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Institution of a daily pharmacist-enforced intervention designed to improve adherence to sedation guidelines decreased the duration of mechanical ventilation and ICU stay.
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In this review of patients admitted to the ICU with acute respiratory failure secondary to COPD exacerbation or cardiogenic pulmonary edema, nearly two-thirds of patients who apparently met criteria for noninvasive ventilation (NIV) were intubated without a trial of NIV.
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Randomized studies of neuroprotective agents for ischemic stroke have resulted in a series of failures, as multiple agents, promising in animal models, have failed when applied to human subjects. By contrast, intracerebral hemorrhage (ICH) has been somewhat a "neglected stepsister" when compared to ischemic stroke; it has been studied minimally, despite its high morbidity and mortality.
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This group of health policy leaders sought to learn the proportion of physicians who are currently using electronic health records, whether they were satisfied with the systems they used, and what impact the physicians believe that these systems have on quality of patient care.
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Pulmonary crackles (the physical finding previously known as râles, French for "rattle") are commonly sought to confirm a diagnosis of heart failure (HF) and can be fine, medium, or coarse. However, crackles can occur in other diseases (interstitial lung disease, asbestosis, alveolitis, and bronchiectasis) and in presumably normal people.
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Allergic rhinitis is often treated successfully with antihistamines and local corticosteroids, but because of inadequate symptom control, patient preference, or both, sometimes allergen desensitization becomes preferable.
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The FDA has approved the combination of dutasteride and tamsulosin for the treatment of symptomatic enlarged prostate.
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Complaints of fatigue were not associated with changes in blood pressure or heart rate but were significantly associated with decreased cardiac index and stroke index even after controlling for demographic variables and depressive symptoms.