Pulmonary/Critical Care
Relias Media - Continuing Medical Education Publishing
https://www.reliasmedia.com/
The most award winning healthcare information source, trusted for four decades by physicians and nurses for CME / CE covering medical topics from emergency medicine to case managementen-USThu, 28 Mar 2024 02:22:34 -0700Thu, 28 Mar 2024 02:22:34 -0700falseWithholding Intubation in Select Comatose Patients with Acute Poisoning May Be BeneficialCritical Care Alert
https://www.reliasmedia.com/articles/withholding-intubation-in-select-comatose-patients-with-acute-poisoning-may-be-beneficial
Tue, 12 Mar 2024 11:31:00 -0700https://www.reliasmedia.com/articles/withholding-intubation-in-select-comatose-patients-with-acute-poisoning-may-be-beneficial
In this unblinded, randomized trial of adults presenting with acute poisoning and a Glasgow Coma Scale score less than 9, those for whom intubation was withheld unless emergently indicated had decreased intensive care unit and hospital lengths of stay and a lower rate of pneumonia.
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Low-Dose vs. Conventional-Dose TMP-SMX to Treat Pneumocystis Pneumonia in Non-HIV PatientsCritical Care Alert
https://www.reliasmedia.com/articles/low-dose-vs-conventional-dose-tmp-smx-to-treat-pneumocystis-pneumonia-in-non-hiv-patients
Tue, 12 Mar 2024 11:22:00 -0700https://www.reliasmedia.com/articles/low-dose-vs-conventional-dose-tmp-smx-to-treat-pneumocystis-pneumonia-in-non-hiv-patients
In patients without human immunodeficiency virus who were diagnosed with Pneumocystis jirovecii pneumonia, mortality rates were similar between the low-dose vs. conventional-dose trimethoprim-sulfamethoxazole (TMP-SMX) groups, while low-dose TMP-SMX was associated with fewer adverse events.]]>
High-Flow Nasal Oxygen for Acute Hypoxemic Respiratory Failure Due to COVID-19 Is Safe Initiated Outside the ICUCritical Care Alert
https://www.reliasmedia.com/articles/high-flow-nasal-oxygen-for-acute-hypoxemic-respiratory-failure-due-to-covid-19-is-safe-initiated-outside-the-icu
Tue, 12 Mar 2024 11:15:00 -0700https://www.reliasmedia.com/articles/high-flow-nasal-oxygen-for-acute-hypoxemic-respiratory-failure-due-to-covid-19-is-safe-initiated-outside-the-icu
This study of hospitalized adults with COVID-19-related hypoxemic respiratory failure found that initiation of high-flow nasal oxygen on the wards was safe, resulted in comparable intubation and mortality rates, and led to less time in the intensive care unit.]]>
Norepinephrine Can Be Infused Safely Via Peripheral IV CatheterCritical Care Alert
https://www.reliasmedia.com/articles/norepinephrine-can-be-infused-safely-via-peripheral-iv-catheter
Tue, 12 Mar 2024 10:49:00 -0700https://www.reliasmedia.com/articles/norepinephrine-can-be-infused-safely-via-peripheral-iv-catheter
Peripheral administration of norepinephrine has a low risk of extravasation if following an operationalized protocol.]]>
ICU Delirium Linked to Post-Discharge Change in Cancer Treatment and Higher Mortality Among Cancer PatientsCritical Care Alert
https://www.reliasmedia.com/articles/icu-delirium-linked-to-post-discharge-change-in-cancer-treatment-and-higher-mortality-among-cancer-patients
Mon, 12 Feb 2024 09:34:00 -0800https://www.reliasmedia.com/articles/icu-delirium-linked-to-post-discharge-change-in-cancer-treatment-and-higher-mortality-among-cancer-patients
In this single-center, retrospective cohort study, intensive care unit (ICU) delirium was associated with a higher rate of cancer treatment modification, only partly due to worsening performance status, after discharge and higher one-year mortality.]]>
Does Alkaline Phosphatase Reduce Sepsis-Associated Acute Kidney Injury?Critical Care Alert
https://www.reliasmedia.com/articles/does-alkaline-phosphatase-reduce-sepsis-associated-acute-kidney-injury
Mon, 12 Feb 2024 09:24:00 -0800https://www.reliasmedia.com/articles/does-alkaline-phosphatase-reduce-sepsis-associated-acute-kidney-injury
