Search results for "Critical care"
Dyspnea common, linked to PTSD in intubated critically ill patients
In a cohort study at 10 French ICUs, more than a third of intubated patients reported dyspnea, and when interviewed 90 days after ICU discharge, they had higher rates of post-traumatic stress disorder (PTSD) than patients without dyspnea.
https://acphospitalist.acponline.org/archives/2022/02/02/dyspnea-common-linked-to-ptsd-in-intubated-critically-ill-patients.htm
2 Feb 2022
Sepsis guidelines review old questions, tackle new ones
The lead author of the Surviving Sepsis Campaign's latest guideline update highlighted the most important changes for hospitalists to know, including recommendations on the use of fluid and vasopressors.
https://acphospitalist.acponline.org/archives/2022/01/19/sepsis-experts-review-old-questions-tackle-new-ones.htm
19 Jan 2022
Balanced electrolyte solution didn't improve outcomes in ICU patients
A randomized trial in Australia and New Zealand found similar rates of 90-day mortality and new renal replacement therapy whether ICU patients were given a balanced multi-electrolyte solution (Plasma-Lyte 148) or saline.
https://acphospitalist.acponline.org/archives/2022/01/19/balanced-electrolyte-solution-didnt-improve-outcomes-in-icu-patients.htm
19 Jan 2022
How COVID-19 changed end-of-life care
Hospitalists have had to find new strategies during the pandemic in order to provide optimal care, including company and comfort, to dying inpatients and their families.
https://acphospitalist.acponline.org/archives/2022/01/12/free/how-covid-19-changed-end-of-life-care.htm
12 Jan 2022
Vitamin C monotherapy did not reduce mortality in patients with septic shock
A double-blind, randomized controlled trial of 124 ICU patients with septic shock found that while 28-day mortality was lower in those who received IV vitamin C versus placebo, the absolute risk reduction did not reach statistical significance.
https://acphospitalist.acponline.org/archives/2022/01/12/vitamin-C-monotherapy-did-not-reduce-mortality-in-patients-with-septic-shock.htm
12 Jan 2022
ICU admission associated with worse outcomes in sepsis, better survival in acute respiratory failure
Patients admitted from the ED to the ICU with sepsis had worse survival and longer length of stay than those admitted to the wards, while patients with acute respiratory failure had better survival in the ICU than on a medical ward, a multicenter study found.
https://acphospitalist.acponline.org/weekly/archives/2021/12/08/3.htm
8 Dec 2021
Only half of ICU patients with alcohol use disorder received thiamine, despite guidelines
An observational study of ICU patients with alcohol use disorder found that use of thiamine supplementation was 59% for those admitted for alcohol withdrawal, 26% for septic shock, 41% for traumatic brain injury, and 24% for diabetic ketoacidosis.
https://acphospitalist.acponline.org/weekly/archives/2021/12/08/4.htm
8 Dec 2021
Combating clots in COVID-19
Critical care experts advised on appropriate prophylaxis for ward and ICU patients as part of the CHEST 2021 conference.
https://acphospitalist.acponline.org/archives/2021/11/combating-clots-in-covid-19.htm
15 Nov 2021
Intravenous fluid management
A hypothetical case highlights the many reasons to provide IV fluid.
https://acphospitalist.acponline.org/archives/2021/11/expert-analysis-iv-fluids.htm
15 Nov 2021
Knowledge of ECMO appears better in those taught by simulation
A small randomized trial of clinicians learning about extracorporeal membrane oxygenation (ECMO) found that exam scores were higher among those assigned to simulation versus interactive mobile instruction or experiential learning.
https://acphospitalist.acponline.org/weekly/archives/2021/11/03/4.htm
3 Nov 2021