Critical Care Commentary
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Shock resuscitation: Making the first 30 minutes count
Physician-educators share their approach to teaching shock recognition and management core skills to residents at the bedside.
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Ketamine vs etomidate for intubation in patients who are critically ill
Commonly used for sedation for endotracheal intubation, these drugs are often selected for their favorable hemodynamic profiles.
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Sepsis order sets good for patients, hospital bottom lines
Automating the mundane components of care delivery allows clinicians to focus more on the nuances of individualized evaluation and personalized care.
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Biomarker use in ARDS resulting from COVID-19 infection
There is renewed interest in the use of immunomodulatory therapies in patients with acute hypoxemic respiratory failure. Multiple investigations during the course of the pandemic demonstrated that dexamethasone administration improved mortality in patients with severe COVID-19.
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The language of AI and its applications in health care
The respiratory community is interested in artificial intelligence (AI) because it can improve the effectiveness of our care delivery processes. AI is a group of nonhuman techniques that utilize automated […]
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Use of albumin in critically ill patients
Intravenous albumin is a human-derived blood product studied widely in a variety of patient populations. Despite its frequent use in critical care, few high-quality studies have demonstrated improvements in patient-important […]
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Hospital-onset sepsis: Why the brouhaha?
A 47-year-old woman with a history of cirrhosis is admitted with an acute kidney injury and altered mental status. On the initial workup, there are no signs of infection, and […]
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Implementing a critical care TEE program at your institution
Bedside-focused cardiac ultrasound assessment, or cardiac point-of-care ultrasound (POCUS), has become common in intensive care units throughout the US and the world. Many clinicians argue a POCUS cardiac assessment should […]
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Should intensivists place PEG tubes in critically ill patients?
The practice of initiating early and adequate nutrition in critically ill patients is a cornerstone of ICU management. Adequate nutrition combats the dangerous catabolic state that accompanies critical illness. A […]
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Sedative use in older adults after critical illness
Patients admitted to ICUs require modifications to their medication regimen due to their critical illness and rapidly changing clinical status. Modifications to medication regimens may include stopping home medications for […]
