Critical Care
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Occult Hypoxemia Is More Common in Black Patients than in White Patients About to Undergo ECMO for Respiratory Failure
In this retrospective analysis of de-identified Extracorporeal Life Support Organization registry data, the prevalence of occult hypoxemia was higher in Black patients than in white patients. Hispanic and Asian patients had a similar prevalence of occult hypoxemia compared to white patients.
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Surviving Sepsis: The New Guidelines
Subsequent revisions of Surviving Sepsis guidelines highlighted the need for early, appropriate antibiotics along with a new focus on initial resuscitation, stressing the importance of dynamic measurements instead of static variables to predict fluid responsiveness. The most recent 2021 revisions continue to stress the importance of these ideals, but they also place an increased emphasis on the hour-1 bundle and improving the care of sepsis patients after they are discharged from the intensive care unit.
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Conflict Common Between ICU Clinicians
Ethicists often are seen as a neutral party. Their review of a situation can help provide space to reflect on how the conflict arose.
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Critical Care Nurse Researchers Must Know IRB Process
Many critical care nurses are involved in study recruitment. Lack of basic knowledge on how IRBs work can hinder this process.
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Waning Pandemic May Mean Less Interest in Advance Care Planning
National Healthcare Decisions Day is a time for Americans to document wishes for end-of-life care.
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COVID-19 Associated with Significant Increase in Hospital-Acquired Bloodstream Infections
The time period of the COVID-19 pandemic was associated with increases in hospital-onset bloodstream infections, mainly in patients with COVID-19.
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Ketamine vs. Etomidate for Emergency Intubation
In a single-center, open label study, ketamine for emergency intubation compared to etomidate was associated with lower seven-day mortality, although 28-day mortality was similar.
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Awake Prone Positioning for COVID-19-Related Acute Hypoxemic Respiratory Failure
This special feature summarizes the literature associated with awake prone positioning (APP), describes known factors related to successful APP, and highlights current recommendations regarding APP in the setting of COVID-19.
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Evaluation and Management of Burn Injuries
Although burn injuries are seen less frequently then they used to be, it is still critical for the acute care provider to stay current on best practices for the care of the burn patient. The authors provide an update on the evaluation and management of burn injuries.
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Prophylactic Post-Extubation Noninvasive Ventilation May Benefit Select Obese Patients
In this post hoc analysis, the use of noninvasive ventilation alternating with high-flow nasal cannula post-extubation decreased the risk of reintubation and death in obese and overweight patients at high risk for reintubation.