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In this study from the Mayo Clinic in Rochester, MN, Herasevich et al tested an electronic algorithm that incorporated patient characteristics and ventilator data and notified clinicians immediately when potentially injurious ventilator settings were being used.
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Laboratory studies and clinical data support the concept that prolonged mechanical ventilation (PMV) can induce or worsen lung injury, via activation of inflammatory mediators and/or microvascular fibrin deposition, processes that may be ameliorated by heparin.
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Pain defined as an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage1 is a common symptom experienced by critically ill patients.
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Gershengorn and colleagues used prospectively collected data from the Project IMPACT database (a nationwide, voluntary, proprietary database for assessing performance of U.S. ICUs with respect to patient outcomes and numerous other variables) to examine the question of whether the use of arterial catheters (ACs) in critically ill, mechanically ventilated patients was associated with improved survival or other documentable benefits.
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The Choosing Wisely Campaign was introduced in 2011 by the American Board of Internal Medicine to identify practices and procedures physicians and patients should question. The critical care top 5 list was developed through a collaborative effort of several critical care societies.
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In this examination of outcomes among 17,239 patients admitted to the ICU for an acute exacerbation of COPD, most of them received higher than recommended doses of corticosteroids (> 240 mg/d methylprednisolone equivalent).
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Managing COPD with noninvasive ventilation following early extubation resulted in significant improvements in several patient-centered outcomes compared to current weaning practices.
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Interactive questioning, defined as how communication occurs during handovers, differed in ways that influenced message clarity when comparisons were made between those with more training (attending physicians, nurse practitioners) and less training (residents, staff nurses).
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The authors present an updated review of the use of tissue plasminogen activator in patients with acute ischemic stroke.