Search results for "Critical care"
Get with the latest ARDS guideline
Recent changes to acute respiratory distress syndrome (ARDS) guidance, including some controversy over neuromuscular blockers, are explained by an expert.
https://acphospitalist.acponline.org/archives/2024/02/14/get-with-the-latest-ards-guideline.htm
14 Feb 2024
Intermediate care unit helped surgical, COVID-19 patients
An intermediate care unit with a maximum census of six created over 1,000 available ICU bed-days over 12 months.
https://acphospitalist.acponline.org/archives/2024/02/14/free/intermediate-care-unit-helped-surgical-covid-19-patients.htm
14 Feb 2024
High stakes: Considerations about cannabis
More Americans are taking cannabis, complicating inpatient care. Understanding patients' use patterns and history is key to mitigating risks during a hospital stay.
https://acphospitalist.acponline.org/archives/2024/02/07/free/high-stakes-considerations-about-cannabis.htm
7 Feb 2024
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
Updated recommendations on corticosteroids in sepsis, ARDS, CAP
New guidance from the Society of Critical Care Medicine includes conditional recommendations to administer corticosteroids to patients with septic shock or acute respiratory distress syndrome (ARDS), and a strong recommendation for severe community-acquired pneumonia (CAP).
https://acphospitalist.acponline.org/archives/2024/01/31/updated-recommendations-on-corticosteroids-in-sepsis-ards-cap.htm
31 Jan 2024
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
American Thoracic Society updates guidelines on ARDS
Updated guidelines on management of acute respiratory distress syndrome (ARDS) newly suggest corticosteroids and neuromuscular blockers and address appropriate levels of positive end-expiratory pressure.
https://acphospitalist.acponline.org/archives/2023/12/13/american-thoracic-society-updates-guidelines-on-ards.htm
13 Dec 2023
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
Iron/EPO combination beats other options for reducing transfusions
A review looked at trials comparing erythropoiesis-stimulating agents (EPO), iron, combination therapy with iron and EPO, hypoxia-inducible factor prolyl hydroxylase inhibitor, or vitamin D3 with controls on rates of red blood cell transfusion in the ICU.
https://acphospitalist.acponline.org/archives/2023/11/22/ironepo-combination-beats-other-options-for-reducing-icu-transfusions.htm
22 Nov 2023
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