In this retrospective review of 33 patients with bilateral pleural effusions who had the fluid on both sides tapped, the cause of the effusions was most often cardiac disease and seemed to be the same on both sides in every case.
For patients who required > 48 hours of mechanical ventilation, daily routine chest radiographs and films obtained based on clinical indications produced similar outcomes.
Health care workers are expected to practice without error, an ideal that in reality does not occur. In fact, errors occur more frequently that we would prefer.
Most large hospitals today have dedicated icu nutritionists who make nutritional recommendations for every critically ill patient admitted. Though some physicians remain skeptical of studies that support using early, aggressive enteral or parenteral nutritional support to improve patient outcomes, leaders in nutritional research say that those studies which failed to indicate positive effects were improperly conducted.
Two severely ill patients in the emergency department of your hospital need admission to intensive care, but only one bed is available. Who gets admitted first?
A generic form of paroxetine (PaxilGlaxoSmithKline) will soon be on the market. The drug marks the second SSRI antidepressant to go generic after fluoxetine (Prozac) last year.
