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The management of patients in the intensive care unit is complex. Many times decisions regarding the best option for the diagnosis of an entity or management need to be made in a short period of time. Over the last 5 years we have been using in the Medical Intensive Care Unit of The Cleveland Clinic Foundation different algorithms for the diagnosis and management of conditions commonly present in the critically ill. These algorithms were developed with the help of our Pulmonary and Critical Care Fellows, especially Dr. Prasoon Jain. The algorithms are intended to be used as general guidelines and can not be substituted for sound clinical judgment in the individual patient. By outlining a general approach, we are not denying the need to individualize our decision in particular patients; however, we think that providing this approach can reduce mistakes in those hectic moments when these decisions are made. This is a "work in progress" that needs continuous update and refinement. We welcome your suggestions. You can comment online by completing the contact us form. Alejandro C. Arroliga, MD
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