Critical Care Topics
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Extracorporeal Life Support Does Not Improve Outcomes in Patients with Cardiogenic Shock Receiving Early Revascularization
The use of extracorporeal cardiopulmonary resuscitation (ECPR) in patients with acute myocardial infarction-related cardiogenic shock who underwent early revascularization did not result in improved mortality at 30 days and resulted in more major bleeding and peripheral vascular complications.
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Strike the Balance: Evolving Venous Access Practices in the Intensive Care Unit
This feature offers a focused review of the existing literature on PICC and temporary CVC use in the critically ill for healthcare professionals navigating this rapidly evolving field during their daily clinical activities.
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Lung Ultrasound Score Can Adequately Diagnose Acute Respiratory Distress Syndrome
In this prospective, observational study, lung ultrasound showed comparable diagnostic performance to standard diagnostics but better accuracy.
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Studying Patients at High Risk for Death in the ICU Can Give Them a Voice and Help Clinicians Understand Their Concerns
Using a multiple-source approach, this study showed that when given a voice, patients at high risk of dying in the intensive care unit express variable logistical, spiritual, physical, psychological, and existential concerns that clinicians should consider and address.
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Diagnosis and Management of Pulmonary Embolism in the ICU
Prompt diagnosis and management of pulmonary embolism in the emergency room and intensive care unit (ICU), therefore, may affect the course of these patients.
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Clinicians Consider Many Factors When Deciding on Mechanical Ventilation After Sepsis
Identifying patients at high risk and crafting timely, targeted interventions can improve outcomes.
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Steroids and Pneumonia — So Meta?
In a multicenter, randomized, placebo-controlled trial, hydrocortisone lowered mortality rates among patients with severe community-acquired pneumonia.
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Ethics Consults Focus on the Criteria Used to Determine Death
Some families simply need more time to process strong emotional reactions and grief. Establishing trust can help resolve these cases. Particularly in critical care, it is important from the moment that clinicians meet a family to start to build a good therapeutic relationship with them.
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Higher Mortality Rates Among ICU Patients with Alzheimer’s Disease
Consider early and timely palliative care services instead of the ICU. Early exposure to palliative care may improve both survivability and quality of life, and may lower the risk of hospital-acquired infections.
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Intravenous vs. Nebulized Tranexamic Acid and Hemoptysis: Which Strategy Is Better?
A pragmatic, open-label, randomized, parallel, single-center pilot trial investigating nebulized vs. intravenous tranexamic acid in patients with non-massive hemoptysis showed that nebulized tranexamic acid may be more effective in reducing the amount of hemoptysis and the need for interventional procedures.