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One of the hottest topics in critical care these days is whether all ICUs should be staffed around the clock, seven days a week (24/7), by physicians with special training and qualifications in critical care (intensivists).
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The use of a rapid response system (RRS), or medical emergency team (MET), has become established as a patient safety measure to ensure early detection of patient compromise.
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This issue deals with two key topics in the ongoing discussion about how critical care should be organized: rapid response systems (also called medical emergency teams or rapid response teams) for identifying patients not in ICUs who are at risk for life-threatening deterioration, and around-the-clock intensivist staffing in the ICU.
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In the past decade, rapid response teams (RRTs) were broadly implemented to identify and treat patients on medical and surgical wards at risk for catastrophic deterioration and thus prevent death.
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Difficult intubations are usually the result of a difficult airway, sometimes anticipated and sometimes not.
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This study sought to determine whether the coagulo-pathy associated with chronic liver disease specifically the elevated International Normalized Ratio (INR) frequently present in patients with advanced disease is protective against venous thromboembolism (VTE) in hospitalized patients.
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Peterson and colleagues at rush university medical Center carried out an observational study of ICU patients' oral nutritional intake in the 7 days following extubation after mechanical ventilation for acute respiratory failure.
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In this issue: New reports about proton pump inhibitors and the effects of gastric suppression, pioglitazone vs vitamin E for non-alcoholic steatohepatitis, metformin and vitamin B12 deficiency, and FDA Actions.
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Patients with neuromuscular disease who are intubated and subsequently fail multiple spontaneous breathing trials are often relegated to placement of a tracheo-stomy and continuous mechanical ventilation.