Critical Care Alert – February 1, 2008

February 1, 2008

• Bacteremia During Ventilated-Associated Pneumonia is Associated with Increased Risk of Death

  This single-center, retrospective study examined ICU mortality and various risk factors among critically ill patients who developed bacteremia during their VAP episode.

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• Proactive Palliative Care in the Medical ICU Affects Length of Stay for High-Risk Patients

  Use of specially trained palliative care teams in the ICU has increased in frequency in recent years. Consultation by these teams tends to occur very late in patients' length of stay. Few studies have been performed evaluating outcomes, such as length of stay.

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• BAL Galactomannan to Diagnose Invasive Aspergillosis in the ICU

  Invasive aspergillosis (IA) is increasingly recognized as a source of infection in immunocompromised ICU patients, but accurate diagnosis remains challenging.

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• Special Feature: Managing Critical Hypoxemia in The ICU

  In the majority of patients who develop the acute respiratory distress syndrome (ARDS), oxygenation can be supported using increased inspired oxygen concentrations (FIO2) or higher levels of positive end-expiratory pressure (PEEP).

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• Pharmacology Watch: Another Study Implicates Avandia

  Prilosec and Nexium Cleared; Anastrozole over Tamoxifen for Breast Cancer; Antibiotics and Steroids Not for Sinusitis; FDA Actions

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• Clinical Briefs in Primary Care supplement

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