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Zometa and hip fractures; Merck HIV Vaccine Ineffective in Clinical Trial; Thimerosal and Mercury Exposure; FDA Actions
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There is little debate that tidal volume (VT) should be lowered in patients with acute lung injury (ALI) or the acute respiratory distress syndrome (ARDS).
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In this study of surgical ICU patients in whom chest tubes were placed percutaneously for pneumothorax or sterile pleural effusion, 21% of the tubes were found on chest CT to be in a fissure, and another 9% were intraparenchymal. Only a minority of the malpositions were described in the official radiology reports.
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With better immunosuppressive therapy and ICU care, invasive aspergillosis is being encountered more often. Making the diagnosis is challenging, especially in lower-risk patients such as those with COPD and cirrhosis.
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Stopping statins, even briefly, after stroke or cardiovascular surgery increases vascular complications according to 3 new studies.
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Although it is understood that good nutrition is essential for normal immune function, wound healing and maintenance of muscle mass and function, and is likely beneficial for overall recovery from the highly catabolic state of acute critical illness, it is less clear when and how best to deliver adequate nutritional support in practice.
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When used in conjunction with clinical and radiographic data, brain natriuretic peptide levels may provide a non-invasive alternative for distinguishing between ARDS and cardiogenic pulmonary edema in patients with severe hypoxemic respiratory failure.
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High-Dose Statin Therapy, Value for Older Adults; Simvastatin, Best for
Parkinson's Disease; Polyethylene Glycol for Chronic Constipation; FDA
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