This Phase III, international, multicenter, double-blind, randomized controlled trial did not show a reduction in 28-day all-cause mortality with ilofotase alfa (recombinant human alkaline phosphatase). However, the study showed evidence to suggest that ilofotase alfa reduced major adverse kidney events at 90 days, mainly driven by lowering the incidence of renal replacement therapy through day 90 in these patients.]]>
Ventilation and Oxygenation Considerations During and After Cardiopulmonary ResuscitationCritical Care Alert
https://www.reliasmedia.com/articles/ventilation-and-oxygenation-considerations-during-and-after-cardiopulmonary-resuscitation
Mon, 12 Feb 2024 09:17:00 -0800https://www.reliasmedia.com/articles/ventilation-and-oxygenation-considerations-during-and-after-cardiopulmonary-resuscitation
With a multitude of recommendations spanning from monitoring during cardiopulmonary resuscitation (CPR) to post-arrest targeted temperature management, the specific focus of this article is to review considerations related to ventilation and oxygenation during and after CPR.]]>
Percutaneous Coronary Intervention vs. Placebo for Stable Angina PatientsCritical Care Alert
https://www.reliasmedia.com/articles/percutaneous-coronary-intervention-vs-placebo-for-stable-angina-patients-2
Sat, 13 Jan 2024 14:19:00 -0800https://www.reliasmedia.com/articles/percutaneous-coronary-intervention-vs-placebo-for-stable-angina-patients-2
In this randomized trial of patients with stable angina and objective evidence of ischemia, percutaneous coronary intervention resulted in a significant reduction in angina compared to a placebo procedure.]]>
Small-Volume Blood Collection May Reduce Transfusion Needs in the ICUCritical Care Alert
https://www.reliasmedia.com/articles/small-volume-blood-collection-may-reduce-transfusion-needs-in-the-icu
Sat, 13 Jan 2024 14:05:00 -0800https://www.reliasmedia.com/articles/small-volume-blood-collection-may-reduce-transfusion-needs-in-the-icu
The STRATUS randomized clinical trial was a stepped-wedge cluster randomized trial in 25 adult medical-surgical intensive care units (ICUs) in Canada that studied standard-volume to small-volume vacuum tubes for blood collection in the ICU. In the primary analysis, there was no significant difference in red blood cell transfusion between groups. However, in a pre-specified secondary analysis, red blood cell transfusion decreased after the transition from standard-volume tubes to small-volume tubes.]]>
Buprenorphine May Be an Effective Alternative to Full Opioids for Pain in the ICUCritical Care Alert
https://www.reliasmedia.com/articles/buprenorphine-may-be-an-effective-alternative-to-full-opioids-for-pain-in-the-icu
Sat, 13 Jan 2024 13:58:00 -0800https://www.reliasmedia.com/articles/buprenorphine-may-be-an-effective-alternative-to-full-opioids-for-pain-in-the-icu
In a small, single-center, retrospective, propensity-matched cohort study examining enteral oxycodone vs. sublingual buprenorphine in a critically ill population, pain control was equivalent, indicating that sublingual buprenorphine may be an effective and appropriate alternative.]]>
Using Targeted Trials to Investigate Early vs. Late Intubation StrategiesCritical Care Alert
https://www.reliasmedia.com/articles/using-targeted-trials-to-investigate-early-vs-late-intubation-strategies
Sat, 13 Jan 2024 13:52:00 -0800https://www.reliasmedia.com/articles/using-targeted-trials-to-investigate-early-vs-late-intubation-strategies
Authors used a machine learning framework to show that delaying intubation in critically ill patients when compared to early intubation does not result in a greater 30-day mortality.]]>
Bougie or Stylet Upfront for Endotracheal IntubationCritical Care Alert
https://www.reliasmedia.com/articles/bougie-or-stylet-upfront-for-endotracheal-intubation
Fri, 08 Dec 2023 08:34:00 -0800https://www.reliasmedia.com/articles/bougie-or-stylet-upfront-for-endotracheal-intubation
In this secondary analysis of the BOUGIE trial, patient and operator characteristics may affect successful intubation with either technique despite no difference in outcomes in the primary analysis.]]>
