Search results for "Critical care"
Long-term doxycycline may reduce exacerbations for some COPD patients
A randomized trial in the U.K. found that 12 months of doxycycline did not improve chronic obstructive pulmonary disease (COPD) exacerbations overall versus placebo but may have reduced rates in patients with severe disease or lower blood eosinophil counts.
https://acphospitalist.acponline.org/archives/2023/07/26/long-term-doxycycline-may-reduce-exacerbations-for-some-copd-patients.htm
26 Jul 2023
A closer look at HAP
Hospital-acquired pneumonia (HAP) is both more dangerous and more complex than previously thought, says the author of a recent study.
https://acphospitalist.acponline.org/archives/2023/07/12/a-closer-look-at-hap.htm
12 Jul 2023
Study finds limited value to procalcitonin in identifying BSI on admission
Among patients with suspected bloodstream infections (BSIs) who had blood cultures and a procalcitonin test on admission, the sensitivity of procalcitonin at a cutoff of 0.5 ng/mL was 68%, and empiric antibiotic therapy use was not meaningfully different with positive or negative results.
https://acphospitalist.acponline.org/archives/2023/07/12/study-finds-limited-value-to-procalcitonin-in-identifying-bsi-on-admission.htm
12 Jul 2023
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
U.S. uses mechanical ventilation much more than Canada, England, especially for elderly
Invasive mechanical ventilation was provided to 209 patients ages 80 years or older per 100,000 population in England, compared to 694 in Canada and 1,788 in the U.S., an analysis of 2018 data showed.
https://acphospitalist.acponline.org/archives/2023/07/05/us-uses-mechanical-ventilation-much-more-than-canada-england-especially-for-elderly.htm
5 Jul 2023
Video laryngoscope increased success rate of intubation, ED and ICU study finds
A trial was stopped early for efficacy after an interim analysis found that 85.1% of video-laryngoscope intubations were successful on the first attempt compared to 70.8% of those performed with a direct laryngoscope.
https://acphospitalist.acponline.org/archives/2023/06/21/video-laryngoscope-increased-success-rate-of-intubation-ed-and-icu-study-finds.htm
21 Jun 2023
Even the smallest steps can bring big changes
A physician offers tips on how hospitalists can make more use of pulmonary rehabilitation in patients with COPD.
https://acphospitalist.acponline.org/archives/2023/06/07/free/even-the-smallest-steps-can-bring-big-changes.htm
7 Jun 2023
AHA/ASA update recommendations on aneurysmal subarachnoid hemorrhage
The new guideline from the American Heart Association/American Stroke Association (AHA/ASA) covers diagnosis and management of the condition and replaces the organizations' 2012 guideline.
https://acphospitalist.acponline.org/archives/2023/05/31/ahaasa-update-recommendations-on-aneurysmal-subarachnoid-hemorrhage.htm
31 May 2023
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
Rural hospitalists face unique challenges, rewards
Hunting for beds in tertiary facilities and providing outpatient consults are among the diverse responsibilities of hospitalists in remote areas.
https://acphospitalist.acponline.org/archives/2023/04/26/rural-hospitalists-face-unique-challenges-rewards.htm
26 Apr 2023