Critical Care Alert
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COVID-19 Associated with Significant Increase in Hospital-Acquired Bloodstream Infections
The time period of the COVID-19 pandemic was associated with increases in hospital-onset bloodstream infections, mainly in patients with COVID-19.
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Ketamine vs. Etomidate for Emergency Intubation
In a single-center, open label study, ketamine for emergency intubation compared to etomidate was associated with lower seven-day mortality, although 28-day mortality was similar.
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Awake Prone Positioning for COVID-19-Related Acute Hypoxemic Respiratory Failure
This special feature summarizes the literature associated with awake prone positioning (APP), describes known factors related to successful APP, and highlights current recommendations regarding APP in the setting of COVID-19.
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Prophylactic Post-Extubation Noninvasive Ventilation May Benefit Select Obese Patients
In this post hoc analysis, the use of noninvasive ventilation alternating with high-flow nasal cannula post-extubation decreased the risk of reintubation and death in obese and overweight patients at high risk for reintubation.
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Management of Right Ventricular Failure in the Critically Ill
This review will outline the management of right ventricular failure in the critically ill. -
Midline Catheters May Be a Safer Option than Peripherally Inserted Central Catheters
Whenever possible, use of midline catheters over peripherally inserted central catheters could be safer for patients.
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Patients’ Goals During Long-Term Acute Care Hospital Stays
After a long-term acute care hospital stay, most patients will achieve goals of ventilator liberation, eating, drinking, and speaking, but many will not achieve independence in walking, grooming, toileting, or returning home.
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Enteral Nutrition During Prone Positioning in Critically Ill Patients
The author reviews the use of enteral nutrition in critically ill patients during prone positioning.
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Social Isolation Among Older Adults Is Associated with Higher Rates of Disability and Mortality Post-ICU Stay
In this observational cohort study drawn from the National Health and Aging Trends Study, social isolation among older adults admitted to the intensive care unit was associated with greater disability burden and higher one-year mortality rates after critical illness.
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Invasive Aspergillosis Is an Independent Predictor of Mortality in Mechanically Ventilated Patients with SARS-CoV-2 Infection
This multicenter cohort study found a high incidence of invasive aspergillosis in mechanically ventilated patients with SARS-CoV-2 pneumonia.