Search results for "Critical care"
Surviving Sepsis Campaign releases updated guidelines for hospitalized adults
Topics covered among the 93 recommendations include screening and early treatment of sepsis, hemodynamic management, ventilation, additional therapies, and long-term outcomes and goals of care. Changes include which sepsis risk scores are recommended.
https://acphospitalist.acponline.org/weekly/archives/2021/10/20/2.htm
20 Oct 2021
Latest studies look at ECMO, prone positioning, antibodies, remdesivir
Mortality rates have risen among patients getting extracorporeal membrane oxygenation (ECMO) for COVID-19, one study found, while two others offered more evidence of the benefits of proning. Additional new research supported the use of monoclonal antibodies and remdesivir.
https://acphospitalist.acponline.org/weekly/archives/2021/10/06/1.htm
6 Oct 2021
Probiotic didn't reduce pneumonia in ventilated ICU patients, study finds
ICU patients from three countries were randomized to either enteral Lactobacillus rhamnosus GG or placebo twice daily for a median of nine days and developed ventilator-associated pneumonia at similar rates.
https://acphospitalist.acponline.org/weekly/archives/2021/09/29/2.htm
29 Sep 2021
High-dose vitamin C not associated with improved mortality in sepsis
A systematic review and meta-analysis found that while high-dose IV vitamin C was associated with less vasopressor use and better SOFA scores, it did not appear to be linked to significant improvement in short-term mortality rates.
https://acphospitalist.acponline.org/weekly/archives/2021/09/15/4.htm
15 Sep 2021
Consulting POCUS to increase efficiency
This tool holds potential to speed care for patients requiring subspecialists' attention.
https://acphospitalist.acponline.org/archives/2021/09/consulting-pocus-to-increase-efficiency.htm
15 Sep 2021
Critical illness myopathy/polyneuropathy
The manifestations of CIM and CIP overlap, and it can be difficult to distinguish between the two conditions.
https://acphospitalist.acponline.org/archives/2021/09/coding-corner-critical-illness-myopathy.htm
15 Sep 2021
Avoiding SNFs and antibiotics, expecting long-term effects and boosters in COVID-19
One study showed how a new committee reduced discharges to skilled nursing facilities (SNFs) while another indicated that empiric antibiotics aren't necessary for ventilated COVID-19 patients. Officials announced plans for vaccine boosters, and convalescent plasma failed an outpatient trial.
https://acphospitalist.acponline.org/weekly/archives/2021/08/25/1.htm
25 Aug 2021
Neither rate nor type of fluid resuscitation affected outcomes in ICU patients, trial finds
A balanced solution was compared to a 0.9% saline solution in a large trial in Brazilian ICUs that also randomized the same patients to undergo fluid challenges at rates of either 333 mL/h or 999 mL/h.
https://acphospitalist.acponline.org/weekly/archives/2021/08/18/2.htm
18 Aug 2021
Pulmonary rehabilitation associated with fewer readmissions for COPD patients
Only 1.5% of studied patients began pulmonary rehabilitation within 90 days of discharge from a hospitalization for chronic obstructive pulmonary disease (COPD), but their rate of readmission within a year was 56.4%, compared to 64.6% in patients who did not begin rehab.
https://acphospitalist.acponline.org/weekly/archives/2021/07/28/3.htm
28 Jul 2021
Pandemic lessons, VTE prediction, and COVID-19 effects on other inpatients
One hospital reduced unnecessary labs during the pandemic, while another collected nine lessons to improve health care. Other recent studies looked at venous thromboembolism (VTE) in COVID-19 inpatients and mortality rates among patients hospitalized for other conditions during last year's surges.
https://acphospitalist.acponline.org/weekly/archives/2021/07/28/1.htm
28 Jul 2021