Critical Care Alert – November 1, 2011
November 1, 2011
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Abstract & Commentary: TPN? And When?
This was a prospective, randomized, controlled, multicenter trial that took place between 2007 and 2010 at seven ICUs in Belgium. Inclusion criteria were evidence of nutritional impairment or significant risk for it (measured using a validated and standardized nutritional risk screen questionnaire) and age > 18 years. -
Abstract & Commentary: Saddle Pulmonary Embolism: Is It the Same as 'Massive' PE?
Saddle pulmonary embolism (SPE) is defined as the presence of a thromboembolus located at the bifurcation of the main pulmonary artery. -
Abstract & Commentary: Risks of ICU Admission Include Unintentional Discontinuation of Medications
To determine the risk of potentially unintended discontinuation of common, evidence-based medications for chronic disease, Bell and colleagues examined administrative records for 12 years (19972009) for all hospitalized patients and all outpatient prescriptions in Ontario, Canada. -
Abstract & Commentary: Daily Prompting on ICU Checklist Use Improves Patient Outcomes as Well as Processes of Care
Previous studies have shown that the use of a multi-part daily rounding checklist reduces errors of omission in the ICU such as failure to discontinue empirically started antibiotics, to perform spontaneous breathing trials to see whether ventilated patients can be weaned and extubated, or to provide prophylaxis against deep venous thrombosis (DVT). -
Pharmacology Watch: Medication Poisonings Are Increasing in Children
In this issue: Medication poisonings in children; rosuvastatin vs atorvastatin for atherosclerosis; saw palmetto for prostate symptoms; using atypical antipsychotics for off-label indications in adults; and FDA actions. -
Clinical Briefs in Primary Care supplement