Time of Day Affects the Probability of Antibiotic Initiation for Hospitalized Patients with SepsisCritical Care Alert
https://www.reliasmedia.com/articles/time-of-day-affects-the-probability-of-antibiotic-initiation-for-hospitalized-patients-with-sepsis
Mon, 13 Nov 2023 07:42:00 -0800https://www.reliasmedia.com/articles/time-of-day-affects-the-probability-of-antibiotic-initiation-for-hospitalized-patients-with-sepsis
In this retrospective cohort study of patients with hospital-onset sepsis, the probability of antibiotic initiation was lowest at shift changes and gradually declined overnight compared to during the day shift.]]>
Extracorporeal Life Support Does Not Improve Outcomes in Patients with Cardiogenic Shock Receiving Early RevascularizationCritical Care Alert
https://www.reliasmedia.com/articles/extracorporeal-life-support-does-not-improve-outcomes-in-patients-with-cardiogenic-shock-receiving-early-revascularization
Mon, 13 Nov 2023 07:31:00 -0800https://www.reliasmedia.com/articles/extracorporeal-life-support-does-not-improve-outcomes-in-patients-with-cardiogenic-shock-receiving-early-revascularization
The use of extracorporeal cardiopulmonary resuscitation (ECPR) in patients with acute myocardial infarction-related cardiogenic shock who underwent early revascularization did not result in improved mortality at 30 days and resulted in more major bleeding and peripheral vascular complications.]]>
Strike the Balance: Evolving Venous Access Practices in the Intensive Care UnitCritical Care Alert
https://www.reliasmedia.com/articles/strike-the-balance-evolving-venous-access-practices-in-the-intensive-care-unit
Mon, 13 Nov 2023 07:20:00 -0800https://www.reliasmedia.com/articles/strike-the-balance-evolving-venous-access-practices-in-the-intensive-care-unit
This feature offers a focused review of the existing literature on PICC and temporary CVC use in the critically ill for healthcare professionals navigating this rapidly evolving field during their daily clinical activities.]]>
Lung Ultrasound Score Can Adequately Diagnose Acute Respiratory Distress SyndromeCritical Care Alert
https://www.reliasmedia.com/articles/lung-ultrasound-score-can-adequately-diagnose-acute-respiratory-distress-syndrome
Sat, 14 Oct 2023 16:57:00 -0700https://www.reliasmedia.com/articles/lung-ultrasound-score-can-adequately-diagnose-acute-respiratory-distress-syndrome
In this prospective, observational study, lung ultrasound showed comparable diagnostic performance to standard diagnostics but better accuracy.]]>
Diagnosis and Management of Pulmonary Embolism in the ICUCritical Care Alert
https://www.reliasmedia.com/articles/diagnosis-and-management-of-pulmonary-embolism-in-the-icu
Fri, 13 Oct 2023 13:07:00 -0700https://www.reliasmedia.com/articles/diagnosis-and-management-of-pulmonary-embolism-in-the-icu
Prompt diagnosis and management of pulmonary embolism in the emergency room and intensive care unit (ICU), therefore, may affect the course of these patients.]]>
Clinicians Consider Many Factors When Deciding on Mechanical Ventilation After SepsisCritical Care Alert
https://www.reliasmedia.com/articles/clinicians-consider-many-factors-when-deciding-on-mechanical-ventilation-after-sepsis
Thu, 28 Sep 2023 02:00:00 -0700https://www.reliasmedia.com/articles/clinicians-consider-many-factors-when-deciding-on-mechanical-ventilation-after-sepsis
Identifying patients at high risk and crafting timely, targeted interventions can improve outcomes.]]>
Incident Dementia Cases Connected to Long-Term Air Pollution ExposureNeurology Alert
https://www.reliasmedia.com/articles/incident-dementia-cases-connected-to-long-term-air-pollution-exposure
Tue, 15 Aug 2023 02:00:00 -0700https://www.reliasmedia.com/articles/incident-dementia-cases-connected-to-long-term-air-pollution-exposure
Researchers reported fine particulate matter from agriculture and open fires to be especially harmful.]]>
Adjuvant Systemic Corticosteroid Therapy in Hospitalized Patients with Community-Acquired PneumoniaInternal Medicine Alert
