Critical Care General
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Abstract & Commentary: Daily Prompting on ICU Checklist Use Improves Patient Outcomes as Well as Processes of Care
Previous studies have shown that the use of a multi-part daily rounding checklist reduces errors of omission in the ICU such as failure to discontinue empirically started antibiotics, to perform spontaneous breathing trials to see whether ventilated patients can be weaned and extubated, or to provide prophylaxis against deep venous thrombosis (DVT). -
Special Feature: Update on Drowning
Drowning is defined as asphyxia or suffocation from submersion/immersion in a liquid medium. -
Clinical Briefs in Primary Care supplement
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Abstract & Commentary: Patients/Surrogates Vastly Overrate Likelihood of Survival after Cardiac Arrest
Participants in this study were 100 patients/surrogates and their physicians in a 26-bed medical ICU located in an academic medical center. -
Abstract & Commentary: Low Tidal Volume Ventilation in theAbsence of Acute Lung Injury: A Study in Post-Cardiac Surgery Patients
Supported by robust data from numerous clinical trials, low-tidal-volume ventilation is now standard-of-care in managing patients with acute lung injury (ALI) or the acute respiratory distress syndrome (ARDS). -
Abstract & Commentary: The Impact of Establishing a Regional Weaning Unit for Patients Requiring Prolonged Mechanical Ventilation
Although most critically ill patients require only short periods of respiratory support, a minority require prolonged mechanical ventilation (PMV). -
Pharmacology Watch: FDA issues Multiple Drug Warnings
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Abstract & Commentary: Patient Outcomes After Failed Extubation
In this prospective study carried out in a 13-bed French medical ICU, Thille and associates sought to determine the clinical characteristics and outcomes of patients who experienced extubation failure the requirement for reintubation within 72 hours of either planned or unplanned extubation. -
Clinical Briefs in Primary Care supplement
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Special Feature: Pregnancy and Critical Care Medicine — Part 1I: Acute Respiratory Failure and Pregnancy
In Part 1 of this two-part series on Pregnancy and Critical Care Medicine (see Critical Care Alert, March 2011, p. 89-93), we reviewed the normal physiologic changes that occur during pregnancy, examining changes occurring across multiple organ systems that affect our management of these patients as well as the ability of the pregnant woman to respond to various forms of stress, such as acute hemorrhage.