Research Topics
| Charles L SprungSummaryAffiliation: The Hebrew University Country: Israel Publications
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Detail Information
Publications
The Eldicus prospective, observational study of triage decision making in European intensive care units. Part II: intensive care benefit for the elderlyCharles L Sprung
Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center, Jerusalem, Israel
Crit Care Med 40:132-8. 2012..Life and death triage decisions are made daily by intensive care unit physicians. Admission to an intensive care unit is denied when intensive care unit resources are constrained, especially for the elderly...
The Eldicus prospective, observational study of triage decision making in European intensive care units: part I--European Intensive Care Admission Triage ScoresCharles L Sprung
Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center, Jerusalem, Israel
Crit Care Med 40:125-31. 2012..The objective of this study was to develop an intensive care unit triage decision rule based on 28-day mortality rates of admitted and refused patients...
Recommendations for intensive care unit and hospital preparations for an influenza epidemic or mass disaster: summary report of the European Society of Intensive Care Medicine's Task Force for intensive care unit triage during an influenza epidemic or masCharles L Sprung
Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center, Jerusalem, Israel
Intensive Care Med 36:428-43. 2010..To provide recommendations and standard operating procedures for intensive care units and hospital preparedness for an influenza pandemic...
Chapter 1. Introduction. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disasterCharles L Sprung
Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center, Jerusalem, Israel
Intensive Care Med 36:S4-10. 2010..In December 2007, the European Society of Intensive Care Medicine established a Task Force to develop standard operating procedures (SOPs) for operating intensive care units (ICU) during an influenza epidemic or mass disaster...
Chapter 5. Essential equipment, pharmaceuticals and supplies. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disasterCharles L Sprung
Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center, Jerusalem, Israel
Intensive Care Med 36:S38-44. 2010..To provide recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza pandemic or mass disaster with a specific focus on essential equipment, pharmaceuticals and supplies...
Reasons, considerations, difficulties and documentation of end-of-life decisions in European intensive care units: the ETHICUS StudyCharles L Sprung
Hadassah Hebrew University Medical Center, General Intensive Care Unit, Department of Anesthesiology and Critical Care Medicine, P O Box 12000, 91120 Jerusalem, Israel
Intensive Care Med 34:271-7. 2008..To evaluate physicians' reasoning, considerations and possible difficulties in end-of-life decision-making for patients in European intensive care units (ICUs)...
Relieving suffering or intentionally hastening death: where do you draw the line?Charles L Sprung
Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center, Jerusalem, Israel
Crit Care Med 36:8-13. 2008..End-of-life practices vary worldwide. The objective was to demonstrate that there is no clear-cut distinction between treatments administered to relieve pain and suffering and those intended to shorten the dying process...
Effect of infections on 30-day mortality among critically ill patients hospitalized in and out of the intensive care unitGeorge Mnatzaganian
Department of Health Services Research, Ministry of Health, Jerusalem, Israel
Crit Care Med 36:1097-104. 2008..This analysis is part of a multicenter study conducted in Israel to evaluate survival of critically ill patients treated in and out of intensive care units (ICUs)...
The importance of religious affiliation and culture on end-of-life decisions in European intensive care unitsCharles L Sprung
General Intensive Care Unit, Department of Anesthesiology and Critical Care Medicine, Medical Center, Hadassah Hebrew University, P O Box 12000, 91120, Jerusalem, Israel
Intensive Care Med 33:1732-9. 2007..To determine the influence of religious affiliation and culture on end-of-life decisions in European intensive care units (ICUs)...
Survival of critically ill patients hospitalized in and out of intensive careElisheva Simchen
Department of Health Services Research, Ministry of Health, Jerusalem, Israel
Crit Care Med 35:449-57. 2007..The survival of such patients is largely unknown. The present study's objective was to screen entire hospitals for newly deteriorated patients and compare their survival in and out of the intensive care unit...
Nurse involvement in end-of-life decision making: the ETHICUS StudyJulie Benbenishty
Hadassah Medical Organization, Jerusalem, Israel
Intensive Care Med 32:129-32. 2006..Once a decision is made, there is a sense of agreement. The level of perceived participation is different for different regions...
Conventional terrorist bomb incidents and the intensive care unitMicha Y Shamir
Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University School of Medicine, Hadassah Medical Organization, Jerusalem, Israel
Curr Opin Crit Care 11:580-4. 2005..This information should aid in rational crisis planning...
End-of-life treatment and bacterial antibiotic resistance: a potential associationPhillip D Levin
Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center, Jerusalem, Israel
Chest 138:588-94. 2010..Great variability exists in the occurrence of antibiotic-resistant bacteria in ICUs around the world. The contribution of specific ICU care variables to these geographic variations is unknown...
