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Most critically ill patients require mechanical ventilation, and, according to one large survey, the weaning process occupies about 40% of the time that patients spend connected to the ventilator.
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n this issue: Stop smoking drug Chantix rates stronger warning from FDA; Type 2 diabetes surgery on the way?; Vytorin study inconclusive; Influenza A virus found resistant to Tamiflu; FDA actions.
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A prospective observational study was conducted to assess diagnostic and therapeutic efficacies of a daily routine CXR and to evaluate the impact of discontinuing this practice. The setting was a 10-bed mixed medical-surgical ICU of a non-academic teaching hospital in The Netherlands.
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Most of the attention on catheter-related bloodstream infections (CR-BSI) in the ICU focuses on central venous catheters (CVC), a bias that likely derives, in part, from the 2002 Centers for Disease Control guidelines which stipulate that arterial catheters (AC) have "low infection ratesrarely associated with bloodstream infections.
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This single-center, retrospective study examined ICU mortality and various risk factors among critically ill patients who developed bacteremia during their VAP episode.
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Use of specially trained palliative care teams in the ICU has increased in frequency in recent years. Consultation by these teams tends to occur very late in patients' length of stay. Few studies have been performed evaluating outcomes, such as length of stay.
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Invasive aspergillosis (IA) is increasingly recognized as a source of infection in immunocompromised ICU patients, but accurate diagnosis remains challenging.
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In the majority of patients who develop the acute respiratory distress syndrome (ARDS), oxygenation can be supported using increased inspired oxygen concentrations (FIO2) or higher levels of positive end-expiratory pressure (PEEP).
