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In a cohort of 91 ICU patients without known causes for hemoglobin decline other than blood draws and critical illness, serum hemoglobin levels declined by an average of 0.52 g/dL/d. The decline was more rapid during the first 3 days in the ICU and among patients who were septic.
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Of 100 keyboards in 29 clinical areas tested for bacterial contamination, 95% were positive for microorganisms, including one with vancomycin-resistant Enterococcus.
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Providing a universal consent form to patients, proxies, and staff increased the frequency with which consent was obtained without compromising understanding of the process.
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Jaber and colleagues report a series of 112 intubations of patients in their multidisciplinary ICU in Montpellier, France, during a 14-month period. Every ventilated patient underwent a cuff-leak test prior to extubation, and the incidence of post-extubation stridor was determined.
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Differentiating central from peripheral causes of vertigo is a recurrent clinical challenge that behooves reinforcement.
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Intravenous immunoglobulin (IVIg) is an effective treatment for a wide range of autoimmune neurological disorders. IVIg is well tolerated in general but may rarely result in anaphylaxis and acute renal failure, as well as thromboembolic complications such as pulmonary embolism and stroke. These recent reports in Neurology highlight the potential vascular consequences of IVIg.
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The present report from the International Study of Unruptured Intracranial Aneurysms is the largest prospective analysis of the risk of rupture of unruptured asymptomatic cerebral aneurysm.
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The non-ergot dopamine agonists ropinirole and pramipexole effectively ameliorate the cardinal motor features of idiopathic Parkinsons disease.