Antiretroviral therapy has increased the life expectancy ofpatients who are infected with the human immunodeficiency virus(HIV) and has reduced the incidence of illnesses associatedwith the acquired immunodeficiency syndrome (AIDS). However,the frequency of pulmonary, cardiac, gastrointestinal, and renaldiseases that are often not directly related to underlying HIVdisease has increased.1,2,3,4 Although the guiding principlesof management in the intensive care unit (ICU) pertain to criticallyill patients with HIV infection, antiretroviral therapy andunresolved questions regarding its use in the ICU add an additionallevel of complexity to already complicated cases. This reviewfocuses on some . . . [Full Text of this Article]
Complications Associated with HIV Infection
Pulmonary Disease
Cardiac Disease
Liver Disease
Renal Disease
HIV Testing and Disclosure in the ICU
Antiretroviral Therapy in the ICU
Drug Delivery, Absorption, and Doses
Drug Interactions and Toxicity
Treatment Strategies
Conclusions
Source Information
From the HIV/AIDS Division (L.H., D.V.H.) and the Division of Pulmonary and Critical Care Medicine (L.H.), San Francisco General Hospital, University of California San Francisco, San Francisco; the Division of Pulmonary and Critical Care Medicine, Miami Veterans Affairs Medical Center, University of Miami Miller School of Medicine, Miami (A.Q.); and the Department of Medicine, University of Saskatchewan, Regina, Sask., Canada (D.J.).
Address reprint requests to Dr. Huang at the HIV/AIDS Division, Ward 84, San Francisco General Hospital, 995 Potrero Ave., San Francisco, CA 94110, or at lhuang@php.ucsf.edu.
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