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Although the original study by Van den Berghe et al sparked interest in the use of intensive insulin therapy in the ICU, subsequent studies have cast doubt on the efficacy and safety of this practice.
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Tracking the utilization of intensive care unit (ICU) resources is important in informing clinicians of patterns of use and costs of care, especially as the proportion of patients aged 65 and older increases and ICU resources remain limited.
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This study reports on the results of a single-hospital study of a quality improvement intervention to improve palliative care in the ICU.
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The purpose of this study was to determine whether use of a simple, easy-to-view, color-coded device could increase adherence to head-of-bed (HOB) elevation guidelines. The device consisted of a piece of glossy printer paper cut into a triangle.
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When critical illness occurs, the primary goal is to assist patients to survive the acute threat to their lives. This goal is commonly achieved with 75%-90% of patients who are admitted to an intensive care unit (ICU) surviving to discharge.
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With pulmonary computed tomographic (CT) angiography increasingly used to diagnose acute pulmonary thromboembolism (PE), it has become commonplace to report not only the presence of clot when the study is positive, but also an estimate of the clot burden.
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The lung-protective effects of low tidal volumes, as demonstrated by the ARDSnet study, are well accepted in patients with acute lung injury (ALI) or acute respiratory distress syndrome (ARDS).
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In the issue: 5-á reductase inhibitors and hip fracture in men; the effects of drug-reimbursement policy on outcomes; new guidelines for type 2 diabetes; beta-blocker-associated brady-cardia is linked to CVD events; FDA Updates.
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Investigators in the Department of Neurology at the Mayo Clinic in Rochester, MN, reviewed the charts of patients admitted with myasthenic crisis (MC) between 1987 and 2006 who received either invasive or noninvasive mechanical ventilation.