Internal Medicine
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Automated Weaning: Smarter Approach or Just Clinician Recalcitrance?
In this study, closed-loop, titrated pressure support ventilation was associated with a significantly shorter time course until patients passed a spontaneous breathing trial and were successfully extubated compared to a standardized weaning protocol. -
Critical Care Alert - Full August 2013 Issue in PDF
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Music Therapy Can Reduce Anxiety in Critically Ill Patients
In mechanically ventilated ICU patients, availability of music via headphones resulted in a greater reduction in anxiety and sedation exposure. -
Clinical Briefs in Primary Care supplement
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Time Spent in Handoff Discussions was Longer for Patients Discussed First, Regardless of Complexity
Handoffs have been extensively examined as a potential source of communication failure. Such studies typically focus on how to best share details of care when patient responsibility is transferred from one clinical care team to another. -
Pharmacology Watch: FDA Approves Apixaban for Patients with Nonvalvular AF
In this issue: Apixaban approval; new dental clinical practice guideline; apixaban for VTE; aspirin resistance; tamoxifen treatment; and FDA actions. -
Critical Care Alert February 2013 Issue in PDF
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Organizational Factors Contribute to Adoption of ICU-Care Management Protocols
The purpose of this study was to determine which protocols guiding the management of mechanical ventilation are incorporated into practice and to determine if any organizational characteristics of hospitals are associated with the adoption of protocols using evidence-based treatments. -
Using Natriuretic Peptide to Guide Fluid Management During Ventilator Weaning
This multicenter, randomized controlled trial compared daily B-type natriuretic peptide (BNP) measurements as a way to guide fluid management with usual care in patients undergoing weaning from mechanical ventilation. -
Life After the ICU: Improving Decision Making About Chronic Critical Illness in the Acute Care Setting
n their 1985 article The Chronically Critically Ill: To Save or Let Die?, Girard and Raffin created the term chronically critically ill to describe patients admitted to an ICU who survived their acute insults but remained dependent on intensive care therapies.