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Ventilator-related deaths and injuries often are caused by multiple system failures, especially in the ICU, according to a recent report from the Joint Commission on Accreditation of Healthcare Organizations.
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The fatality rates for hospital-associated pneumonia in general, and of ventilator-associated pneumonia (VAP) in particular, are high. For hospital-associated pneumonia, attributable mortality rates of 20% to 33% have been reported, according to the draft pneumonia prevention guideline by the Centers for Disease Control and Prevention (CDC).
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Synopsis: This carefully done systematic review of the existing literature shows that overall mortality and ICU length of stay are better with increasing involvement of critical care physicians in patient care.
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The purpose of this pre- and postintervention observation study was to evaluate the effect of an educational initiative on ventilator-associated pneumonia (VAP) rate. The educational program was directed towards respiratory therapists and critical care nurses.
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La Puma J. Vitamin A and fracture risk. Altern Med Alert 2003;6(3):36.
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FDA Issues Black Box Warning Based on WHI Study; ALLHAT: Thiazide for Hypertension Treatment; Candesartan Effective Against Migraines; Cough! No Cold Relief from Echinacea; COX-2 Inhibitors and GI Benefits Could Be Overrated; FDA Actions;
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This article reviews multiple aspects of heart failure, providing direction for workup and management of heart failure patients. All recommendations follow current published guidelines. Unresolved and controversial issues are reviewed, and future therapies are proposed.