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Patients with acute coronary syndrome present one of the most common admission diagnoses in the intensive care unit. For non-cardiology intensivists, the ever-evolving treatment algorithms present a challenging body of literature on which to remain current.
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In the application of non-invasive ventilation (NIV) in the management of patients with acute respiratory failure, Fraticelli and colleagues at Henri Mondor Hospital in Créteil, France, sought to determine the clinical effects of using interfaces with varying dead space and other features.
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In this issue: Aspirin dose and cardioprotection; uncovering modafinil's abuse potential; proton-pump inhibitors and clopidogrel; FDA actions.
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Nucleic acid amplification (NAA) testing should be performed on at least one respiratory specimen from each patient with signs and symptoms of pulmonary TB for whom a diagnosis of TB is being considered but has not yet been established, and for whom the test result would alter case management or TB control activities.
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Preliminary data indicate that the prevalence of influenza A (H1N1) virus strains resistant to the antiviral medication oseltamivir is high. Therefore, interim guidelines issued by the CDC are to use zanamivir or a combination of oseltamivir and rimantidine if influenza A (H1N1) infection is suspected.
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Sleep disordered breathing occurs in most acute stroke patients and may contribute to morbidity
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This meta-analysis of studies examining the efficacy of systemic corticosteroids for preventing laryngeal edema following extubation concludes that this treatment is effective. This result differs from those of several previous meta-analyses, and raises practical issues such as whether extubation should be delayed for at least 12 hours after a patient passes a spontaneous breathing trial and qualifies for extubation so that a course of steroids can be given.
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Ray et al examined the computerized files of Tennessee Medicaid recipients to estimate the effects of atypical antipsychotic drugs on the risk of sudden cardiac death.
