Search results for "critical care"
May 31, 2023
ACP Hospitalist provides hospital-based physicians with news and information about the practice of hospital medicine.
https://acphospitalist.acponline.org/archives/2023/05/31/
June 21, 2023
ACP Hospitalist provides hospital-based physicians with news and information about the practice of hospital medicine.
https://acphospitalist.acponline.org/archives/2023/06/21/
ICU bundles do not appear to improve delirium but may help other outcomes
A meta-analysis found an association between bundled interventions in the ICU and improvements in coma duration, length of stay, and 28-day mortality rates.
https://acphospitalist.acponline.org/weekly/archives/2020/12/23/3.htm
23 Dec 2020
Procalcitonin do's and don'ts
Although the optimal use of procalcitonin is still up for debate, there are best practices for getting the most bang for this blood test.
https://acphospitalist.acponline.org/archives/2023/07/05/free/procalcitonin-dos-and-donts.htm
5 Jul 2023
Survival of critical illness in ICU linked to subsequent suicide, self-harm
Compared to hospital survivors who never required ICU admission, those who were discharged from an ICU had a higher risk of suicide and self-harm in a Canadian study. Risk factors included previous psychiatric diagnoses and use of life-support interventions in the ICU.
https://acphospitalist.acponline.org/weekly/archives/2021/05/12/2.htm
12 May 2021
Oxygen saturation targets not related to long-term outcomes in critically ill adults
Cognition, quality of life, and related outcomes did not differ at 12 months among patients with lower, intermediate, or higher oxygen saturation targets while on mechanical ventilation, a retrospective study found.
https://acphospitalist.acponline.org/archives/2024/02/07/oxygen-saturation-targets-not-related-to-long-term-outcomes-in-critically-ill-adults.htm
7 Feb 2024
More data on risk factors for poor COVID-19 outcomes, mixed results from treatment trials
A risk calculator, genetic findings, and red blood cell distribution width helped predict severity of and death from COVID-19. Tocilizumab showed benefit, but a number of other treatments, including CPR, did not, according to recent research.
https://acphospitalist.acponline.org/weekly/archives/2020/09/30/1.htm
30 Sep 2020
Sedation practices worsened during pandemic among patients without COVID-19
The percentage of mechanically ventilated patients treated with sustained deep sedation following intubation rose during the pandemic and did not improve after its peak, a single-center study found.
https://acphospitalist.acponline.org/archives/2024/01/24/sedation-practices-worsened-during-pandemic-among-patients-without-covid-19.htm
24 Jan 2024
Review looks at optimal dosing for rapid reversal of vitamin K antagonists
A fixed-dose regimen of four-factor prothrombin complex concentrate was associated with lower mortality and fewer thromboembolic events compared with a variable-dose regimen, the systematic review and meta-analysis of anticoagulant reversal found.
https://acphospitalist.acponline.org/archives/2024/02/21/review-looks-at-optimal-dosing-for-rapid-reversal-of-vitamin-k-antagonists.htm
21 Feb 2024
Research on strokes and readmissions in COVID-19, updated guidance from NIH and SSC
One study showed that strokes were rare in COVID-19 patients, while another didn't find any connection between fever or biomarkers before discharge and readmissions. The NIH and the Surviving Sepsis Campaign (SSC) updated their COVID-19 critical care recommendations.
https://acphospitalist.acponline.org/weekly/archives/2021/02/10/1.htm
10 Feb 2021