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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 ICU Telemedicine Decreased Transfers to Other Acute Care Facilities

ICU Telemedicine Decreased Transfers to Other Acute Care Facilities

ICU telemedicine was associated with a reduction in interhospital transfers in patients with respiratory and gastrointestinal diagnoses.

Critical Care Initial Outcomes No Worse for Surgical ICU Patients With Cancer

Initial Outcomes No Worse for Surgical ICU Patients With Cancer

ICU and hospital mortality were lower for patients with cancer vs those without cancer.

Restrictive Lung Disease Venoarterial ECMO Improves Survival to Transplant in Interstitial Lung Disease

Venoarterial ECMO Improves Survival to Transplant in Interstitial Lung Disease

In patients with end-stage interstitial lung disease, there was a higher rate of survival to transplantation with venoarterial extracorporeal membrane oxygenation.

Critical Care Case Volume Affects Mortality for Immunosuppressed With Sepsis

Case Volume Affects Mortality for Immunosuppressed With Sepsis

Risk for death from sepsis was higher at hospitals with the lowest volume of immunosuppressed patients with sepsis.

Critical Care Delaying Lactate Draws in Sepsis Increases In-Hospital Death Risk

Delaying Lactate Draws in Sepsis Increases In-Hospital Death Risk

Systematic early lactate measurements speed antibiotic administration and improve outcomes in patients with sepsis.

Critical Care Early Flow Cytometry Predictive of Clinical Deterioration in Sepsis

Early Flow Cytometry Predictive of Clinical Deterioration in Sepsis

Increased circulating immature granulocytes at the acute phase of sepsis are linked to clinical worsening, especially when associated with T-cell lymphopenia.

Critical Care 60-Day Mortality Not Significantly Lower With ECMO in ARDS

60-Day Mortality Not Significantly Lower With ECMO in ARDS

In patients with very severe acute respiratory distress syndrome, 60-day mortality was not significantly lower with venovenous extracorporeal membrane oxygenation than with conventional treatment.

Critical Care Mortality Increased With Liberal Oxygen Therapy in Acutely Ill Patients

Mortality Increased With Liberal Oxygen Therapy in Acutely Ill Patients

Liberal supplemental oxygen therapy in acutely ill patients increased mortality during hospitalization, at 30 days, and at longest follow-up.

Critical Care High-Flow Nasal Cannula vs Conventional Oxygen Therapy for Acute Respiratory Failure

High-Flow Nasal Cannula vs Conventional Oxygen Therapy for Acute Respiratory Failure

In patients with acute respiratory failure, high-flow nasal cannula and conventional oxygen therapy provided similar benefits.

Critical Care Use of Predicted vs Measured Body Weight for Targeting Tidal Volumes in Children

Use of Predicted vs Measured Body Weight for Targeting Tidal Volumes in Children

It may be more lung protective to use the lower of either measured or predicted body weight when targeting tidal volume for mechanically ventilated children.

Critical Care Does Propofol Prevent Prolonged Desaturation During Neonatal Intubation?

Does Propofol Prevent Prolonged Desaturation During Neonatal Intubation?

A randomized clinical trial evaluated whether premedication with propofol reduced the frequency of prolonged desaturation during neonatal nasotracheal intubation compared with the combination of a rapid-onset short-acting opioid and a muscle relaxant.

Critical Care Molecular Laboratory Test Can Discriminate Sepsis From Noninfectious SIRS

Molecular Laboratory Test Can Discriminate Sepsis From Noninfectious SIRS

The SeptiCyteTM LAB may be an effective complementary diagnostic tool to clinical assessment of critically ill adult patients in discriminating between sepsis and noninfectious systemic inflammation syndrome.

Critical Care Talc Via Pleural Catheter vs Indwelling Pleural Catheter Alone for Pleurodesis

Talc Via Pleural Catheter vs Indwelling Pleural Catheter Alone for Pleurodesis

An indwelling pleural catheter and administration of talc may have a higher odds of achieving pleurodesis compared with an indwelling pleural catheter alone in individuals with malignant pleural effusions.

Critical Care Palliative Care Consult Can Cut Hospital Costs in Seriously Ill

Palliative Care Consult Can Cut Hospital Costs in Seriously Ill

Palliative care consultation was linked to a reduction in hospital costs for hospitalized adults with serious illness, such as COPD.

COPD Survival Predictors When Life Support Is Withheld in ICU

Survival Predictors When Life Support Is Withheld in ICU

Survival at 6 months was significantly associated with acute respiratory failure and history of COPD.

Trial Tracker

Balanced crystalloids decreases adverse kidney events compared to saline among critically ill patients: The SMART trial

Use of balanced crystalloids (lactated Ringers or Plasma-Lyte A) was associated with a significant reduction in acute kidney injury events compared with normal saline among intensive care unit (ICU) patients. Use of balanced crystalloids was also associated with lower though nonsignificant in-hospital mortality at 30-days after admission.

Critical Care Insulin-Treated Diabetes Reduces Dysglycemia-Related Mortality in Sepsis

Insulin-Treated Diabetes Reduces Dysglycemia-Related Mortality in Sepsis

In patients with insulin-treated diabetes and sepsis, increased highest glucose levels and glycemic variability have a significant illness severity-adjusted association with decreasing in-hospital mortality.

Pneumonia Mortality in Mechanically Ventilated Community-Acquired Pneumonia With or Without ARDS

Mortality in Mechanically Ventilated Community-Acquired Pneumonia With or Without ARDS

The risk for death in patients with community-acquired pneumonia who were given mechanical ventilation does not seem to be affected by the presence of acute respiratory distress syndrome.

Critical Care Specific Delirium Phenotypes May Predict Long-Term Cognitive Impairment

Specific Delirium Phenotypes May Predict Long-Term Cognitive Impairment

Sedative-associated, hypoxic, and septic delirium were predictive of long-term cognitive impairment in patients with a critical illness related to acute respiratory failure, shock, or both.

Critical Care Delirium in ICU Prevented With Nocturnal Administration of Dexmedetomidine

Delirium in ICU Prevented With Nocturnal Administration of Dexmedetomidine

A higher percentage of critically ill patients in the intensive care unit who were given nocturnal dexmedetomidine remained delirium free compared with placebo.

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