Critical Care Alert – July 1, 2014

July 1, 2014

• Acute Kidney Failure and Renal Replacement Therapy in the ICU: A Review

  Acute renal failure (ARF) necessitating renal replacement therapy (RRT) is a common complication in the ICU, and one associated with high mortality and demand on clinical resources.

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• Conservative Fluid Management Reduces the Incidence of VAP

  Patients on mechanical ventilation who were managed with both conservative fluid administration and aggressive diuresis weaned faster, had significantly more ventilator-free days, and experienced reduced incidences of both ventilator-associated complications and ventilator-associated pneumonia.

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• Effects of High-Flow Nasal Cannula vs Conventional Oxygen Therapy in Recently Extubated Patients

  This short-term crossover study showed that in the first hour after extubation, patients were less dyspneic and had lower respiratory and heart rates while breathing oxygen via high-flow nasal cannula than with a conventional non-rebreathing mask.

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