilan
    Department of Medicine, Queen s University and Kingston General Hospital, Kingston, ON, Canada
    Crit Care Med 36:2763-5. 2008
    ..To evaluate the time to occlusion alarm for peristaltic infusion devices used in Toronto adult critical care units...
  33. ncbi request reprint A study of the physiologic responses to a lung recruitment maneuver in acute lung injury and acute respiratory distress syndrome
    Maureen O Meade
    Department of Medicine, McMaster University, Hamilton, Ontario, Canada
    Respir Care 53:1441-9. 2008
    ..To determine the magnitude, duration, and consistency of the effects of lung recruitment maneuvers (RMs) on oxygenation, lung mechanics, and comfort in patients with acute lung injury (ALI) and acute respiratory distress syndrome (ARDS)...
  34. pmc Pro/con clinical debate: pulmonary artery catheters increase the morbidity and mortality of intensive care unit patients
    Stephen E Lapinsky
    Mount Sinai Hospital and Interdisciplinary Division of Critical Care, University of Toronto, Canada
    Crit Care 7:101-3. 2003
  35. pmc Handheld computing in medicine
    Sandra Fischer
    Technology Application Unit, Intensive Care Unit, Mount Sinai Hospital, 600 University Avenue 1825, University of Toronto, Toronto, Ontario M5G 1X5, Canada
    J Am Med Inform Assoc 10:139-49. 2003
    ..This article aims to increase the awareness among physicians about the potential roles for handheld computers in medicine and to encourage the further evaluation of their use...
  36. ncbi request reprint Cardiopulmonary complications of pregnancy
    Stephen E Lapinsky
    Interdepartmental Division of Critical Care, University of Toronto, Toronto, ON, Canada
    Crit Care Med 33:1616-22. 2005
    ..To provide an up-to-date review of the literature on the assessment and management of pulmonary and cardiac conditions that may affect women during pregnancy and the postpartum period...
  37. ncbi request reprint Acute oxygenation response to inhaled nitric oxide when combined with high-frequency oscillatory ventilation in adults with acute respiratory distress syndrome
    Sangeeta Mehta
    Department of Medicine, Mount Sinai Hospital, University of Toronto, Canada
    Crit Care Med 31:383-9. 2003
    ..DESIGN Prospective, clinical study...
  38. doi request reprint Recruitment maneuvers for acute lung injury: a systematic review
    Eddy Fan
    Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Ontario, Canada
    Am J Respir Crit Care Med 178:1156-63. 2008
    ..There are conflicting data regarding the safety and efficacy of recruitment maneuvers (RMs) in patients with acute lung injury (ALI)...
  39. ncbi request reprint Management of severe hyperkalemia without hemodialysis: case report and literature review
    Virginia Carvalhana
    Department of Pharmacy, Mount Sinai Hospital, Toronto, ON, Canada M5G 1X5
    J Crit Care 21:316-21. 2006
    ..To report a case of severe hyperkalemia successfully managed without the use of hemodialysis and to provide a review of the literature regarding the management of severe hyperkalemia...
  40. doi request reprint Regional citrate anticoagulation for PrismaFlex continuous renal replacement therapy
    Lisa D Burry
    Department of Pharmacy, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada
    Ann Pharmacother 43:1419-25. 2009
    ..However, RCA has been associated with significant metabolic complications including hypocalcemia, hypernatremia, metabolic alkalosis, and citrate toxicity...
  41. ncbi request reprint Clinical issues and research in respiratory failure from severe acute respiratory syndrome
    Mitchell M Levy
    Department of Medicine, Brown University Rhode Island Hospital, Providence, USA
    Am J Respir Crit Care Med 171:518-26. 2005
    ..The group recommended preparation for studies, including protocols, ethical considerations, Web-based registries, and data entry systems...
  42. ncbi request reprint ARDS--shake, rattle, and roll!
    Stephen E Lapinsky
    Crit Care Med 35:303-4. 2007
  43. doi request reprint Children of the intensive care unit
    Stephen E Lapinsky
    Crit Care Med 36:2934-5. 2008
  44. ncbi request reprint High-frequency oscillation and prone position
    Sangeeta Mehta
    Crit Care Med 34:1578; author reply 1578-9. 2006