Critical Care
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Emergent Vascular Access: Is Intraosseous Better Than Central Venous Catheter Placement?
Traditionally, the easiest vascular access has been placement of a triple lumen catheter in the femoral vein, as anatomic landmarks here are often easier to identify than other areas, minimizing the need for ultrasound assistance. -
Using Critical Care Ultrasonography to Diagnose the Etiology of Acute Respiratory Failure
Thoracic ultrasound and limited echocardiography may be useful to help differentiate the causes of acute hypoxic respiratory failure in the ICU.
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Optimal Duration of Anticoagulation for Unprovoked Pulmonary Embolism
Treatment for 24 months with oral anticoagulation for unprovoked, first-time pulmonary embolism was superior to treatment for 6 months only.
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The Complex Intersection of Critical and Palliative Care
Ventilator withdrawal with expected death is now considered an ethically and morally acceptable practice. Here's what you need to know.
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Pediatric Head Injury
The impact of traumatic brain injury as a leading cause of death and morbidity in the pediatric population cannot be ignored, and significantly impacts any provider who cares for children.
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Emergent Vascular Access: Is Intraosseous Better Than Central Venous Catheter Placement?
In this single-center, prospective, observational study, intraosseous access outperformed central venous catheter placement in terms of first-pass success rates, mean placement times, and complication rates.
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Is Peripheral Intravenous Administration of Vasopressors Really Safe?
The administration of vasoactive medications by peripheral intravenous access is safe and feasible in critically ill, hypotensive patients.
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What's in a Name: Should Protocols for Sepsis Treatment Be So Complete?
ABSTRACT & COMMENTARY: Early and aggressive goal-directed therapy treatment for sepsis leads to a decrease in mortality.
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Cryptogenic Stroke and Atrial Fibrillation
In large prospective databases of ischemic stroke, cryptogenic stroke occurs in as many as 30% of all ischemic stroke patients. Many of these patients have the characteristics of cardioembolic stroke, and there has always been a strong suspicion that some of these patients have atrial fibrillation.
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Antibiotics for Intra-abdominal Infections: Less Is More
Complicated intra-abdominal infections cause significant morbidity and mortality, especially in the elderly. Often these infections are treated with antibiotics until all the signs and symptoms of the systemic inflammatory response syndrome resolve, typically for 7 to 14 days.