Critical Care Alert – July 1, 2016

July 1, 2016

• Novel Oral Anticoagulants in the Critical Care Setting

  While the risk of major bleeding complications seems less with novel oral anticoagulants, they present unique challenges in the ICU.

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• A Perspective on Tidal Volume Reduction in Acute Respiratory Distress Syndrome

  Less than 20% of acute respiratory distress syndrome patients were treated at any point during mechanical ventilation with a tidal volume at or below the target used during the NIH ARDSNet trials.

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• Can Procalcitonin Predict Need for ICU Admission in Community-acquired Pneumonia Patients?

  In a prospective cohort study of adults hospitalized with community-acquired pneumonia, higher serum procalcitonin levels on admission were associated with an increased risk of invasive respiratory and/or vasopressor support within 72 hours and improved the performance of pneumonia severity scores in identifying high-risk patients.

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• Predicting the Success of Prone Positioning with Lung Ultrasound

  Lung ultrasound may be useful in predicting which patients with acute respiratory distress syndrome would favorably respond to prone positioning.

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