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Many nursing home patients are admitted with prescriptions for proton pump inhibitors or H2-receptor antagonists without any obvious indication.
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This systematic review and meta-analysis demonstrates that oral decontamination with antiseptic preparations decreases the risk of ventilator-associated pneumonia but has no effect on mortality, duration of mechanical ventilation or length of stay in the ICU.
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Most critically ill patients require mechanical ventilation, and, according to one large survey, the weaning process occupies about 40% of the time that patients spend connected to the ventilator.
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n this issue: Stop smoking drug Chantix rates stronger warning from FDA; Type 2 diabetes surgery on the way?; Vytorin study inconclusive; Influenza A virus found resistant to Tamiflu; FDA actions.
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A prospective observational study was conducted to assess diagnostic and therapeutic efficacies of a daily routine CXR and to evaluate the impact of discontinuing this practice. The setting was a 10-bed mixed medical-surgical ICU of a non-academic teaching hospital in The Netherlands.
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Most of the attention on catheter-related bloodstream infections (CR-BSI) in the ICU focuses on central venous catheters (CVC), a bias that likely derives, in part, from the 2002 Centers for Disease Control guidelines which stipulate that arterial catheters (AC) have "low infection ratesrarely associated with bloodstream infections.
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Exposures to toxic alcohols such as methanol, ethylene glycol, and isopropanol have been reported in the medical literature for decades. These agents are found in a variety of household products, leading to accidental ingestion in the pediatric population and intentional ingestion in the adult population as a suicidal agent or as an inexpensive substitute for ethanol.
