Search results for "Critical care"
Less definitely more in antibiotics
Review some common inpatient conditions that can be safely treated with shorter durations of antibiotics, reducing adverse events and costs.
https://acphospitalist.acponline.org/archives/2023/05/17/less-definitely-more-in-antibiotics.htm
17 May 2023
Suctioning frequency, high-flow oxygen can determine when to decannulate tracheostomy
A randomized trial in Spanish ICUs found that patients whose readiness for decannulation was determined by frequency of suctioning instead of a 24-hour capping trial had less time to decannulation and shorter length of stay.
https://acphospitalist.acponline.org/weekly/archives/2020/09/16/3.htm
16 Sep 2020
Machine learning system dramatically reduced alerts compared to bedside monitors
A machine learning system trained to predict ICU patients' risk of respiratory failure or hemodynamic instability offered 50 times fewer alerts than a telemedicine system that analyzed trends from bedside biomedical monitors.
https://acphospitalist.acponline.org/archives/2023/11/08/machine-learning-system-dramatically-reduced-alerts-compared-to-bedside-monitors.htm
8 Nov 2023
Probiotic didn't reduce pneumonia in ventilated ICU patients, study finds
ICU patients from three countries were randomized to either enteral Lactobacillus rhamnosus GG or placebo twice daily for a median of nine days and developed ventilator-associated pneumonia at similar rates.
https://acphospitalist.acponline.org/weekly/archives/2021/09/29/2.htm
29 Sep 2021
The problem with pulse ox
Research has long indicated that pulse oximeters can overestimate oxygen saturation in patients with darker skin, but experts are now trying raise awareness of the problem.
https://acphospitalist.acponline.org/archives/2022/06/29/free/the-problem-with-pulse-ox.htm
29 Jun 2022
Palliative care for a pandemic
In a recent interview, Diane E. Meier, MD, FACP, director of the Center to Advance Palliative Care, described how palliative care expertise and resources are, and can be, applied to the current crisis.
https://acphospitalist.acponline.org/weekly/archives/2020/04/08/3.htm
8 Apr 2020
Conservative airway strategy may improve outcomes in comatose patients with acute poisoning
Patients who were randomized to no intubation unless they met an emergency criterion did better on a composite end point of in-hospital death and length of ICU and hospital stay than those treated under routine practice, a French trial found.
https://acphospitalist.acponline.org/archives/2023/12/06/conservative-airway-strategy-may-improve-outcomes-in-comatose-patients-with-acute-poisoning.htm
6 Dec 2023
Vitamin E acetate linked to vaping-associated lung injury
The total number of reported vaping-associated lung injury cases mounted to 2,172, the CDC found vitamin E acetate in biologic samples for the first time, and authors of an observational study of vaping-related illness emphasized that patients may present with flu-like and abdominal symptoms.
https://acphospitalist.acponline.org/weekly/archives/2019/11/20/3.htm
20 Nov 2019
FAQ on ventilation for ARDS in COVID-19
Get answers to pressing questions about ventilation management.
https://acphospitalist.acponline.org/archives/2020/05/faq-on-ventilation-for-ards-in-covid-19.htm
15 May 2020
Age associated with risk for death in ICU survivors
A French study found that mortality risk after ICU discharge increased progressively across all age strata, with a sharp increase in those ages 80 years and older, but excess long-term mortality was highest in younger, not elderly, patients.
https://acphospitalist.acponline.org/weekly/archives/2019/05/15/4.htm
15 May 2019