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This study of severe sepsis patients showed that intensive insulin therapy does not improve mortality or organ dysfunction, and resuscitating patients with the colloid hydroxyethyl starch is harmful.
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The risk of adverse outcomes in bacterial meningitis can be estimated upon initial patient presentation using six clinical features.
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With advances in medical science, patients with serious congenital diseases are living into adulthood. Where once cystic fibrosis patients died in infancy, patients now live into their 40s. Although many of the standard treatments for COPD apply to cystic fibrosis, there are specific differences in management, which this monograph highlights.
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Casserly and colleagues administered a case-based questionnaire to physician and nursing staffs at 2 large teaching hospitals in Ireland, to determine their knowledge and experience with respect to a common and potentially deadly event in mechanically ventilated patients with fresh tracheostomies: dislodgement of the tube from the airway during vigorous coughing.
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Despite the large role that vasopressors play in the management of septic shock, an unfortunately common problem associated with high mortality, few data exist to support using one vasopressor regimen over another.
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This study from the department of surgery at Washington University School of Medicine in St Louis sought to determine the effect on extubation and reintubation rates of implementing a mandatory daily spontaneous breathing trial (SBT) in every qualifying ventilated patient and reporting its results to the physicians managing that patient.
