Research Topics
| S E LapinskySummaryAffiliation: University of Toronto Country: Canada Publications
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Detail Information
Publications
Prospective evaluation of an internet-linked handheld computer critical care knowledge access systemStephen 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...- 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... - 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... - Clinical review: SARS - lessons in disaster managementLaura 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... - Critical care procedure logging using handheld computersJ 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... - The hemodynamic tolerability and feasibility of sustained low efficiency dialysis in the management of critically ill patients with acute kidney injuryHeather 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)... 
Critical care lessons from severe acute respiratory syndromeStephen 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...- Clinical information systems in the intensive care unit: primum non nocereStephen 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... - Bench-to-bedside review: Recruitment and recruiting maneuversStephen 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... 
Evaluation of standard and modified severity of illness scores in the obstetric patientStephen 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...- Electromagnetic interference in critical careStephen 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... - Survey of information technology in Intensive Care Units in Ontario, CanadaStephen 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... - Mobile computing in critical careStephen 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... - Safety and efficacy of a sustained inflation for alveolar recruitment in adults with respiratory failureS 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... - Handheld computers in critical careS 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)... - Clinical review: Ventilatory strategies for obstetric, brain-injured and obese patientsStephen 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... - Epidemic viral pneumoniaStephen 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... - Recruitment and retention of lung volumeStephen 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 - H1N1 novel influenza A in pregnant and immunocompromised patientsStephen 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)... - ICU management of severe acute respiratory syndromeStephen 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... - Critically ill patients with severe acute respiratory syndromeRobert A Fowler
Interdepartmental Division of Critical Care Medicine, University of Toronto, Ontario
JAMA 290:367-73. 2003..Affected patients had primarily single-organ respiratory failure, and half of mechanically ventilated patients died. The SARS outbreak greatly strained regional critical care resources... - Prospective trial of high-frequency oscillation in adults with acute respiratory distress syndromeS 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... - Practising evidence-based medicine: the design and implementation of a multidisciplinary team-driven extubation protocolP 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... - 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 SARSMarcus J Kargel
Interdepartmental Division of Critical Care, University of Toronto, Toronto, Ontario, Canada
Crit Care 8:105-7. 2004 - Transmission of severe acute respiratory syndrome during intubation and mechanical ventilationRobert 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... - Predictors of mortality in patients undergoing autologous hematopoietic cell transplantation admitted to the intensive care unitM 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... - Utility of routine chest radiographs in a medical-surgical intensive care unit: a quality assurance surveyN 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)... - Illness in intensive care staff after brief exposure to severe acute respiratory syndromeDamon C Scales
Mount Sinai Hospital, University Health Network, 600 University Avenue, Toronto, Ontario M5G 1X5, Canada
Emerg Infect Dis 9:1205-10. 2003 - Prolonged time to alarm in infusion devices operated at low flow ratesRoy 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... - Medical informatics in the intensive care unit: overview of technology assessmentNeill 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... - Surgical procedure logging with use of a hand-held computerSandra Fischer
Mount Sinai Hospital and Interdepartmental Division of Critical Care, University of Toronto, Ont
Can J Surg 45:345-50. 2002..However, user acceptance is not uniform and continued training and support are necessary to increase acceptance. The procedure database provides important information for optimizing trainees' educational experience... - A study of the physiologic responses to a lung recruitment maneuver in acute lung injury and acute respiratory distress syndromeMaureen 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)... - Cardiopulmonary complications of pregnancyStephen E Lapinsky
Interdepartmental Division of Critical Care, University of Toronto, Toronto, ON, Canada
Crit Care Med 33:1616-22. 2005..CONCLUSIONS: Admission of the pregnant or postpartum woman to the intensive care unit is uncommon but may require specialized knowledge for successful management... - Handheld computing in medicineSandra 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... - Pro/con clinical debate: pulmonary artery catheters increase the morbidity and mortality of intensive care unit patientsStephen E Lapinsky
Mount Sinai Hospital and Interdisciplinary Division of Critical Care, University of Toronto, Canada
Crit Care 7:101-3. 2003 - Acute oxygenation response to inhaled nitric oxide when combined with high-frequency oscillatory ventilation in adults with acute respiratory distress syndromeSangeeta Mehta
Department of Medicine, Mount Sinai Hospital, University of Toronto, Canada
Crit Care Med 31:383-9. 2003..40 +/- 17, p=.08). CONCLUSIONS: INO delivered at doses of 5 to 20 ppm during high-frequency oscillatory ventilation increases Pao2/Fio2 and may be a safe and effective rescue therapy for patients with severe oxygenation failure... - Recruitment maneuvers for acute lung injury: a systematic reviewEddy 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)... - Management of severe hyperkalemia without hemodialysis: case report and literature reviewVirginia Carvalhana
Department of Pharmacy, Mount Sinai Hospital, Toronto, ON, Canada M5G 1X5
J Crit Care 21:316-21. 2006.... - Regional citrate anticoagulation for PrismaFlex continuous renal replacement therapyLisa 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... - ARDS--shake, rattle, and roll!Stephen E Lapinsky
Crit Care Med 35:303-4. 2007 - Clinical issues and research in respiratory failure from severe acute respiratory syndromeMitchell 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... - High-frequency oscillation and prone positionSangeeta Mehta
Crit Care Med 34:1578; author reply 1578-9. 2006 - Children of the intensive care unitStephen E Lapinsky
Crit Care Med 36:2934-5. 2008