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In this study, investigators from the combined medical-surgical ICU at Vienna General Hospital in Austria determined the physiologic effects of lateral rotation therapy in 12 consecutive patients with acute lung injury (ALI) or the acute respiratory distress syndrome (ARDS).
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Problems resulting from substance abuse can impact care provided in any health care setting, including the care of critically ill patients. Ideally, an impaired provider will be recognized early and assisted to accept treatment before patient care is compromised.
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Professional burnout is a psychological syndrome in response to chronic interpersonal stressors on the job. In order to determine the prevalence of burnout among physicians working in ICUs, and to investigate associated factors, the investigators carried out a nationwide one-day survey study in the adult ICUs of 189 French public hospitals.
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Ouimet and colleagues at Maisonneuve-Rosemont Hospital in Montreal studied 820 consecutive patients admitted to their mixed medical-surgical ICU to determine the incidence of delirium, factors associated with it, and its clinical consequences. The patients were adults who stayed in the ICU more than 24 hours and survived for at least 1 day.
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Ventilator-Associated Pneumonia (VAP) is a major nosocomial infection associated with increased morbidity and perhaps with some attributable mortality. There has been great controversy as to which is the best practical strategy to diagnose and treat VAP.
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In 2000, the Acute Respiratory Distress Syndrome Network (ARDSnet) reported an unprecedented low mortality for ARDS patients ventilated with a tidal volume of 6 mL/kg of predicted body weight (and a plateau pressure ¡Ü30 cm H2O) compared to a tidal volume of 12 mL/kg.
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Citalopram Useful for Depression in CDA Patients;; When to Stop Anticoagulation Before Surgery?;; Drug Warnings: Ranibizumab and Bevacizumab;; Growth Hormone Treatment, More Harm Than Good;; FDA Actions
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In this study from Rush University Medical Center in Chicago, Duckro and colleagues carried out a careful molecular epidemiologic study of the transmission of vancomycin-resistant enterococci (VRE) to the hands of health care workers from both intact skin areas of VRE-colonizes patients and various environ mental surfaces in the patients vicinity.
