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This 3-year cohort surveillance study of all adult patients admitted to ICUs in one region found that they were common (developing in 6.5% of patients, or 9.6 UTIs per 1000 ICU days) but did not contribute independently to mortality.
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This single center observational cohort study reveals that ARDS survivors have persistent neurocognitive, psychiatric and quality of life impairments at 2 years.
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This cost-effectiveness analysis based on available published data suggests that the routine use of maximum sterile barriers for central venous line insertion would reduce the incidence of line-related infections and save both money and lives.
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This prospective, randomized trial evaluated the role of early percutaneous tracheostomy in critically ill adults projected to require more than 14 days of mechanical ventilation. They found significant reductions in ICU length of stay, the incidence of ventilator-associated pneumonia, and mortality.
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Promising New Weight Loss Drug?; Treating Shift-Work Disorder; Another Flu Vaccine Shortage?; FDA Actions
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This single-center, prospective, observational study of resuscitation for in-hospital cardiac arrest reveals that the performance of cardiopulmonary resuscitation is inconsistent with current guidelines.
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In this multicenter clinical trial of patients with severe community-acquired pneumonia, a 7-day course of low-dose hydrocortisone infusion was associated with decreased signs of inflammation and significant reductions in duration of mechanical ventilation, hospital length of stay, and in-hospital mortality.
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This meta-analysis of published trials comparing HMEs and heated humidifiers found a significant reduction in VAP when they were used, particularly among patients who required more than 7 days in the ICU.
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Once intensive care practices have been well standardized, patient safety becomes one of the biggest issues in the ICU in terms of management of health care quality (affecting the outcomes of patients admitted to the ICUs). The acquisition of nosocomial infections in the ICU is known to significantly affect patient outcomes such as ICU and hospital mortality and length of ICU and hospital stays.