Attitudes of European physicians, nurses, patients, and families regarding end-of-life decisions: the ETHICATT studyCharles L Sprung
General Intensive Care Unit, Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center, PO Box 12000, 91120, Jerusalem, Israel
Intensive Care Med 33:104-10. 2007..To evaluate attitudes of Europeans regarding end-of-life decisions...
Diastolic dysfunction and mortality in severe sepsis and septic shockGiora Landesberg
Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center, Jerusalem 91120, Israel
Eur Heart J 33:895-903. 2012..In contrast, diastolic dysfunction is often ignored and its role in determining early mortality from sepsis has not been adequately investigated...
Cortisol changes among patients with septic shock and the relationship to ICU and hospital staySergei Goodman
Department of Anesthesiology and Critical Care Medicine, Hadassah University Hospital, Hadassah Medical School, Hebrew University, P.O.B. 12000, 91120 Jerusalem, Israel
Intensive Care Med 31:1362-9. 2005..The proportional change between unstimulated cortisol and post-ACTH cortisol was used as a method to evaluate the relative change in cortisol levels between patients...
Caring for a major government official: challenges and lessons learnedYoram G Weiss
Departments of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center, Jerusalem, Israel
Crit Care Med 35:1769-72. 2007..This article presents a strategy for addressing these issues...
Clinical review: the Israeli experience: conventional terrorism and critical careGabriella Aschkenasy-Steuer
Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University School of Medicine, Hadassah Medical Organization, Jerusalem, Israel
Crit Care 9:490-9. 2005..This review emphasizes the importance of a multidisciplinary team approach in caring for these patients...
Assessing the in-hospital survival benefits of intensive careAmir Shmueli
Department of Health Management, The Hebrew University, Jerusalem, Israel
Int J Technol Assess Health Care 21:66-72. 2005..The objective of this study is to assess the differential survival benefits of a general intensive care unit (ICU) by acute diagnoses and by Acute Physiological and Chronic Health Evaluation (APACHE II) scores...
Blood cultures at central line insertion in the intensive care unit: comparison with peripheral venipunctureSheldon Stohl
Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Centre, POB 12000, Jerusalem 91120, Israel
J Clin Microbiol 49:2398-403. 2011..This may be related to the increased manipulations required for CVC insertion...
Antimicrobial use in the ICU: indications and accuracy--an observational trialPhillip D Levin
Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center, Jerusalem, Israel
J Hosp Med 7:672-8. 2012..Antimicrobials may therefore be overused, contributing to development of antimicrobial-resistant bacteria...
Improved ICU design reduces acquisition of antibiotic-resistant bacteria: a quasi-experimental observational studyPhillip D Levin
Department of Anesthesia and Critical Care, Hadassah Hebrew University Medical Center, POB 12000, Jerusalem 91120, Israel
Crit Care 15:R211. 2011..The role of ICU design and particularly single-patient rooms in decreasing bacterial transmission between ICU patients has been debated. A recent change in our ICU allowed further investigation...
Withdrawing and withholding life-sustaining therapies are not the samePhillip D Levin
Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Hospital, Jerusalem, Israel
Crit Care 9:230-2. 2005..Appreciation of these differences allows the provision of accurate information, and facilitates decision making that is compassionate, caring and adherent to the needs of the patient and their family...
Steroid therapy of septic shockCharles L Sprung
Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center, Jerusalem, Israel
Crit Care Clin 25:825-34, x. 2009..It reviews and contrasts several low- and high-dose steroid studies, and makes recommendations for future practice...
Hydrocortisone therapy for patients with septic shockCharles L Sprung
Hadassah Hebrew University Medical Center, Jerusalem, Israel 91120
N Engl J Med 358:111-24. 2008....
Characteristics of patients receiving vasopressorsJulie Benbenishty
Department of Anesthesia and Critical Care Medicine, Hadassah Hebrew University Medical Center, Jerusalem, Israel
Heart Lung 40:247-52. 2011..Patients receiving intensive care frequently need pharmacologic support of their blood pressure because of shock. In some patients, shock is so severe that extremely high doses of vasopressors are needed to elevate their blood pressure...
Intensive care physicians' attitudes concerning distribution of intensive care resources. A comparison of Israeli, North American and European cohortsSharon Einav
Department of Anesthesiology and Critical Care Medicine, Hadassah Medical Center, Hebrew University of Jerusalem, POB 12000, 91120 Jerusalem, Israel
Intensive Care Med 30:1140-3. 2004..To evaluate the attitudes of Israeli intensive care physicians regarding intensive care unit (ICU) triage issues...
The dying patient act, 2005: Israeli innovative legislationAvraham Steinberg
Medical Ethics Unit and Department of Pediatrics, Shaare Zedek Medical Center, Jerusalem, Israel
Isr Med Assoc J 9:550-2. 2007....
