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Patients presenting with acute coronary syndromes (ACS) should be administered dual anti-platelet therapy with aspirin and a thienopyridine, such as clopidogrel. However, some patients are subsequently found to have left main (LM) or multivessel disease (MVD) and require coronary artery bypass graft (CABG) surgery.
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Abnormal uterine bleeding affects females of all ages and is a common complaint in gynecologic practice. An estimated $1 billion annually is spent on direct costs for this diagnosis, with another $12 billion attributed to indirect costs such as health-related supplies and missed employment.
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Flandreau and colleagues at the Hôpital de la Croix-Rousse in Lyon, France, report their experience with patients with chronic neuromuscular disease (CNMD) admitted to their 15-bed medical ICU because of acute respiratory failure (ARF).
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Cardoso and colleagues at University Hospital in Londrina, Brazil, prospectively studied all patients who were admitted to their 17-bed, closed, general adult ICU during a 12-month period.
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Communicating with family members in a manner that ensures satisfaction with the information received, assists in reducing distress, and supports decision making is challenging.
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In this issue: Anticholinergic drugs for COPD; pioglitazone for diabetes prevention; insulin degludec in Phase 3 trials; and FDA Actions.
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Although previous studies have suggested that hypocalcemia, a common problem in critical illness, is associated with increased mortality in ICU patients, and correction of hypocalcemia has been advocated to prevent neurologic and cardiovascular complications, the literature is still unclear as to the precise relationship between abnormal calcium levels both hypo- and hypercalcemia and ICU outcomes.