Internal Medicine
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Using Critical Care Ultrasonography to Diagnose the Etiology of Acute Respiratory Failure
Thoracic ultrasound and limited echocardiography may be useful to help differentiate the causes of acute hypoxic respiratory failure in the ICU.
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Optimal Duration of Anticoagulation for Unprovoked Pulmonary Embolism
Treatment for 24 months with oral anticoagulation for unprovoked, first-time pulmonary embolism was superior to treatment for 6 months only.
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The Complex Intersection of Critical and Palliative Care
Ventilator withdrawal with expected death is now considered an ethically and morally acceptable practice. Here's what you need to know.
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Clinical Briefs
In this section: Reconsidering the value of oral nutritional supplementation in patients admitted for COPD; recognizing a relationship between asthma and obesity; and weighing the benefits of sound stimulation in Alzheimer's patients.
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Eluxadoline Tablets (Viberzi) and Rifaximin (Xifaxan) Tablets
Both drugs appear to provide modest benefit in irritable bowel syndrome with diarrhea.
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Statin Use and Cognitive Effects: Not a Brain Drain
A meta-analysis of data from more than 28,000 patients enrolled in 18 randomized, placebo-controlled trials of statin therapy failed to show a causal relationship between treatment and adverse neurocognitive effects for patients with and without cognitive impairment.
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Prostate Cancer and Smoking: One More Reason to Trash the Tobacco
Study showed that following prostatectomy for cancer, smokers and ex-smokers had a higher risk of recurrence.
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You Are What You Feed Your Gut Microbiome
There is mounting evidence that the gut microbiome influences the immune system and the central and peripheral nervous systems.
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Serum Chloride Level Predicts Mortality in Acute Heart Failure
Serum chloride levels measured during hospitalization for acute decompensated heart failure are independently and inversely associated with long-term mortality, independent of serum sodium levels.
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New Study Calls for Caution in Use of Triple Anticoagulant Therapy
Approximately one in four older patients with atrial fibrillation undergoing percutaneous coronary intervention for acute myocardial infarction were discharged on triple therapy, which was associated with higher rates of major bleeding without a measurable benefit in terms of major adverse cardiac events.