Critical Care Alert
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Is Exposure to Arterial Hyperoxia During Critical Illness Dangerous?
Exposure to severe hyperoxia during critical illness is associated positively with increased ICU and hospital mortality and associated negatively with ventilator-free days.
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Risk Factors for Hospital Readmissions Ending in Death or Transition to Hospice
This study highlights factors that are associated with an increased risk of hospital readmission within 30 days and adds to the growing body of literature on healthcare use after a hospitalization for sepsis.
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Healthcare Use in Survivors of Sepsis
The need to understand patterns of healthcare use in sepsis survivors has gained momentum to assess whether readmissions could be prevented.
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Surviving Sepsis Campaign Guidelines Bundle: Studying How Improved Compliance Might Affect Outcomes
Improved compliance with the Surviving Sepsis Campaign guidelines bundle was associated with a non-statistically significant decrease in the in-hospital mortality of severe sepsis patients.
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The ABCs of In-hospital Cardiac Arrest
In this large, propensity-matched cohort study of patients who experienced an in-hospital cardiac arrest, patients who underwent endotracheal intubation had worse survival to hospital discharge than patients who were not intubated.
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The Clinical Utility of Measuring Dead Space Ventilation in Critical Illness
Here are some of the technologic and physiologic aspects of capnography as they relate to dead space ventilation and their application in the management of critically ill patients.
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Hyperoxia in ICU Patients May Cause Harm
Patients randomized to maintain oxygen saturation between 94-98% experienced better outcomes than patients allowed to receive partial pressure of oxygen > 150 mmHg.
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Surviving Critical Illness: Who Returns to Work?
Three months after surviving critical illness due to respiratory failure or shock, more than 60% of survivors experienced a decrease in employment. At 12 months, almost half of survivors still experienced a decrease in employment.
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ECMO as a Rescue Strategy for Severe ARDS and Beyond
Extracorporeal membrane oxygenation has been used as a rescue therapy for patients with severe acute respiratory distress syndrome who fail to respond to traditional low tidal volume lung protective ventilation with optimal positive end-expiratory pressure interventions and other strategies.
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Strategies to Manage the Failed Airway
In this large, multicenter, retrospective study, video laryngoscopy, the most common approach to failed airway management, demonstrated a high rate of success, even when difficult ventilation existed.