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Palliative Care for COPD: Physicians' Views and Treatment Patterns

Palliative Care for COPD: Physicians' Views and Treatment Patterns

Researchers conducted an anonymous survey of medical trainees with a case vignette to determine attitudes regarding palliative care for chronic obstructive pulmonary disease.

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Critical Care Would A Change in Nomenclature for Intensive Care Units Promote Less Aggressive Care?

Would A Change in Nomenclature for Intensive Care Units Promote Less Aggressive Care?

The term "intensive care unit" (ICU) was meant to refer to the intensity of the resources allocated to patient care.

Critical Care Large Numbers of Negative Trial Results Impede Progress in Critical Care Medicine

Large Numbers of Negative Trial Results Impede Progress in Critical Care Medicine

Excessive numbers of negative clinical trials — many of which may be false-negative trials — are a major impediment to the advancement of critical care medicine.

Critical Care Case: Severe ARDS Following Hydrochlorothiazide Administration

Case: Severe ARDS Following Hydrochlorothiazide Administration

A recent report published in The Journal of Emergency Medicine describes the case of a male patient who experienced HCTZ-induced pulmonary edema that was complicated by ARDS.

Critical Care Thoracic US Score Predicts Pleurodesis Success in Malignant Pleural Effusion

Thoracic US Score Predicts Pleurodesis Success in Malignant Pleural Effusion

A pleural adherence score derived from thoracic ultrasound at 24 hours post-talc administration is predictive of long-term pleurodesis success in patients with symptomatic malignant pleural effusion.

Critical Care Spontaneous Pneumothorax Hospital Admissions Have Increased

Spontaneous Pneumothorax Hospital Admissions Have Increased

Hospital readmission was also more likely in individuals whose first spontaneous pneumothorax occurred after 2008 compared with before 2008.

Critical Care Neither Haloperidol, Ziprasidone Shortens Delirium in ICU

Neither Haloperidol, Ziprasidone Shortens Delirium in ICU

No decrease in duration vs placebo in patients with hypoactive or hyperactive delirium in ICU.

Critical Care Remimazolam Safe, Effective for Sedation During Flexible Bronchoscopy

Remimazolam Safe, Effective for Sedation During Flexible Bronchoscopy

Remimazolam was safe and effective for achieving moderate sedation in patients undergoing flexible bronchoscopy.

Critical Care Prehospital Advanced Life Support Shortens Antibiotic Wait Times in Sepsis

Prehospital Advanced Life Support Shortens Antibiotic Wait Times in Sepsis

Antibiotic treatment started sooner in individuals with sepsis treated with advanced life support who did not have hypotension.

CHEST 2018 High Flow Nasal Cannula Oxygen Therapy May Benefit Elderly Patients in ICU

High Flow Nasal Cannula Oxygen Therapy May Benefit Elderly Patients in ICU

After high flow nasal cannula oxygen therapy, 15% of patients had to be intubated and mechanically ventilated, but the majority stepped down to regular oxygen therapy.

CHEST 2018 Factors Associated With Mechanical Ventilation Mortality in Pregnancy

Factors Associated With Mechanical Ventilation Mortality in Pregnancy

Vasopressor requirement, transfusions, neurologic dysfunction, coagulopathy, and acute respiratory distress syndrome were related to higher mortality after multivariate analysis.

CHEST 2018 Risk Factors for Multidrug-Resistant Pathogens in Pneumonia

Risk Factors for Multidrug-Resistant Pathogens in Pneumonia

Previous antibiotic use and mechanical invasive ventilation were risk factors for multidrug-resistant pathogens in hospital-associated or ventilator-associated pneumonia.

CHEST 2018 Invasive Ventilation Risk in COPD Exacerbation

Invasive Ventilation Risk in COPD Exacerbation

Alcohol abuse, fluid and electrolyte abnormalities, and pulmonary circulation disorders increased the risk for noninvasive ventilation in a COPD exacerbation.

CHEST 2018 Vitamin C Treatment May Be Beneficial for Sepsis, But Duration and Dose Unclear

Vitamin C Treatment May Be Beneficial for Sepsis, But Duration and Dose Unclear

Vitamin C was associated with lower mortality rates, shorter lengths of ICU stay, and shorter durations of vasopressor use in patients with sepsis.

Trial Tracker

Supraglottic airway resuscitation likely more or just as effective as endotracheal intubation for out-of-hospital cardiac arrest

In a randomized controlled trial, supraglottic airway resuscitation was associated with marginally better neurological outcomes and 72-hour survival compared with endotracheal intubation in patients with out-of-hospital cardiac arrests.

Critical Care Recommendations Issued for Enhancing ICU Diagnostic Safety

Recommendations Issued for Enhancing ICU Diagnostic Safety

The recommendations include enhancing recognition of potential errors, increasing teamwork, and patient-centeredness.

Critical Care Six-Point Risk Factor Score Predicts Hypoxemia During Tracheal Intubation

Six-Point Risk Factor Score Predicts Hypoxemia During Tracheal Intubation

Oxygen saturation at induction and acute hypoxemic respiratory failure were the risk factors most strongly associated with lower oxygen saturation.

Critical Care Tracheal Intubation vs Supraglottic Airway Device in Out-of-Hospital Cardiac Arrest

Tracheal Intubation vs Supraglottic Airway Device in Out-of-Hospital Cardiac Arrest

The use of a supraglottic airway device compared with tracheal intubation did not result in a favorable functional outcome in patients with out-of-hospital cardiac arrest.

Critical Care Tidal Breathing Fails to Identify Premature Infants at Risk for Respiratory Disease

Tidal Breathing Fails to Identify Premature Infants at Risk for Respiratory Disease

Although preterm infants had abnormal tidal breathing measurements, significant differences were not found to be associated with postdischarge respiratory disease.

Influenza Influenza an Independent Risk Factor for Invasive Pulmonary Aspergillosis

Influenza an Independent Risk Factor for Invasive Pulmonary Aspergillosis

Influenza proved to be an independent risk factor for invasive pulmonary aspergillosis.

Pneumonia CURB-65 Tool in Community-Acquired Pneumonia Useful But Has Limitations

CURB-65 Tool in Community-Acquired Pneumonia Useful But Has Limitations

The clinical prediction tool that uses confusion, uremia, elevated respiratory rate, and hypotension in community-acquired pneumonia demonstrated an association with ICU admittance.

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