Critical Care Alert – January 1, 2017

January 1, 2017

• Early Initiation of Continuous Renal Replacement Therapy May Reduce Mortality in Patients Who Require Dialysis

  Initiation of continuous renal replacement therapy for patients with Kidney Disease: Improving Global Outcomes stage 2 renal failure reduced 90-day all-cause mortality.

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• A Prospective, Randomized Comparison of Video and Direct Laryngoscopy

  In the largest prospective, randomized trial to date, use of video laryngoscopy improved glottic visualization but did not increase procedural success or decrease complications compared to direct laryngoscopy in medical ICU patients.

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• Reducing Stress and Anxiety in Mechanically Ventilated, Critically Ill Patients: Does Chaplain-assisted Spiritual Care Play a Role?

  In mechanically ventilated, critically ill patients without delirium or dementia, chaplain-led, picture-guided spiritual care is feasible and shows the potential for reducing anxiety and stress during and after an ICU admission.

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• Categorizing Acute Respiratory Distress Syndrome as Direct vs. Indirect Injury

  This retrospective observational study compared patients with acute respiratory distress syndrome classified as presenting with direct vs. indirect lung injury and found distinct differences in traditional predictors of hospital mortality between these subgroups.

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