Critical Care Alert – April 1, 2005

April 1, 2005

• Does Lung-Protective Ventilation Require More Sedation?

  In this in-depth examination of 111 patients at a center in the original ARDS Net low-tidal-volume study, patients managed with 6 mL/kg or less did not require more sedation during the first 48 hours than those managed with tidal volumes of 12 mL/kg.

  Read more

• Clinical Implications of ICU-Acquired Urinary Tract Infection

  This 3-year cohort surveillance study of all adult patients admitted to ICUs in one region found that they were common (developing in 6.5% of patients, or 9.6 UTIs per 1000 ICU days) but did not contribute independently to mortality.

  Read more

• Use of CPAP for Post-Operative Hypoxemia

  CPAP may decrease the incidence of endotracheal intubation and other severe complications in patients who develop hypoxemia after elective major abdominal surgery.

  Read more

• Neuropsychological Effects of ARDS Persist 2 Years Later

  This single center observational cohort study reveals that ARDS survivors have persistent neurocognitive, psychiatric and quality of life impairments at 2 years.

  Read more

• Changing to a Closed Model of ICU Organization: Why and How

  Over the last decade there has been a growing trend from an open to a closed model of ICU care delivery. The open model is an ICU where day-to-day management decisions are made by an admitting physician with the assistance of consultants. The admitting physician may be any member of the medical staff and need not necessarily have any particular expertise in the provision of critical care services.

  Read more

• Pharmacology Watch: Preparing for the Possibility of a Bird Flu Pandemic

  Amoxicillin-Clavulanate vs Ciprofloxacin; AD Therapy and Cognitive Function; LDL Lowering in CHD Patients; FDA Actions.

  Read more

• Clinical Briefs in Primary Care supplement

  Read more