Search results for "Critical care"
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
High stakes: Considerations about cannabis
More Americans are taking cannabis, complicating inpatient care. Understanding patients' use patterns and history is key to mitigating risks during a hospital stay.
https://acphospitalist.acponline.org/archives/2024/02/07/free/high-stakes-considerations-about-cannabis.htm
7 Feb 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
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
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
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
Intermediate care unit helped surgical, COVID-19 patients
An intermediate care unit with a maximum census of six created over 1,000 available ICU bed-days over 12 months.
https://acphospitalist.acponline.org/archives/2024/02/14/free/intermediate-care-unit-helped-surgical-covid-19-patients.htm
14 Feb 2024
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
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
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