Critical Care
RSSArticles
-
Can Procalcitonin Predict Need for ICU Admission in Community-acquired Pneumonia Patients?
In a prospective cohort study of adults hospitalized with community-acquired pneumonia, higher serum procalcitonin levels on admission were associated with an increased risk of invasive respiratory and/or vasopressor support within 72 hours and improved the performance of pneumonia severity scores in identifying high-risk patients.
-
A Perspective on Tidal Volume Reduction in Acute Respiratory Distress Syndrome
Less than 20% of acute respiratory distress syndrome patients were treated at any point during mechanical ventilation with a tidal volume at or below the target used during the NIH ARDSNet trials.
-
Novel Oral Anticoagulants in the Critical Care Setting
While the risk of major bleeding complications seems less with novel oral anticoagulants, they present unique challenges in the ICU.
-
The Initial Evaluation and Clearance of Spinal Injuries in Emergency Medical Practice
The initial evaluation and management of patients with potential spinal injuries in emergency medicine practice is in evolution. The authors thoughtfully explore the evidence available and its limitations.
-
Cardiovascular Events Associated with Masked Hypertension and White-coat Hypertension
Analysis from the Dallas Heart Study consisting of 3027 adults revealed that both white-coat hypertension and masked hypertension were independently associated with increased cardiovascular events, and, therefore, home blood pressure monitoring is recommended for U.S. adults, whether symptomatic or asymptomatic.
-
ICH May Clinically Mimic TIA
In a large retrospective review of 2137 patients with intracerebral hemorrhage, 34 had transient symptoms that could have been misclassified as “transient ischemic attack” if brain imaging had not been performed.
-
Is Anticoagulant Bridging Needed in Patients with Atrial Fibrillation Going to Surgery?
In patients with atrial fibrillation who had warfarin treatment interrupted for an elective operation or other elective invasive procedure, forgoing bridging anticoagulation was not inferior to perioperative bridging with low molecular weight heparin for the prevention of arterial thromboembolism and decreased the risk of major bleeding.
-
Postoperative Atrial Fibrillation Management — You Can’t Go Wrong
Rate control and rhythm control strategies for cardiac surgery patients with postoperative atrial fibrillation lead to similar hospital durations, similar complication rates, and similar very low rates of atrial fibrillation at 60-day follow-up.
-
One Quarter of General Medicine Readmissions May Be Preventable
The major concept behind the effort to reduce 30-day readmission rates is the impression that some readmissions are preventable and some are not preventable.
-
Acetazolamide in Mechanically Ventilated Patients with COPD: Is There a Benefit?
Compared to placebo, the use of acetazolamide in mechanically ventilated patients with COPD does not significantly reduce the duration of mechanical ventilation.