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Levin and colleagues at Hebrew University-Hadassah Medical School in Jerusalem carried out a 4-phase study to clarify the role of radiology technicians and portable X-ray equipment as potential vectors for the spread of infection in their 20-bed ICU, as well as to determine whether an intervention designed to diminish this role would be effective.
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Nassar and colleagues at the University of São Paulo in Brazil investigated the incidence, associations, and outcomes of constipation among all patients admitted to their 14-bed surgical ICU during a 6-month period.
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After identifying the first 2 cases of novel influenza (H1N1) infection in the United States in mid-April 2009, the Centers for Disease Control and Prevention (CDC) provided interim recommendations to reduce the risk of transmission in health care settings.
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After randomized controlled trials demonstrated the benefit of daily sedation and analgesia vacations in critically ill patients, sedation and analgesia practices in many centers changed, such that patients are now maintained at a lighter depth of sedation.
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The introduction of telemedicine in the ICU dates to the 1980s when Grundy and colleagues reported results of an 18-month trial using interactive television to provide consultation between university-based critical care physicians and a small (7-bed) inner city ICU with no intensivist of its own.
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Although still controversial, pooling of data from randomized trials suggests the neuroprotective benefit of magnesium sulfate in patients in preterm labor prior to 34 weeks of gestation.
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This paper describes the results of an epidemiologic survey of the results of in-hospital cardiopulmonary resuscitation (CPR) in U.S. hospitals.
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Patients who receive proton-pump inhibitors in the hospital are at increased risk for hospital-acquired pneumonia.
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This meta-analysis of 12 clinical trials in adult patients with acute respiratory failure showed that extubation directly to non-invasive ventilation before weaning would normally have been attempted decreases mortality, ventilator-associated pneumonia, and length of stay especially for patients with COPD.