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In 2000, the Acute Respiratory Distress Syndrome Network (ARDSnet) reported an unprecedented low mortality for ARDS patients ventilated with a tidal volume of 6 mL/kg of predicted body weight (and a plateau pressure ¡Ü30 cm H2O) compared to a tidal volume of 12 mL/kg.
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Ventilator-Associated Pneumonia (VAP) is a major nosocomial infection associated with increased morbidity and perhaps with some attributable mortality. There has been great controversy as to which is the best practical strategy to diagnose and treat VAP.
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Ouimet and colleagues at Maisonneuve-Rosemont Hospital in Montreal studied 820 consecutive patients admitted to their mixed medical-surgical ICU to determine the incidence of delirium, factors associated with it, and its clinical consequences. The patients were adults who stayed in the ICU more than 24 hours and survived for at least 1 day.
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Professional burnout is a psychological syndrome in response to chronic interpersonal stressors on the job. In order to determine the prevalence of burnout among physicians working in ICUs, and to investigate associated factors, the investigators carried out a nationwide one-day survey study in the adult ICUs of 189 French public hospitals.
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Patients with transient ischemic attacks should usually be admitted to the hospital and receive rapid evaluation and treatment.
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Segers and colleagues of the University of Amsterdam conducted this randomized, double-blind clinical trial at a 480-bed community hospital that performs 1200 cardiac surgical procedures annually.
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The same appearances in presentation of men and women with ACS can largely be explained by factors other than sex.
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Of 696 episodes of community-acquired meningitis in adults identified by the nationwide Dutch Meningitis Cohort Study from 1998 to 2002, 30 (4%) were due to Listeria monocytogenes.
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