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Difficult intubations are usually the result of a difficult airway, sometimes anticipated and sometimes not.
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Consensus guidelines recommend the use of either dopamine or norepinephrine as first-line therapy for patients with shock, but recent observational evidence suggests norepinephrine may be associated with better outcomes.
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Intensive care practitioners are constantly faced with questions about their patients' hemodynamic issues, including the volume status, fluid responsiveness, and the need for vasopressors or inotropic support.
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In this issue: Fractures and bisphosphonate therapy, warfarin anticoagulation and influenza vaccine and cotrimoxazole, antiplatelet therapy with clopidogrel and aspirin, FDA Actions.
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Casey and colleagues compared the effects on pain, level of consciousness, and vital signs of 2 different doses of remifentanil and placebo for removal of chest drains after cardiac surgery in 60 patients.
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Raurich and colleagues studied 80 patients with acute respiratory distress syndrome (ARDS) to determine whether the alveolar dead-space fraction (VD/VT, the proportion of each breath that does not participate in gas exchange) was a predictor of ultimate survival. The patients were ages 18 years or older, acutely ill in the investigators' ICU, and met the current international diagnostic criteria for ARDS.
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This study from a surgical ICU in a french university hospital sought to determine the effect on catheterization duration of a daily reminder notifying physicians that the patient had a central venous catheter (CVC) or urinary tract catheter (UTC) and asking whether there was continued need for that catheter.
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Endotracheal tubes (ETTs) coated with antimicrobial substances can reduce bacterial adhesion on the tube, block biofilm formation, and reduce bacterial burden in tracheal secretions. Various antimicrobial agents have been employed for this purpose.
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This clinical study was carried out to test the hypothesis that acetazolamide (Diamox®) would correct metabolic alkalosis and facilitate weaning in intubated patients with severe chronic obstructive pulmonary disease (COPD) who had elevated serum bicarbonate and were alkalemic.
