Critical Care Alert – December 1, 2008
December 1, 2008
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Is Clot Burden on CT Angiogram Predictive of Mortality in Pulmonary Thromboembolism?
With pulmonary computed tomographic (CT) angiography increasingly used to diagnose acute pulmonary thromboembolism (PE), it has become commonplace to report not only the presence of clot when the study is positive, but also an estimate of the clot burden. -
Noninvasive Ventilation in Myasthenic Crisis
Investigators in the Department of Neurology at the Mayo Clinic in Rochester, MN, reviewed the charts of patients admitted with myasthenic crisis (MC) between 1987 and 2006 who received either invasive or noninvasive mechanical ventilation. -
What Is the Optimal Time to Perform Tracheostomy?
Tracheostomy confers patient benefits such as decreasing laryngeal irritation, improving patient communication, and decreasing sedation requirements, but the optimal timing of this procedure in critically ill patients remains a subject of considerable debate. -
Special Feature: Tidal Volume Limitation for All Intubated Mechanically Ventilated Patients: Less Is More
The lung-protective effects of low tidal volumes, as demonstrated by the ARDSnet study, are well accepted in patients with acute lung injury (ALI) or acute respiratory distress syndrome (ARDS). -
Pharmacology Watch: Are 5-á Reductase Inhibitors Associated with Hip Fractures?
In the issue: 5-á reductase inhibitors and hip fracture in men; the effects of drug-reimbursement policy on outcomes; new guidelines for type 2 diabetes; beta-blocker-associated brady-cardia is linked to CVD events; FDA Updates. -
Clinical Briefs in Primary Care supplement