Search results for "Critical Care"
The limited evidence for IV albumin
An expert explains recent guidelines on IV albumin that recommended against the blood product in the settings where it is most commonly used.
https://acphospitalist.acponline.org/archives/2024/04/10/the-limited-evidence-for-iv-albumin.htm
10 Apr 2024
Antipsychotic medications not effective in ICU patients with delirium
A systematic review and meta-analysis found no improvements in delirium- or coma-free days, mortality, duration of mechanical ventilation, or ICU or hospital length of stay in critically ill patients with delirium who received antipsychotics versus those who did not.
https://acphospitalist.acponline.org/archives/2024/03/27/antipsychotic-medications-not-effective-in-icu-patients-with-delirium.htm
27 Mar 2024
Knowing when AI is wrong
Physicians need to learn the explanations behind artificial intelligence (AI) answers, say the authors of a study in which hospitalists had lower diagnostic accuracy when working with biased AI.
https://acphospitalist.acponline.org/archives/2024/03/13/knowing-when-ai-is-wrong.htm
13 Mar 2024
Guidance offered on use of IV albumin
The recommendations from the International Collaboration for Transfusion Medicine Guidelines address several clinical settings and conditions, including critical care, cardiovascular surgery, and cirrhosis.
https://acphospitalist.acponline.org/archives/2024/03/13/guidance-offered-on-use-of-iv-albumin.htm
13 Mar 2024
Take a bite out of HAP
Brushing teeth reduces hospital-acquired pneumonia (HAP) risk, and changes are needed to make this simple practice happen more regularly in the hospital.
https://acphospitalist.acponline.org/archives/2024/03/06/free/take-a-bite-out-of-hap.htm
6 Mar 2024
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
American Heart Association issues scientific statement on cardiogenic shock in older adults
The statement provides suggestions for clinical practice, highlighting the crucial role of individualized risk assessment, an interdisciplinary approach, and patient-centered decision making in the management of cardiogenic shock among older adults.
https://acphospitalist.acponline.org/archives/2024/03/06/american-heart-association-issues-scientific-statement-on-cardiogenic-shock-in-older-adults.htm
6 Mar 2024
Deterioration alert system did not reduce escalations from medical and surgical units
The single-center study of a machine learning-based alert system did find that mortality was lower among patients on a medical unit where staff were notified when the computer predicted high risk of deterioration.
https://acphospitalist.acponline.org/archives/2024/02/28/deterioration-alert-system-did-not-reduce-escalations-from-medical-and-surgical-units.htm
28 Feb 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
Get with the latest ARDS guideline
Recent changes to acute respiratory distress syndrome (ARDS) guidance, including some controversy over neuromuscular blockers, are explained by an expert.
https://acphospitalist.acponline.org/archives/2024/02/14/get-with-the-latest-ards-guideline.htm
14 Feb 2024