Critical Care Alert – April 1, 2013
April 1, 2013
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High-Flow Nasal Cannula — What Is it, How Does it Work, and Do We Know if it Works?
The use of high-flow nasal cannula (HFNC) systems for oxygen delivery in critical care has exploded over the past decade. -
Open-Lung Ventilation in ARDS is Not Necessarily Lung Protective
These two reports of large, multicenter, randomized, controlled trials of high-frequency oscillatory ventilation (HFOV) as compared to conventional lung-protective ventilation (LPV) in patients with the acute respiratory distress syndrome (ARDS) were electronically published on the same day in The New England Journal of Medicine. -
How Safe is Bronchoscopy in Hypoxemic, Nonintubated ICU Patients?
In this multicenter observational study carried out in eight ICUs in France, Cracco and colleagues evaluated the safety of fiberoptic bronchoscopy (FOB) when performed in acutely ill, nonintubated patients who were receiving supplemental oxygen and/or noninvasive positive-pressure ventilation (NIPPV). -
Nurse-Managed Ventilator Weaning Protocol Results in Positive Clinical Outcomes
The purpose of this study was to compare the usual method of physician-directed weaning from mechanical ventilation to a weaning protocol directed and managed by bedside ICU nurses. -
Pharmacology Watch: Is This the End of the Road for Calcium Supplementation?
In this issue: Calcium supplementation in women; type 2 diabetes treatments and pancreatitis risk; treating chronic idiopathic urticaria; rivaroxaban and VTE; and FDA actions. -
Clinical Briefs in Primary Care supplement