Critical Care Alert – February 1, 2004

February 1, 2004

• Why Physicians Withdraw Ventilatory Support in the ICU

  In this prospective, observational study, cook and associates recruited 851 patients who were likely to receive mechanical ventilation (MV) for more than 72 hours.

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• Room Assignment and VRE Transmission

  Among all factors associated with VRE transmission, VRE acquisition may depend on room contamination, even after extensive cleaning.

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• Long-Term Outcome Poor After Prolonged Ventilator Weaning

  This large, single-center observational study found that 5-year survival of patients requiring prolonged mechanical ventilation and care at an in-patient hospital-based weaning unit was only 19%.

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• Operation Iraqi Freedom: Some Lessons Learned From the Gulf

  This is a personal account of military medicine in the recent conflict. It reflects a view from a relative newcomer to Navy medicineme. I learned many important lessons about providing medical care to the participants and bystanders of war, about the character of those involved in all areas of the conflict, and about myself.

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• Pharmacology Watch: Valacyclovir Reduces Genital Herpes Transmission

  A once-a-day dose of a valacyclovir reduces the rate of transmission of genital herpes (HSV-2) from an infected partner to an uninfected susceptible partner, according to a new study.

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• Clinical Briefs in Primary Care Supplement

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