Search results for "Critical care"
Routine blood cultures at ICU admission may help increase detection of bloodstream infections
A before-after study in the Netherlands found that obtaining a single set of blood cultures at ICU admission in all patients increased detection of bloodstream infections as well as the proportion of patients with contaminated blood cultures without increasing vancomycin use.
https://acphospitalist.acponline.org/weekly/archives/2020/11/18/4.htm
18 Nov 2020
Procalcitonin do's and don'ts
Although the optimal use of procalcitonin is still up for debate, there are best practices for getting the most bang for this blood test.
https://acphospitalist.acponline.org/archives/2023/07/05/free/procalcitonin-dos-and-donts.htm
5 Jul 2023
Latest studies look at ECMO, prone positioning, antibodies, remdesivir
Mortality rates have risen among patients getting extracorporeal membrane oxygenation (ECMO) for COVID-19, one study found, while two others offered more evidence of the benefits of proning. Additional new research supported the use of monoclonal antibodies and remdesivir.
https://acphospitalist.acponline.org/weekly/archives/2021/10/06/1.htm
6 Oct 2021
Oxygen saturation targets not related to long-term outcomes in critically ill adults
Cognition, quality of life, and related outcomes did not differ at 12 months among patients with lower, intermediate, or higher oxygen saturation targets while on mechanical ventilation, a retrospective study found.
https://acphospitalist.acponline.org/archives/2024/02/07/oxygen-saturation-targets-not-related-to-long-term-outcomes-in-critically-ill-adults.htm
7 Feb 2024
Tele-ICU care linked to improved outcomes for nighttime ICU admissions
Among patients admitted to ICUs from 7 p.m. to 7 a.m., risk-adjusted mortality was 10.8% before tele-ICU implementation versus 7.0% afterward, while no difference was seen among patients admitted during the day.
https://acphospitalist.acponline.org/weekly/archives/2020/11/04/5.htm
4 Nov 2020
Sedation practices worsened during pandemic among patients without COVID-19
The percentage of mechanically ventilated patients treated with sustained deep sedation following intubation rose during the pandemic and did not improve after its peak, a single-center study found.
https://acphospitalist.acponline.org/archives/2024/01/24/sedation-practices-worsened-during-pandemic-among-patients-without-covid-19.htm
24 Jan 2024
August 30, 2023
ACP Hospitalist provides hospital-based physicians with news and information about the practice of hospital medicine.
https://acphospitalist.acponline.org/archives/2023/08/30/
Physiologic assessment for shock associated with use of vasopressors but not fluids, study finds
The authors noted that physiologic assessment was not common in the first 24 hours after shock onset and was performed more often in sicker patients.
https://acphospitalist.acponline.org/weekly/archives/2020/07/08/3.htm
8 Jul 2020
February 8, 2023
ACP Hospitalist provides hospital-based physicians with news and information about the practice of hospital medicine.
https://acphospitalist.acponline.org/archives/2023/02/08/
Research on strokes and readmissions in COVID-19, updated guidance from NIH and SSC
One study showed that strokes were rare in COVID-19 patients, while another didn't find any connection between fever or biomarkers before discharge and readmissions. The NIH and the Surviving Sepsis Campaign (SSC) updated their COVID-19 critical care recommendations.
https://acphospitalist.acponline.org/weekly/archives/2021/02/10/1.htm
10 Feb 2021