PMID- 30309292 OWN - NLM STAT- MEDLINE DCOM- 20200911 LR - 20200911 IS - 1525-1489 (Electronic) IS - 0885-0666 (Linking) VI - 34 IP - 11-12 DP - 2019 Nov-Dec TI - The ART of Antiretroviral Therapy in Critically Ill Patients With HIV. PG - 897-909 LID - 10.1177/0885066618803871 [doi] AB - The management of patients with human immunodeficiency virus (HIV) can be a complicated specialty within itself, made even more complex when there are so many unanswered questions regarding the care of critically ill patients with HIV. The lack of consensus on the use of antiretroviral medications in the critically ill patient population has contributed to an ongoing clinical debate among intensivists. This review focuses on the pharmacological complications of antiretroviral therapy (ART) in the intensive care setting, specifically the initiation of ART in patients newly diagnosed with HIV, immune reconstitution inflammatory syndrome (IRIS), continuation of ART in those who were on a complete regimen prior to intensive care unit admission, barriers of drug delivery alternatives, and drug-drug interactions. FAU - Finocchio, Tyler AU - Finocchio T AD - Avera McKennan Hospital & University Health Center, Sioux Falls, SD, USA. FAU - Coolidge, William AU - Coolidge W AD - Avera McKennan Hospital & University Health Center, Sioux Falls, SD, USA. FAU - Johnson, Thomas AU - Johnson T AD - Avera McKennan Hospital & University Health Center, Sioux Falls, SD, USA. LA - eng PT - Journal Article PT - Review DEP - 20181011 PL - United States TA - J Intensive Care Med JT - Journal of intensive care medicine JID - 8610344 RN - 0 (Anti-Retroviral Agents) SB - IM MH - Anti-Retroviral Agents/*therapeutic use MH - Critical Care/*methods MH - Critical Illness/*therapy MH - HIV MH - HIV Infections/complications/*drug therapy/virology MH - Hospitalization MH - Humans MH - Immune Reconstitution Inflammatory Syndrome/complications/*drug therapy/virology MH - Intensive Care Units MH - Risk Factors OTO - NOTNLM OT - acquired immune deficiency syndrome OT - antiretroviral OT - drug delivery OT - human immunodeficiency virus OT - immune reconstitution inflammatory syndrome OT - intensive care unit EDAT- 2018/10/13 06:00 MHDA- 2020/09/12 06:00 CRDT- 2018/10/13 06:00 PHST- 2018/10/13 06:00 [pubmed] PHST- 2020/09/12 06:00 [medline] PHST- 2018/10/13 06:00 [entrez] AID - 10.1177/0885066618803871 [doi] PST - ppublish SO - J Intensive Care Med. 2019 Nov-Dec;34(11-12):897-909. doi: 10.1177/0885066618803871. Epub 2018 Oct 11.