Search results for "Critical care"
February 2013
ACP Hospitalist provides hospital-based physicians with news and information about the practice of hospital medicine.
https://acphospitalist.acponline.org/archives/2013/02/
Machine learning approach estimated individual treatment effect of steroids in septic shock
Researchers used individual-patient data from four trials on corticosteroid supplementation in adults with septic shock to model the individual treatment effect, with the machine learning-derived individualized treatment strategy yielding a positive net mortality benefit.
https://acphospitalist.acponline.org/weekly/archives/2020/12/16/4.htm
16 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
Prediction score identified critically ill patients at increased risk for VTE
The score assigned points based on central venous catheterization, immobilization, history of venous thromboembolism (VTE), mechanical ventilation, hemoglobin levels during hospitalization, and platelet count at admission.
https://acphospitalist.acponline.org/weekly/archives/2020/03/25/2.htm
25 Mar 2020
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
Nutritional support didn't reduce mortality in inpatients with high C-reactive protein levels
A secondary analysis of a trial that randomized patients at risk of malnutrition to protocol-guided individualized nutritional support or standard hospital food found benefits only in patients with low to moderate levels of inflammation.
https://acphospitalist.acponline.org/weekly/archives/2020/03/18/3.htm
18 Mar 2020
MKSAP quiz on critical care
This month's quiz includes questions from ACP's Medical Knowledge Self-Assessment Program (MKSAP 18) on critical care.
https://acphospitalist.acponline.org/archives/2020/10/mksap-quiz-on-critical-care.htm
15 Oct 2020
Adjunctive strategies underused in moderate to severe ARDS, international study finds
Most patients with acute respiratory distress syndrome (ARDS) did not receive neuromuscular blockade, prone positioning, extracorporeal membrane oxygenation, inhaled vasodilators, or high-frequency oscillatory ventilation in the first 48 hours of treatment.
https://acphospitalist.acponline.org/weekly/archives/2020/03/04/2.htm
4 Mar 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