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This single-center prospective observational study reveals that the presence of 3 factors (low cough peak flow, high secretion volume, and poor neurologic score per a simple 4-task test) may be useful in predicting extubation failure.
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Septic shock is one of the common causes of hypotension in the ICU. For decades, adrenergic agents with variable alpha- and beta-adrenergic activities have been the mainstay among vasopressor agents. Very few randomized controlled trials have been done that identify the efficacy or superiority of any one particular agent.
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This concise review makes a compelling case for a change in the healthcare workers behavior. Helpful hints including increasing the use of alcohol-based formulations to reduce the time constrains are provided throughout the article.
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Among 56,250 British ICU patients, hospital mortality rates were higher among those admitted on the weekend or at night, but the differences disappeared when confounding by illness severity and other aspects of case mix were eliminated.
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Several factors are considered to be associated with the development of nosocomial infections in the ICU. Among them, indwelling devices that directly contact the blood and mucosal membrane such as the central venous catheter, urinary tract catheter and endotracheal tube are considered to be the most responsible risk factors in the development of nosocomial infections.
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Breast Cancer and the Use of Statins; Warnings Issued for IBS Drugs; FDA Actions
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In late-onset VAP, survival improved and costs decreased using initial coverage with 3 antibiotics. Mini-BAL did not improve survival, but decreased costs and antibiotic usage.
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Patients who received hyperoxia during general surgery had an increase in surgical site infections compared to those who received a lower oxygen concentration.