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This large clinical trial of targeted body temperature 33°C vs 36°C following cardiac arrest showed no differences in survival or neurological outcome in the two temperature groups.
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Leaders in progressive mobility programs for ICU patients offer their lessons learned and strategies to overcome barriers to help establish these programs on any ICU, including an interdisciplinary team with staff champions to maintain these important programs.
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Nurse practitioners (NP) have been involved in the care of critically ill patients since the late 1980s. Today, multiple universities and colleges offer NP preparation with specialization in a variety of areas.
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Utilization of continuous EEG monitoring in mechanically ventilated patients in the ICU was associated with a reduction in hospital mortality without sigificantly affecting hospital costs or length of stay.
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Implementation of an evidence-based extubation-readiness bundle was associated with a decrease in mechanical ventilation days and pneumonia in brain-injured patients.
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In 1818, James Blundell performed the first successful human blood transfusion in a woman with postpartum hemorrhage. Nearly 200 years later, about 15 million red blood cell (RBC) units are transfused annually in the United States. Many of these transfusions occur in the intensive care unit (ICU), where up to 30-50% of patients are transfused. Despite the frequency of RBC transfusions, there is little evidence that transfusions benefit patients.
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Results from a large, multinational study indicate that ICU patients worldwide experience moderately intense pain, most commonly from chest tube removal, wound drain removal, and arterial line insertion.