Cognitive Effects of Estrogen Therapy; Vitamin Therapy and Restenosis; Echinacea and the Common Cold; Effects of Paxil in Children Under 18; FDA Actions.
Ventilator-associated pneumonia (vap) is nosocomial pneumonia occurring in a mechanically ventilated patient > 48 hours after intubation. It is categorized as early-onset (defined by most experts as 48-96 hours after intubation) and late-onset (> 2-96 hours after intubation): these differ with respect to responsible bacterial agents as well as outcomes. With an estimated incidence of 8-28% of intensive care unit (ICU) patients, or 13-35 cases per 1000 ventilator-days, VAP is common.
This meta-analysis of clinical trials of steroids in septic shock demonstrates that whereas short-term, high-dose administration actually worsens survival, giving lower doses for a longer period hastens shock resolution and improves survival.
This issue reviews the current status of SARS, influenza, and community-acquired pneumonia, providing essential information for emergency physicians and recommendations at a time when the therapeutic landscape for management of patients constantly is evolving.
Prevention of Cardiovascular Events with Low-Dose Aspirin and Vitamin in Type 2 Diabetic Patients; Cinnamon Improves Glucose and Lipids of People with Type 2 Diabetes; Depression Care on Pain and Functional Outcomes Among Adults with Arthritis
Previous work has demonstrated that bed partners of people with sleep apnea and snoring are at increased risk for depression, insomnia, and daytime sleepiness.
Heres help from a new bookRisk Management and Ethics in Pediatric Emergency Care.