Critical Care Alert – July 1, 2021

July 1, 2021

• Use Push-Dose Phenylephrine with Caution in Septic Patients

  Phenylephrine pushes in septic patients were associated with early hemodynamic stability, but higher intensive care unit mortality.
  
  
  

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• High Pleural Pressure Prevents Overdistension in ARDS Patients with High Body Mass Index

  High airway pressure is required to recruit lung atelectasis in patients with acute respiratory distress syndrome and body mass index ≥ 35 kg/m².

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• Elucidating the Long-Term Effects of COVID-19

  In this prospective uncontrolled cohort study of COVID-19 survivors performed four months after their hospitalization, many patients reported at least one symptom not previously present, and abnormalities on lung computed tomography scan were common.

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• Driving Pressures More Strongly Predicted Survival than P/F Ratios in Patients with ARDS

  Optimizing positive end-expiratory pressure to minimize driving pressure may be a better strategy for ventilator adjustment than maximizing partial pressure of arterial oxygen/fraction of inspired oxygen (P/F) ratios to improve outcomes in patients with acute respiratory distress syndrome.

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