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FAQ on ventilation for ARDS in COVID-19

Get answers to pressing questions about ventilation management.
https://acphospitalist.acponline.org/archives/2020/05/faq-on-ventilation-for-ards-in-covid-19.htm
15 May 2020

1 in 5 patients had adverse event after ICU discharge to hospital ward

The most common adverse events after transfer from the ICU were supportive care failures (e.g., falls, pressure ulcers, fluid and electrolyte disorders) and drug-related events, and more than a third were judged to have likely been preventable, a Canadian study found.
https://acphospitalist.acponline.org/weekly/archives/2020/04/29/5.htm
29 Apr 2020

Iron/EPO combination beats other options for reducing transfusions

A review looked at trials comparing erythropoiesis-stimulating agents (EPO), iron, combination therapy with iron and EPO, hypoxia-inducible factor prolyl hydroxylase inhibitor, or vitamin D3 with controls on rates of red blood cell transfusion in the ICU.
https://acphospitalist.acponline.org/archives/2023/11/22/ironepo-combination-beats-other-options-for-reducing-icu-transfusions.htm
22 Nov 2023

ICU clinician education increased guideline compliance, decreased ICU brain dysfunction

A trial in the Netherlands required ICU nurses and physicians to complete two e-learning programs, one focused on delirium screening and the other focused on recommendations from the American College of Critical Care Medicine's 2013 guidelines on pain, agitation, and delirium.
https://acphospitalist.acponline.org/weekly/archives/2019/01/16/3.htm
16 Jan 2019

IL-18 level may help predict prognosis in ARDS

Elevated plasma IL-18 levels could work better than other models to identify patients with acute respiratory distress syndrome (ARDS) at higher risk for death, a recent study found.
https://acphospitalist.acponline.org/archives/2023/09/20/il-18-level-may-help-predict-prognosis-in-ards.htm
20 Sep 2023

Suctioning frequency, high-flow oxygen can determine when to decannulate tracheostomy

A randomized trial in Spanish ICUs found that patients whose readiness for decannulation was determined by frequency of suctioning instead of a 24-hour capping trial had less time to decannulation and shorter length of stay.
https://acphospitalist.acponline.org/weekly/archives/2020/09/16/3.htm
16 Sep 2020

Documenting and billing for critical care services

To avoid rejection of critical care codes, physicians must be familiar with coding definitions, and documentation must reflect the professional services that support the codes.
https://acphospitalist.acponline.org/archives/2010/03/coding.htm
15 Mar 2010

Calls to poison control centers for gabapentin, baclofen increased in recent years

The increase in exposures to and misuse of these medications in the U.S. may represent an unintended consequence of recent reductions in opioid prescribing for pain management, study authors said.
https://acphospitalist.acponline.org/weekly/archives/2019/12/11/3.htm
11 Dec 2019

The problem with pulse ox

Research has long indicated that pulse oximeters can overestimate oxygen saturation in patients with darker skin, but experts are now trying raise awareness of the problem.
https://acphospitalist.acponline.org/archives/2022/06/29/free/the-problem-with-pulse-ox.htm
29 Jun 2022

Vitamin E acetate linked to vaping-associated lung injury

The total number of reported vaping-associated lung injury cases mounted to 2,172, the CDC found vitamin E acetate in biologic samples for the first time, and authors of an observational study of vaping-related illness emphasized that patients may present with flu-like and abdominal symptoms.
https://acphospitalist.acponline.org/weekly/archives/2019/11/20/3.htm
20 Nov 2019

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