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.
Limitation of Tidal Volume Is Cardioprotective Among Mechanically Ventilated Patients Undergoing Cardiac Surgery
In this experimental study, rising tidal volume increased right ventricular afterload.
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.
Study: More Than Half of DNR ED Patients Resuscitated Against Their Wishes
Of 419 cardiac arrest patients, 65 were DNR status. Of this group of DNR patients, 38 were resuscitated against their wishes. Not adhering to a patient’s wishes not only violates their autonomy, but it is arguably not acting in the patient’s best interest — and may in fact be causing them harm.
Routine Ethics Consults Helpful if ECMO Is Considered
When a patient is placed on extracorporeal membrane oxygenation (ECMO), usually emergently, families have begun to face the gravity of the situation. Suddenly, ECMO offers new hope. Even though the primary team explains ECMO will be a time-limited trial and a bridge to recovery, transplant, or device, many families remain focused only on the possibility of hope.
Court Ruling on Life Support Withdrawal Affects Ethics Committees
Hospitals may need to afford more procedural due process when deciding on whether to withhold or withdraw life-sustaining treatment without consent.
Do Not Intubate Orders Becoming More Common
Rates increased over time, from about one in 10 patients 20 years ago to about one in three patients in the past five years. The exact reasons for this increase remain unclear.
Early Data on Remdesivir for Severe COVID-19: A Promising Start?
In this group of patients hospitalized with severe COVID-19, most of whom required invasive ventilation, 68% showed clinical improvement after treatment with remdesivir on a compassionate-use basis.
Many Hospitals Lacked Ventilator Triage Policies When COVID-19 Pandemic Hit
More than half of institutions did not have ventilator triage policies in place when the pandemic arrived, according to the authors of a study.
Opinions Evolve Regarding When to Ventilate a COVID-19 Patient
While there is no consensus on the issue, there are physicians from the frontlines in New York who now favor performing more noninvasive ventilation. Some are trying to avoid using a ventilator at all.