Search results for "Ventilation"
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
Lower oxygen saturation target for ventilated patients didn't affect time on ventilation
An ED and ICU at one medical center tested oxygen saturation targets of 90%, 94%, and 98% in mechanically ventilated patients and found no difference in days free of ventilation or 28-day mortality.
https://acphospitalist.acponline.org/archives/2022/11/02/lower-oxygen-saturation-target-for-ventilated-patients-didnt-affect-time-on-ventilation.htm
2 Nov 2022
COVID-19, other pneumonia causes associated with similar mortality after ventilation
The authors of a retrospective cohort study comparing outcomes between patients with pneumonia due to COVID-19 versus other causes said that use of mechanical ventilation in the former group should follow guidelines established for the latter.
https://acphospitalist.acponline.org/archives/2023/01/18/free/covid-19-other-pneumonia-causes-associated-with-similar-mortality-after-ventilation.htm
18 Jan 2023
Surviving Sepsis Campaign releases updated guidelines for hospitalized adults
Topics covered among the 93 recommendations include screening and early treatment of sepsis, hemodynamic management, ventilation, additional therapies, and long-term outcomes and goals of care. Changes include which sepsis risk scores are recommended.
https://acphospitalist.acponline.org/weekly/archives/2021/10/20/2.htm
20 Oct 2021
Higher dose of dexamethasone, noninvasive ventilation didn't improve COVID-19 mortality
A randomized trial compared two doses of dexamethasone as well as high-flow nasal oxygen, continuous positive airway pressure, and standard oxygen support in ICU patients with COVID-19 and respiratory failure and found no significant differences.
https://acphospitalist.acponline.org/archives/2022/07/13/free/higher-dose-of-dexamethasone-noninvasive-ventilation-didnt-improve-covid-19.htm
13 Jul 2022
Corticosteroids may prevent need for mechanical ventilation in CAP patients, review finds
The meta-analysis did not find any significant effect of steroids on other studied outcomes, including mortality, treatment failure, and adverse events, in trials of patients with community-acquired pneumonia (CAP).
https://acphospitalist.acponline.org/archives/2022/09/14/corticosteroids-may-prevent-need-for-mechanical-ventilation-in-cap-patients-review-finds.htm
14 Sep 2022
Support protocol for ICU patients after extubation didn't reduce reintubation rates
The trial compared a respiratory therapist-driven protocol that provided noninvasive ventilation or high-flow nasal cannula to patients after extubation to usual care and found no significant differences.
https://acphospitalist.acponline.org/weekly/archives/2021/04/14/4.htm
14 Apr 2021
Lower oxygen target led to better outcomes in ICU patients with COVID-19
Targeting an arterial pressure of oxygen of 60 mm Hg resulted in more days alive without life support within 90 days but no significant improvement in mortality compared to a target of 90 mm Hg, a trial in critically ill COVID-19 patients found.
https://acphospitalist.acponline.org/archives/2024/03/27/free/lower-oxygen-target-led-to-better-outcomes-in-icu-patients-with-covid-19.htm
27 Mar 2024
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
ACP issues guidelines on use of high-flow nasal oxygen, point-of-care ultrasound
New guidelines from the College suggest when to use high-flow nasal oxygen rather than noninvasive ventilation or conventional oxygen therapy and address the use of point-of-care ultrasound in ED and inpatient diagnostic pathways for acute dyspnea.
https://acphospitalist.acponline.org/weekly/archives/2021/05/05/1.htm
5 May 2021