https://www.reliasmedia.com/articles/adjuvant-systemic-corticosteroid-therapy-in-hospitalized-patients-with-community-acquired-pneumonia-2
Wed, 14 Jun 2023 02:00:00 -0700https://www.reliasmedia.com/articles/adjuvant-systemic-corticosteroid-therapy-in-hospitalized-patients-with-community-acquired-pneumonia-2
In this meta-analysis, all-cause mortality, ICU admission, and incidence of adverse events were similar in patients who received corticosteroids compared to standard care. However, the corticosteroid therapy group recorded a lower incidence of progression to mechanical ventilation.]]>
Practice Alert Provides Critical Care Nurses Safety Tips for Prone PositioningCritical Care Alert
https://www.reliasmedia.com/articles/practice-alert-provides-critical-care-nurses-safety-tips-for-prone-positioning
Thu, 01 Jun 2023 02:00:00 -0700https://www.reliasmedia.com/articles/practice-alert-provides-critical-care-nurses-safety-tips-for-prone-positioning
The technique that became well known during the COVID-19 pandemic remains a standard tactic for managing acute respiratory distress syndrome. ]]>
Does Surviving an ECMO Stay Put Patients at Greater Risk for Mental Health Problems?Internal Medicine Alert
https://www.reliasmedia.com/articles/does-surviving-an-ecmo-stay-put-patients-at-greater-risk-for-mental-health-problems-2
Thu, 23 Feb 2023 02:00:00 -0800https://www.reliasmedia.com/articles/does-surviving-an-ecmo-stay-put-patients-at-greater-risk-for-mental-health-problems-2
Survivors of extracorporeal membrane oxygenation (ECMO) demonstrated a modest increase in risk of new mental health diagnoses after discharge vs. ICU survivors who do not undergo ECMO.]]>
ECMO-Supported CPR Disappoints for Treating Out-of-Hospital Cardiac ArrestClinical Cardiology Alert
https://www.reliasmedia.com/articles/ecmo-supported-cpr-disappoints-for-treating-out-of-hospital-cardiac-arrest
Wed, 15 Feb 2023 02:00:00 -0800https://www.reliasmedia.com/articles/ecmo-supported-cpr-disappoints-for-treating-out-of-hospital-cardiac-arrest
For patients with out-of-hospital cardiac arrest that was refractory to initial resuscitation efforts, adding extracorporeal membrane oxygenation to standard CPR did not result in a significant improvement in survival with favorable neurologic outcome.]]>
Long-Term Air Pollution Exposure Could Raise Risk for Depression, AnxietyInternal Medicine Alert
https://www.reliasmedia.com/articles/long-term-air-pollution-exposure-could-raise-risk-for-depression-anxiety
Tue, 14 Feb 2023 02:00:00 -0800https://www.reliasmedia.com/articles/long-term-air-pollution-exposure-could-raise-risk-for-depression-anxiety
Two research groups reported on breathing dirty air and how that affects mental health.]]>
Persistent Asthma Patients Show More Plaque Buildup, InflammationClinical Cardiology Alert
https://www.reliasmedia.com/articles/persistent-asthma-patients-show-more-plaque-buildup-inflammation
Mon, 28 Nov 2022 02:00:00 -0800https://www.reliasmedia.com/articles/persistent-asthma-patients-show-more-plaque-buildup-inflammation
Pulmonary ailment could speed carotid artery damage, create more inflammatory biomarkers.]]>
Scientists Are Worried About Air Quality and Dementia RiskNeurology Alert
https://www.reliasmedia.com/articles/scientists-are-worried-about-air-quality-and-dementia-risk
Fri, 28 Oct 2022 02:00:00 -0700https://www.reliasmedia.com/articles/scientists-are-worried-about-air-quality-and-dementia-risk
Traffic-related air pollution raises red flags for neurological health.]]>
‘Informed Assent’ for CPR Is Reasonable Approach for Some Hospitalized PatientsMedical Ethics Advisor
https://www.reliasmedia.com/articles/informed-assent-for-cpr-is-reasonable-approach-for-some-hospitalized-patients
Thu, 20 Oct 2022 02:00:00 -0700https://www.reliasmedia.com/articles/informed-assent-for-cpr-is-reasonable-approach-for-some-hospitalized-patients
This concept was developed to satisfy the right of physicians to initiate DNR orders in futile situations and their duty to communicate to patients and lawful surrogates. Through informed assent, physicians state they will write a DNR order because it would be futile and harmful to the patient to attempt CPR in their current serious illness.]]>
