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Wunsch and associates describe two patients who suffered respiratory arrest requiring intubation and mechanical ventilation while receiving polymyxin B.
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Although current guidelines recommend delaying neuroprognostication during therapeutic hypothermia following resuscitation from cardiac arrest, this review of 55 consecutive patients so managed found that a "poor prognosis" designation was arrived at during the hypothermia period in most of them, including six patients who were eventually discharged with a favorable neurologic outlook.
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The intensive care unit (ICU) can be immensely stressful for caregivers and can lead to burnout that results from chronic emotional and interpersonal stressors in the environment.
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Arnold and colleagues at Barnes-Jewish Hospital in St. Louis performed a 6-year retrospective cohort study of patients with bronchoalveolar lavage (BAL) documented ventilator-associated pneumonia (VAP), diagnosed by accepted clinical and quantitative culture criteria, that was caused by either Pseudomonas aeruginosa (PA) and Acinetobacter baumannii(AB).
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This paper reports on the findings of a systematic literature review on noise and noise-reduction strategies in the intensive care unit (ICU).
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In November 2011, the Centers for Disease Control and Prevention presented data on emergency hospitalizations because of adverse drug reactions. The report showed that insulin and oral hypoglycemic agents caused nearly 25% of the medication-induced hospitalizations in older adults in the United States.
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The benefits of regular physical activity are well known. Encouraging individuals to be active through recreational and competitive athletics while preventing and treating injuries is the role of the sports medicine physician.
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Long-term follow-up of Lynch syndrome patients who completed 2 years of treatment (aspirin or placebo) on the CAPP2 colorectal cancer prevention trial revealed a significant reduction in colorectal cancer development. This was the first large-scale colon cancer prevention trial using aspirin as an intervention. Implications for the prevention of sporadic colon cancer remain conjectural, however tempting it is to extrapolate these findings to the general adult population.