Critical Care Alert
RSSArticles
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Swallowing Dysfunction in Critical Illness
Maintaining a high index of suspicion for the presence of possible swallowing dysfunction is key for the clinician.
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Early Chest CT Can Improve Treatment for Community-acquired Pneumonia
In patients with suspected community-acquired pneumonia, early chest CT significantly changed management decisions.
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Does a Sedation Strategy With or Without Daily Interruption Affect Recall of ICU Stay?
Recall of the ICU stay and the type of sedation strategy did not influence the types of memories reported by critically ill patients.
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IV Crystalloids: Is One Better Than the Other?
The decision of which fluid to use is highly variable and predominantly driven by local practice rather than patient or fluid characteristics.
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Clinicians Are Skeptical of Early Warning Systems for Sepsis
While early warning systems for sepsis lead to clinical action, clinicians are skeptical and do not perceive them to be beneficial.
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Bedside Ultrasound: Is It a Reliable Tool for Guiding Resuscitation in Patients with Undifferentiated Hypotension?
The use of bedside ultrasound for patients with undifferentiated hypotension in the emergency department substantially changed the plan of care and reduced physician diagnostic uncertainty.
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Initial Choice of Fluid for Sepsis Resuscitation May Affect Mortality
The use of balanced salt solutions rather than isotonic saline or colloids may improve in-hospital mortality in patients admitted with septic shock.
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Open Lung Biopsy in Critically Ill Patients
ABSTRACT & COMMENTARY: The procedure is associated with complication of persistent air leak and a significant hospital mortality of 54%.
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Does Atrial Fibrillation Portend a Worse Prognosis in the ICU?
In this prospective, observational cohort study, both new-onset and recurrent atrial fibrillation were associated with increased hospital mortality, especially in patients without sepsis.
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Nutrition in the ICU: The Controversy Continues
When comparing critically ill patients who receive standard enteral feeding vs permissive underfeeding, there is no difference in 90-day mortality.