Critical Care Alert
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Videolaryngoscopy for Intubation of Critically Ill Patients
In a large, prospective, multicenter, randomized, pragmatic trial, the use of a video laryngoscope resulted in a higher incidence of successful intubation on the first attempt on critically ill patients in the emergency department and intensive care unit compared to the use of the direct laryngoscope.
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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.
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Novel Bedside Procedure Improves Tracheostomy Outcomes
Nurse-driven initiative led to zero incidents of tracheostomy medical device-related pressure injuries for three years.
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Updates in Stress Ulcer Prophylaxis
The development of esophageal, gastric, and duodenal erosions or ulcers may increase the morbidity and mortality of critically ill patients. Stress ulcer prophylaxis can be administered pharmacologically to prevent gastrointestinal bleeding from the ulcers.
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Intravenous Fluids in ICU Patients with Septic Shock: Is Restriction the Answer?
In an international, randomized trial of 1,554 patients with septic shock who had already received > 1 liter of intravenous fluids, patients assigned to the restrictive-fluid group compared to the standard-fluid group did not have reduced mortality at 90 days.
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Modifiable Factors Play a Significant Role in the Performance of Spontaneous Awake and Breathing Trials
In this secondary analysis of data from a national intensive care unit collaborative, various non-modifiable and modifiable factors were associated with performance of spontaneous awake and breathing trials.
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Biden Administration Invests in Pediatric Mental Healthcare Expansion
Announcement made on the same day various organizations call for optimizing resources for pediatric emergencies.
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Nurses at Rural Facilities Explain Barriers to End-of-Life Care
Family members often disagree with one another and misunderstand the meaning of “lifesaving measures.”
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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.
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Family Members of Critically Ill Patients with SARS-CoV-2 Pneumonia Have a High Burden of Symptoms of PTSD
This multicenter cohort study revealed a high incidence of PTSD symptoms among family members of COVID-19 patients at three months after the ICU admission.