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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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In this issue: WHO recommendations for antiviral use for H1N1 flu; antibiotic use trends for acute respiratory tract infection; denosumab clears FDA Expert Panel; FDA Actions.
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Levin and colleagues at Hebrew University-Hadassah Medical School in Jerusalem carried out a 4-phase study to clarify the role of radiology technicians and portable X-ray equipment as potential vectors for the spread of infection in their 20-bed ICU, as well as to determine whether an intervention designed to diminish this role would be effective.
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Nassar and colleagues at the University of São Paulo in Brazil investigated the incidence, associations, and outcomes of constipation among all patients admitted to their 14-bed surgical ICU during a 6-month period.
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After identifying the first 2 cases of novel influenza (H1N1) infection in the United States in mid-April 2009, the Centers for Disease Control and Prevention (CDC) provided interim recommendations to reduce the risk of transmission in health care settings.
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After randomized controlled trials demonstrated the benefit of daily sedation and analgesia vacations in critically ill patients, sedation and analgesia practices in many centers changed, such that patients are now maintained at a lighter depth of sedation.
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The introduction of telemedicine in the ICU dates to the 1980s when Grundy and colleagues reported results of an 18-month trial using interactive television to provide consultation between university-based critical care physicians and a small (7-bed) inner city ICU with no intensivist of its own.
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Acute pancreatitis was described by surgeon Berkely Moynihan in 1925 as " the most terrible of all calamities that occur in connection with the abdominal viscera." Although our understanding and management of this condition has progressed considerably since then, this description remains apt at least for the most advanced and complex cases of severe acute pancreatitis.
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Investigators at the University of Utah hospital carried out a comprehensive observational study of alarms that sounded in the medical ICU.