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Prevention of ventilator associated pneumonia (VAP) is a key area of focus for promoting quality of care in the intensive care unit (ICU) and best patient outcomes.
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This article reports on a questionnaire study administered to medical students, residents in internal medicine and surgery, and staff physicians at the University of Toronto in the summer of 2006.
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This study's primary aim was to document the risk factors for stress ulcers and the use of stress ulcer prophylaxis (SUP) in patients upon ICU admission, transfer to the floor, and discharge home.
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In this study using a large database of adult patients admitted to 77 ICUs in Austria from 1998 through 2007, Funk and colleagues examined the association between initial values for serum sodium (either below or above the normal range of 135-145 mmol/L) and the outcomes of ICU and hospital stays.
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In this issue: Efficacy of once-daily insulin, aldo-sterone use in heart failure, erectile dysfunction Clinical Practice Guidelines, and FDA Actions.
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Peek and colleagues have recently published the long-awaited and much-discussed results of the CESAR trial (Conventional ventilatory support vs Extracorporeal membrane oxygenation [ECMO] for Severe Adult Respiratory failure), a British study that has been underway for nearly a decade.
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Delirium is a common and serious disorder in ICU patients, with up to 87% incidence in some ICU populations. Studies have shown that delirium is associated with higher costs and complication rates, namely increased ventilator days and longer hospital stays.
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After initial trials showed a mortality benefit from the use of insulin drips and tight glucose control in the ICU, subsequent studies have shown mixed results and, in some cases, increased mortality and episodes of hypoglycemia.
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In this issue: Depression and pregnancy, new vaccine recommendations from the CDC, cortico-steroids and/or antivirals for Bell's palsy, rasagiline and Parkinson's disease, and FDA Actions.