An evaluation of systemic inflammatory response syndrome signs in the Sepsis Occurrence In Acutely Ill Patients (SOAP) studyCharles L Sprung
Hadassah Hebrew University, Medical Center, Department of Anaesthesiology and Critical Care Medicine, P O Box 1200, 91120, Jerusalem, Israel
Intensive Care Med 32:421-7. 2006..To define the frequency and prognostic implications of SIRS criteria in critically ill patients hospitalized in European ICUs...
Myocardial ischemia, cardiac troponin, and long-term survival of high-cardiac risk critically ill intensive care unit patientsGiora Landesberg
Department of Anesthesiology and Critical Care Medicine, Hadassah Medical Center, Jerusalem, Israel
Crit Care Med 33:1281-7. 2005..0, 3.2, and 2.99, respectively; p < .001). CONCLUSIONS: Silent ischemia is strongly associated with troponin elevation in high-cardiac-risk intensive care unit patients, and troponin elevation predicts both early and late mortality...
Survival of critically ill patients hospitalized in and out of intensive care units under paucity of intensive care unit bedsElisheva Simchen
Department of Health Services Research, Ministry of Health, Jerusalem, Israel
Crit Care Med 32:1654-61. 2004....
The use of steroids in the treatment of severe sepsis and septic shockBaruch M Batzofin
Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center, PO Box 12000, Jerusalem 9112, Israel
Best Pract Res Clin Endocrinol Metab 25:735-43. 2011..We review the current literature and guidelines regarding low dose corticosteroid use in the management of sepsis and septic shock...
Steroid therapy of septic shockCharles L Sprung
General Intensive Care Unit, Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center, Jerusalem, Israel
Crit Care Nurs Clin North Am 23:171-80. 2011..Finally, steroid therapy should not be guided by corticotropin test results...
Use of the nonwire central line hub to reduce blood culture contaminationPhillip D Levin
Departments of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center, Jerusalem, Israel
Chest 143:640-5. 2013..The current study explored whether use of the CVC nonwire hub as a source of blood cultures decreased contamination while maintaining detection of true pathogens...
End-of-life practices in European intensive care units: the Ethicus StudyCharles L Sprung
Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center, Jerusalem, Israel
JAMA 290:790-7. 2003....
Contamination of portable radiograph equipment with resistant bacteria in the ICUPhillip D Levin
Departments of Anesthesiology, Hebrew University Hadassah Medical School, Jerusalem, Israel
Chest 136:426-32. 2009....
Multiple casualty terror events: the anesthesiologist's perspectiveMicha Y Shamir
Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center, POB 12000, Jerusalem 91120, Israel
Anesth Analg 98:1746-52, table of contents. 2004..Operational issues faced by a department of anesthesiology during the initial 8 h after terrorist actions were examined. Multiple, and often parallel, efforts were required of the department...
An internet web site as a data collection platform for multicenter researchAlexander Avidan
Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center Jerusalem, Ein Karem, PO Box 12000, Jerusalem 91120, Israel
Anesth Analg 100:506-11. 2005..Overall satisfaction of the investigators was high. After security issues, interactivity and user-friendly design are the main cornerstones for the success of such a system...
Evaluation of changes in forgoing life-sustaining treatment in Israeli ICU patientsDaniel J Jakobson
Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center, The Hebrew University of Jerusalem, PO Box 12000, Jerusalem, Israel 91120, USA
Chest 126:1969-73. 2004....
The dying patient: new Israeli legislationAvraham Steinberg
Medical Ethics Unit, Shaare Zedek Medical Center, Jerusalem, Israel
Intensive Care Med 32:1234-7. 2006
Intensive care outflow limitation--frequency, etiology, and impactPhillip D Levin
Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Hospital, Jerusalem, Israel
J Crit Care 18:206-11. 2003..CONCLUSION: ICU outflow limitation occurs in up to 1 in 6 discharges. It can be due to medical deterioration, level of care issues or administrative problems, and may lead to inefficient use of ICU resources...
Corticosteroid therapy for patients in septic shock: Some progress in a difficult decisionCharles L Sprung
From the Department of Anesthesiology and Critical Care Medicine CLS, SG, YGW and the Center for Clinical Quality and Safety MB, Hadassah Hebrew University Medical Center, Jerusalem, Israel
Crit Care Med 39:571-4. 2011..The present study was to investigate whether endotoxin tolerance occurs in the adrenal gland, leading to hyporesponsiveness of adrenal gland during sepsis...
Peter SjokvistCharles L Sprung
General Intensive Care Unit, Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center, PO Box 12000, 91120 Jerusalem, Israel
Intensive Care Med 30:1250-1. 2004