Appropriate Oxygenation Targets in the Treatment of Hypoxemic Respiratory FailureCritical Care Alert
https://www.reliasmedia.com/articles/appropriate-oxygenation-targets-in-the-treatment-of-hypoxemic-respiratory-failure
Thu, 15 Sep 2022 02:00:00 -0700https://www.reliasmedia.com/articles/appropriate-oxygenation-targets-in-the-treatment-of-hypoxemic-respiratory-failure
The care of critically ill patients in the ICU remains challenging. Recent studies support current protocols for the delivery of oxygen to patients who require supplemental oxygen due to respiratory failure of varying etiologies. Broad oxygenation targets of SpO2 between 88% to 97% continue to be supported by recent trials.]]>
Limitation of Tidal Volume Is Cardioprotective Among Mechanically Ventilated Patients Undergoing Cardiac SurgeryCritical Care Alert
https://www.reliasmedia.com/articles/limitation-of-tidal-volume-is-cardioprotective-among-mechanically-ventilated-patients-undergoing-cardiac-surgery
Thu, 15 Sep 2022 02:00:00 -0700https://www.reliasmedia.com/articles/limitation-of-tidal-volume-is-cardioprotective-among-mechanically-ventilated-patients-undergoing-cardiac-surgery
In this experimental study, rising tidal volume increased right ventricular afterload.]]>
Healthcare Industry Embraces Firearm Safety Law - No Issue
https://www.reliasmedia.com/articles/149634-healthcare-industry-embraces-firearm-safety-law
Tue, 28 Jun 2022 10:49:14 -0700https://www.reliasmedia.com/articles/149634-healthcare-industry-embraces-firearm-safety-law
Various groups thank Congress, White House for swift action on bipartisan legislation.]]>
FDA Approves Generic Treatment for COPD, Asthma - No Issue
https://www.reliasmedia.com/articles/149262-fda-approves-generic-treatment-for-copd-asthma
Fri, 18 Mar 2022 08:21:59 -0700https://www.reliasmedia.com/articles/149262-fda-approves-generic-treatment-for-copd-asthma
Agency aims to stimulate competition, expand access to cheaper meds.]]>
Air Filters and Asthma - Internal Medicine Alert – July 15, 2021Internal Medicine Alert
https://www.reliasmedia.com/articles/148254-air-filters-and-asthma
Tue, 22 Jun 2021 06:05:48 -0700https://www.reliasmedia.com/articles/148254-air-filters-and-asthma
Children with asthma showed improved small airway mechanics following indoor filtration of particulates (2.5 µm and greater) using high-efficiency particulate air filtration devices.]]>
Lung Health Program Revamped to Help Manage COVID-19 Pandemic - Hospital Peer Review – May 1, 2021Hospital Peer Review
https://www.reliasmedia.com/articles/147875-lung-health-program-revamped-to-help-manage-covid-19-pandemic
Thu, 01 Apr 2021 09:49:09 -0700https://www.reliasmedia.com/articles/147875-lung-health-program-revamped-to-help-manage-covid-19-pandemic
A Maryland hospital adapted an existing program encouraging lung health to respond to the sudden demands of COVID-19. The program helped reduce COVID-19 readmission rates by two-thirds.]]>
Chronic Obstructive Pulmonary Disease: Update - No IssuePrimary Care Reports
https://www.reliasmedia.com/articles/136559-chronic-obstructive-pulmonary-disease-update
Tue, 20 Oct 2015 13:00:04 -0700https://www.reliasmedia.com/articles/136559-chronic-obstructive-pulmonary-disease-update
Over the past decade, this definition of COPD has changed dramatically, as has the characterization and treatment of individuals with COPD. Multiple new therapies alter the course of this disease, reduce exacerbations, improve quality of life, and increase survival; previous nihilistic approaches to the management of COPD have been replaced by directed and effective pharmacologic and nonpharmacologic therapies. This update will review current approaches to the diagnosis and management of COPD and present the most recent evidence for the classification of COPD phenotypes and the implications of these categories for COPD treatment and prognosis.]]>