Critical Care Topics
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Significant Disparities Exist in Accessing Extracorporeal Membrane Oxygenation
After extensive sensitivity analyses to account for severity of illness and confounding, a comparison of patient characteristics of those receiving extracorporeal membrane oxygenation (ECMO) to those treated with mechanical ventilation alone revealed that female patients, those with Medicaid, and those living in the lowest-income neighborhoods were less likely to be treated with ECMO.
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Prevention of Ventilator-Associated Pneumonia with Inhaled Amikacin
A short course of inhaled amikacin at therapeutic doses prevented the occurrence of ventilator-associated pneumonia without changes to duration of mechanical ventilation, length of stay, or mortality.
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Bougie or Stylet Upfront for Endotracheal Intubation
In this secondary analysis of the BOUGIE trial, patient and operator characteristics may affect successful intubation with either technique despite no difference in outcomes in the primary analysis.
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Comparing the Safety of Cefepime to Piperacillin-Tazobactam in Adults with Acute Infections
There was no significant difference in the incidence of acute kidney injury in patients given piperacillin-tazobactam vs. cefepime for sepsis.
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Time of Day Affects the Probability of Antibiotic Initiation for Hospitalized Patients with Sepsis
In this retrospective cohort study of patients with hospital-onset sepsis, the probability of antibiotic initiation was lowest at shift changes and gradually declined overnight compared to during the day shift.
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Extracorporeal Life Support Does Not Improve Outcomes in Patients with Cardiogenic Shock Receiving Early Revascularization
The use of extracorporeal cardiopulmonary resuscitation (ECPR) in patients with acute myocardial infarction-related cardiogenic shock who underwent early revascularization did not result in improved mortality at 30 days and resulted in more major bleeding and peripheral vascular complications.
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Strike the Balance: Evolving Venous Access Practices in the Intensive Care Unit
This feature offers a focused review of the existing literature on PICC and temporary CVC use in the critically ill for healthcare professionals navigating this rapidly evolving field during their daily clinical activities.
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Lung Ultrasound Score Can Adequately Diagnose Acute Respiratory Distress Syndrome
In this prospective, observational study, lung ultrasound showed comparable diagnostic performance to standard diagnostics but better accuracy.
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Studying Patients at High Risk for Death in the ICU Can Give Them a Voice and Help Clinicians Understand Their Concerns
Using a multiple-source approach, this study showed that when given a voice, patients at high risk of dying in the intensive care unit express variable logistical, spiritual, physical, psychological, and existential concerns that clinicians should consider and address.
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Diagnosis and Management of Pulmonary Embolism in the ICU
Prompt diagnosis and management of pulmonary embolism in the emergency room and intensive care unit (ICU), therefore, may affect the course of these patients.