Search results for "critical care"
Updated recommendations on corticosteroids in sepsis, ARDS, CAP
New guidance from the Society of Critical Care Medicine includes conditional recommendations to administer corticosteroids to patients with septic shock or acute respiratory distress syndrome (ARDS), and a strong recommendation for severe community-acquired pneumonia (CAP).
https://acphospitalist.acponline.org/archives/2024/01/31/updated-recommendations-on-corticosteroids-in-sepsis-ards-cap.htm
31 Jan 2024
Surviving Sepsis Campaign releases updated guidelines for hospitalized adults
Topics covered among the 93 recommendations include screening and early treatment of sepsis, hemodynamic management, ventilation, additional therapies, and long-term outcomes and goals of care. Changes include which sepsis risk scores are recommended.
https://acphospitalist.acponline.org/weekly/archives/2021/10/20/2.htm
20 Oct 2021
Nudging physicians not to test
A high-value care project reduced unnecessary testing without adding a single click.
https://acphospitalist.acponline.org/archives/2023/10/18/nudging-physicians-not-to-test.htm
18 Oct 2023
Checklist use before endotracheal intubation did not improve most outcomes
While use of a preparatory preintubation checklist was not associated with improved survival in critically ill patients, it was associated with decreased hypoxia, a systematic review and meta-analysis found.
https://acphospitalist.acponline.org/weekly/archives/2020/07/08/2.htm
8 Jul 2020
Look over your hedges
Hedging, or using words in conversation that make meaning fuzzier, is unavoidable, but the resulting misunderstandings with patients and families can be reduced, experts say.
https://acphospitalist.acponline.org/archives/2023/08/23/look-over-your-hedges.htm
23 Aug 2023
January 31, 2024
ACP Hospitalist provides hospital-based physicians with news and information about the practice of hospital medicine.
https://acphospitalist.acponline.org/archives/2024/01/31/
High-dose vitamin C not associated with improved mortality in sepsis
A systematic review and meta-analysis found that while high-dose IV vitamin C was associated with less vasopressor use and better SOFA scores, it did not appear to be linked to significant improvement in short-term mortality rates.
https://acphospitalist.acponline.org/weekly/archives/2021/09/15/4.htm
15 Sep 2021
Study finds ECMO patient selection inconsistent, offers lessons for decision makers
Reviewing records of 81 patients considered for venovenous extracorporeal membrane oxygenation (ECMO) at a single center, researchers identified a total of 15 contraindications. All but four contraindications that were invoked to decline one patient were present in a patient determined to be a candidate for ECMO.
https://acphospitalist.acponline.org/archives/2024/03/06/study-finds-ecmo-patient-selection-inconsistent-offers-lessons-for-decision-makers.htm
6 Mar 2024
Neither rate nor type of fluid resuscitation affected outcomes in ICU patients, trial finds
A balanced solution was compared to a 0.9% saline solution in a large trial in Brazilian ICUs that also randomized the same patients to undergo fluid challenges at rates of either 333 mL/h or 999 mL/h.
https://acphospitalist.acponline.org/weekly/archives/2021/08/18/2.htm
18 Aug 2021
April 2020
ACP Hospitalist provides hospital-based physicians with news and information about the practice of hospital medicine.
https://acphospitalist.acponline.org/archives/2020/04/