Critical Care
RSSArticles
-
Elucidating the Long-Term Effects of COVID-19
In this prospective uncontrolled cohort study of COVID-19 survivors performed four months after their hospitalization, many patients reported at least one symptom not previously present, and abnormalities on lung computed tomography scan were common. -
High Pleural Pressure Prevents Overdistension in ARDS Patients with High Body Mass Index
High airway pressure is required to recruit lung atelectasis in patients with acute respiratory distress syndrome and body mass index ≥ 35 kg/m2. -
Use Push-Dose Phenylephrine with Caution in Septic Patients
Phenylephrine pushes in septic patients were associated with early hemodynamic stability, but higher intensive care unit mortality.
-
Fewer Family Meetings in ICU Are Reason for Dissatisfaction
Supporting families faced with making critical decisions for incapacitated loved ones is a core ethical duty for ICU clinicians. Yet little is known about family characteristics that predict their dissatisfaction with support during decision-making. -
Rapid Intermittent Bolus of Hypertonic Saline May Be Better Way to Correct Symptomatic Hyponatremia
Hypertonic saline given via rapid intermittent bolus therapy was as effective and safe as slow continuous infusion, and was associated with a lower rate of recorrecting treatment and higher efficacy in achieving goal sodium within one hour. -
Stimulant-Based Drugs of Abuse in the Trauma Patient
Substance abuse is a major healthcare issue with effects on all aspects of patient care, including trauma. A large percentage of trauma patients have a positive drug screen, and acute and chronic abuse have impacts both on the acute and long-term management of these patients. This report is the first of a two-part series and focuses on stimulants and substances with sympathomimetic properties, with particular attention to the impact on the trauma patient.
-
The Effect of Antiviral Drugs on COVID-19 Outcomes and Mortality
The WHO Solidarity Trial Consortium found that remdesivir, hydroxychloroquine, lopinavir, and interferon regimens had “little or no effect” on relevant outcomes. -
Prone Positioning May Improve Outcomes for Patients on ECMO for Severe ARDS
In patients on venovenous extracorporeal membrane oxygenation for acute respiratory distress syndrome, prone positioning is safe and feasible. Prone positioning appears to improve survival but increases length of stay. -
Ethics in the ICU: Negotiating Requests for Inappropriate Treatments
When requests for potentially inappropriate treatments occur, the initial steps include increasing communication and improving mutual understanding to find a path that is appropriate while honoring the goals and concerns expressed by patients and their families. -
Evolving Efforts to Integrate Critical Care and Palliative Care
Palliative care should be integrated into serious illness care at any point following diagnosis. This can happen in conjunction with curative treatment, or as a standalone intervention focused on comfort at the end of life.