Internal Medicine
RSSArticles
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Does Atrial Fibrillation Portend a Worse Prognosis in the ICU?
In this prospective, observational cohort study, both new-onset and recurrent atrial fibrillation were associated with increased hospital mortality, especially in patients without sepsis.
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Nutrition in the ICU: The Controversy Continues
When comparing critically ill patients who receive standard enteral feeding vs permissive underfeeding, there is no difference in 90-day mortality.
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Is Optimizing Respiratory Muscle Function During Mechanical Ventilation an Illusion?
Rapid loss in diaphragmatic thickness during the first week of mechanical ventilation is common and associated with higher levels of ventilator driving pressure.
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Is Less More Or Is More Less?
ABSTRACT & COMMENTARY: Here are details on oxygen saturation goals in the mechanically ventilated.
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Reducing Daily Chest Radiographs in the ICU
Quality improvement protocols can reduce the number of chest radiographs in the ICU without compromising care.
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Left Ventricular Assist Devices for Ambulatory Heart Failure: Weighing the Risks and Benefits
Recent data support the use of the HeartMate II left ventricular assist devices in functionally limited, non-inotrope-dependent heart failure patients who have poor quality of life and meet FDA criteria for destination therapy LVAD.
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Utility of Non-traditional Risk Factors
Adding additional risk factors not in the pooled risk equation to low-risk subjects identified a sub-group with an observed event rate > 7.5% who may warrant statin therapy.
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Temporal Relationship Between Atrial Fibrillation and Ischemic Stroke?
Multiple hours of atrial fibrillation had a strong but transient effect raising stroke risk, suggesting that a strategy of intermittent targeted usage of rapidly acting anticoagulants might merit further consideration by a randomized trial.
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Aortic Valve Replacement in Asymptomatic Patients: Can Registry Data Replace Randomized, Controlled Trials?
Patients with severe asymptomatic aortic stenosis managed conservatively have “dismal” outcomes in real-world practice.
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Optimal Beta-blocker Dose Post-MI
ABSTRACT & COMMENTARY: A look at survival rates using high and low doses of beta blockers.