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Ventilator-related deaths and injuries often are caused by multiple system failures, especially in the ICU, according to a recent report from the Joint Commission on Accreditation of Healthcare Organizations.
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The fatality rates for hospital-associated pneumonia in general, and of ventilator-associated pneumonia (VAP) in particular, are high. For hospital-associated pneumonia, attributable mortality rates of 20% to 33% have been reported, according to the draft pneumonia prevention guideline by the Centers for Disease Control and Prevention (CDC).
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Synopsis: This carefully done systematic review of the existing literature shows that overall mortality and ICU length of stay are better with increasing involvement of critical care physicians in patient care.
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The purpose of this pre- and postintervention observation study was to evaluate the effect of an educational initiative on ventilator-associated pneumonia (VAP) rate. The educational program was directed towards respiratory therapists and critical care nurses.
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La Puma J. Vitamin A and fracture risk. Altern Med Alert 2003;6(3):36.
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The Centers for Disease Control and Prevention published Smallpox Vaccination and Adverse ReactionsGuidance for Clinicians in the Jan. 24th edition of Morbidity and Mortality Weekly Report.
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Synopsis: Death due to cardiac structural complications is rare in young Marfans patients followed carefully on medical therapy, but arrhythmogenic sudden death occurs and is more common in those with LV dilatation.
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Synopsis: Amiodarone is superior to placebo for cardioversion of AF when measured at 24 hours after drug administration.
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Synopsis: In asymptomatic patients with preexcitation, electrophysiologic testing can stratify the risk of future symptomatic and fatal arrhythmic events.