Search results for "Critical care"
IV fluid bolus during intubation does not improve outcomes in the critically ill
A randomized clinical trial at 11 U.S. ICUs found no significant difference in cardiovascular (CV) collapse or death at 28 days between critically ill adults who received a 500-mL IV bolus before induction of anesthesia for tracheal intubation and those who did not.
https://acphospitalist.acponline.org/archives/2022/06/22/iv-fluid-bolus-during-intubation-does-not-improve-outcomes-in-the-critically-ill.htm
22 Jun 2022
Pharmacist workload linked to worse outcomes in ICU patients with complex med regimens
Patients with complex medication regimens had increases in mortality risk and ICU length of stay in a retrospective study. They also received more interventions from pharmacists, but a higher patient-to-pharmacist ratio was associated with fewer of these interventions.
https://acphospitalist.acponline.org/archives/2022/06/22/pharmacist-workload-linked-to-worse-outcomes-in-icu-patients-with-complex-med-regimens.htm
22 Jun 2022
Treatment combos, ECMO outcomes, vaccine protection in COVID-19
Recent studies compared baricitinib with dexamethasone in COVID-19 patients requiring oxygen, assessed outcomes of extracorporeal membrane oxygenation (ECMO) over time, and found that the vaccines continue to reduce risk for ICU admission and death despite new variants' emergence.
https://acphospitalist.acponline.org/archives/2022/06/01/free/treatment-comparisons-ecmo-outcomes-vaccination-effects-in-covid-19.htm
1 Jun 2022
Daily written care summaries in ICU may improve experience of families
Two weeks after trial enrollment, surrogates of critically ill adults who received daily written patient care updates indicated greater satisfaction with care and had lower odds of symptoms of anxiety, depression, and acute stress compared to those in the usual care group.
https://acphospitalist.acponline.org/archives/2022/06/01/daily-written-care-summaries-in-icu-may-improve-experience-of-families.htm
1 Jun 2022
AHA/ASA guideline addresses management of patients with spontaneous intracerebral hemorrhage
The American Heart Association/American Stroke Association (AHA/ASA) guideline updated the previous 2015 guideline and provided recommendations for reversing anticoagulation, lowering blood pressure, handling decisions to end life-sustaining treatment, and more.
https://acphospitalist.acponline.org/archives/2022/05/25/AHA-ASA-guideline-addresses-management-of-patients-with-spontaneous-intracerebral-hemorrhage.htm
25 May 2022
Electronic alert based on deterioration score associated with lower inpatient mortality
The pre/post design of the study meant that causation could not be established, but a significant increase in ICU transfers, a decrease in time to ICU transfer, and an increase in vital sign reassessments suggested that the alerts helped, the study authors said.
https://acphospitalist.acponline.org/archives/2022/05/04/electronic-alert-based-on-deterioration-score-associated-with-lower-inpatient-mortality.htm
4 May 2022
The road ahead for hospital medicine
During his plenary at SHM Converge 2022, Robert M. Wachter, MD, MACP, shared his thoughts on the future of hospital medicine, including changes in patient complexity and hospital finance, the catch-22 of hospital at home, and the potential impacts of technology.
https://acphospitalist.acponline.org/archives/2022/04/20/the-road-ahead-for-hospital-medicine.htm
20 Apr 2022
Patient deterioration alerts didn't improve mortality or length of stay in trials
According to a new systematic review, pre-post studies have found benefits from using health information technology for early detection of inpatient deterioration, but randomized controlled trials have shown no significant changes from such interventions.
https://acphospitalist.acponline.org/archives/2022/04/20/patient-deterioration-alerts-didnt-improve-mortality-or-length-of-stay-in-trials.htm
20 Apr 2022
Ease up on antipsychotics
Antipsychotics started for an episode of agitation in the ICU are often continued through hospitalization and even after discharge, posing serious health risks to patients, experts say.
https://acphospitalist.acponline.org/archives/2022/04/06/free/ease-up-on-antipsychotics.htm
6 Apr 2022
Extra postdischarge COPD care review improved quality of life, not other outcomes
Personalized treatment recommendations delivered to primary care clinicians after patients' hospitalization for a chronic obstructive pulmonary disease (COPD) exacerbation did not appear to affect rates of mortality or readmissions.
https://acphospitalist.acponline.org/archives/2022/04/06/free/extra-postdischarge-copd-care-review-improved-quality-of-life-not-other-outcomes.htm
6 Apr 2022