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?

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

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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.

Case: Severe ARDS Following Hydrochlorothiazide Administration

Case: Severe ARDS Following Hydrochlorothiazide Administration

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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.

Thoracic US Score Predicts Pleurodesis Success in Malignant Pleural Effusion

Thoracic US Score Predicts Pleurodesis Success in Malignant Pleural Effusion

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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.

Spontaneous Pneumothorax Hospital Admissions Have Increased

Spontaneous Pneumothorax Hospital Admissions Have Increased

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

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.

Remimazolam Safe, Effective for Sedation During Flexible Bronchoscopy

Remimazolam Safe, Effective for Sedation During Flexible Bronchoscopy

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

Prehospital Advanced Life Support Shortens Antibiotic Wait Times in Sepsis

Prehospital Advanced Life Support Shortens Antibiotic Wait Times in Sepsis

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

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

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

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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.

Factors Associated With Mechanical Ventilation Mortality in Pregnancy

Factors Associated With Mechanical Ventilation Mortality in Pregnancy

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

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

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

Invasive Ventilation Risk in COPD Exacerbation

Invasive Ventilation Risk in COPD Exacerbation

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

Risk Factors for Multidrug-Resistant Pathogens in Pneumonia

Risk Factors for Multidrug-Resistant Pathogens in Pneumonia

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

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.

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.

Six-Point Risk Factor Score Predicts Hypoxemia During Tracheal Intubation

Six-Point Risk Factor Score Predicts Hypoxemia During Tracheal Intubation

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

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

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

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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.

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

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

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

Influenza an Independent Risk Factor for Invasive Pulmonary Aspergillosis

Influenza an Independent Risk Factor for Invasive Pulmonary Aspergillosis

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

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

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

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

AMA Code of Medical Ethics: Guidelines for End-of-Life Care

AMA Code of Medical Ethics: Guidelines for End-of-Life Care

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Compassion and communication for both patients and families are among the most important factors involved in providing end-of-life care.

Daily Drainage in Malignant Pleural Effusion Could Improve Quality of Life

Daily Drainage in Malignant Pleural Effusion Could Improve Quality of Life

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Spontaneous pleurodesis was achieved more frequently in the daily drainage group than in the symptom-guided drainage group.

Completing Sepsis Bundle Within an Hour Cuts Pediatric Mortality

Completing Sepsis Bundle Within an Hour Cuts Pediatric Mortality

However, completing individual bundle elements in that timeframe does not reduce pediatric mortality.

Lower and higher oxygen saturation targets result in equal but contrasting outcomes for extremely preterm infants

In this meta-analysis, there was no significant difference between lower and higher oxygen saturation targets on a primary composite of mortality or major disability at a corrected age of 18-24 months for infants born extremely preterm.

Thiamine Improves Lactate Clearance in Septic Shock

Thiamine Improves Lactate Clearance in Septic Shock

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Lactate clearance improved in patients who presented with septic shock who were given thiamine within 24 hours of hospital admission.

Indwelling Pleural Catheters an Option for Hepatic Hydrothorax Treatment

Indwelling Pleural Catheters an Option for Hepatic Hydrothorax Treatment

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Indwelling pleural catheters can be used safely but with caution as a bridge to transplant or as palliative care.

Extubation May Be Safe While on Vasoactive Infusions

Extubation May Be Safe While on Vasoactive Infusions

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Overall outcomes of hospital mortality, unit mortality, and reintubation were similar between patients who were still on vasoactive infusions and those who were not.

Reducing Computers in Surgical ICU May Cut Communication Barriers

Reducing Computers in Surgical ICU May Cut Communication Barriers

Reducing the number of computers in surgical intensive care units reduced barriers to communication.

Prognostic Model for Mortality in Pediatric Pulmonary Hypertension

Prognostic Model for Mortality in Pediatric Pulmonary Hypertension

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The Pediatric Index Pulmonary Hypertension Intensive Care Mortality model was compared with the Pediatric Risk of Mortality 2 and 3 models to determine the best model for predicting mortality.

ICU Telemedicine Decreased Transfers to Other Acute Care Facilities

ICU Telemedicine Decreased Transfers to Other Acute Care Facilities

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

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