Search results for "Critical care"
Trend-based EHR early warning score may help predict inpatient deterioration
Researchers used 43 variables and trends to develop a logistic model and deterioration index that helped predict patient deterioration one hour or more before an adverse event.
https://acphospitalist.acponline.org/weekly/archives/2021/05/12/3.htm
12 May 2021
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
Support protocol for ICU patients after extubation didn't reduce reintubation rates
The trial compared a respiratory therapist-driven protocol that provided noninvasive ventilation or high-flow nasal cannula to patients after extubation to usual care and found no significant differences.
https://acphospitalist.acponline.org/weekly/archives/2021/04/14/4.htm
14 Apr 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
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
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
May issue online and in the mail
This issue focuses mainly on tools to combat COVID-19, including ventilation management, telemedicine, and palliative care. Other articles address Takotsubo cardiomyopathy and vitamin C for sepsis.
https://acphospitalist.acponline.org/weekly/archives/2020/05/13/6.htm
13 May 2020
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/
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/
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