The term "intensive care unit" (ICU) was meant to refer to the intensity of the resources allocated to patient care.
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.
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.
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.
Hospital readmission was also more likely in individuals whose first spontaneous pneumothorax occurred after 2008 compared with before 2008.
No decrease in duration vs placebo in patients with hypoactive or hyperactive delirium in ICU.
Remimazolam was safe and effective for achieving moderate sedation in patients undergoing flexible bronchoscopy.
Antibiotic treatment started sooner in individuals with sepsis treated with advanced life support who did not have hypotension.
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.
Vasopressor requirement, transfusions, neurologic dysfunction, coagulopathy, and acute respiratory distress syndrome were related to higher mortality after multivariate analysis.
Vitamin C was associated with lower mortality rates, shorter lengths of ICU stay, and shorter durations of vasopressor use in patients with sepsis.
Alcohol abuse, fluid and electrolyte abnormalities, and pulmonary circulation disorders increased the risk for noninvasive ventilation in a COPD exacerbation.
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 arrestSeptember 19, 2018
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.
The recommendations include enhancing recognition of potential errors, increasing teamwork, and patient-centeredness.
Oxygen saturation at induction and acute hypoxemic respiratory failure were the risk factors most strongly associated with lower oxygen saturation.
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.
Although preterm infants had abnormal tidal breathing measurements, significant differences were not found to be associated with postdischarge respiratory disease.
Influenza proved to be an independent risk factor for invasive pulmonary aspergillosis.
The clinical prediction tool that uses confusion, uremia, elevated respiratory rate, and hypotension in community-acquired pneumonia demonstrated an association with ICU admittance.
Compassion and communication for both patients and families are among the most important factors involved in providing end-of-life care.
Spontaneous pleurodesis was achieved more frequently in the daily drainage group than in the symptom-guided drainage group.
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 infantsAugust 15, 2018
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.
Lactate clearance improved in patients who presented with septic shock who were given thiamine within 24 hours of hospital admission.
Indwelling pleural catheters can be used safely but with caution as a bridge to transplant or as palliative care.
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 the number of computers in surgical intensive care units reduced barriers to communication.
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 was associated with a reduction in interhospital transfers in patients with respiratory and gastrointestinal diagnoses.