Critical Care
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Platelet and fresh frozen plasma transfusion guidelines in critical care
New guidelines from CHEST promote a more restrictive approach to platelet and fresh frozen plasma use in the ICU in order to enhance patient safety and conserve resources.
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Capillary refill time: Advancing perfusion-targeted resuscitation in septic shock
Capillary refill time is a quick, noninvasive tool to assess perfusion and microvascular health in shock. It offers faster feedback than lactate levels and may improve resuscitation outcomes.
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Study highlights importance of lactation among many new mothers in ICU
Researcher, Kayla Kolbe, MD, said even in the face of critical illness, patients feel strongly about lactation.
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Data support early prone positioning for patients with COVID-19 on mechanical ventilation
Viren Kaul, MD, FCCP, said a recent observational study adds to the body of literature clarifying the optimal timing of prone positioning in this population.
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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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Viscoelastic testing in sepsis-induced coagulopathy
SIC is a common ICU complication that clinicians are starting to identify in patients earlier through point-of-care viscoelastic testing such as rotational thromboelastometry and thromboelastography.
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Breathing room: Making space for palliative care in lung transplant programs
Transplant centers should consider additional research into palliative care integration to ultimately benefit the growing population of lung transplant recipients.
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Striking the right balance: Optimizing mechanical ventilation settings for diaphragm protection
Personalizing mechanical ventilation using noninvasive techniques, like ventilator graphics to monitor patient respiratory effort, offers a practical and effective strategy to prevent diaphragm dysfunction and optimize patient outcomes.
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The rising use of ketamine for airway management
Ketamine’s unique properties make it valuable for critical care treatments including airway management, sedation, and analgesia.
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RBC transfusion guidelines in critical care: Making the case for a restrictive approach
Author Angel Coz, MD, FCCP, makes the case for a restrictive RBC transfusion approach in critically ill adults based on a new guideline from CHEST.
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Mechanical power: A missing piece in lung-protective ventilation?
The ARDSNet trial demonstrated the importance of low tidal volume ventilation in patients with ARDS, and we have learned to monitor parameters such as plateau pressure and driving pressure (DP) […]
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Prediction models in sepsis
Early recognition is the linchpin of sepsis management, as mortality from sepsis increases by 4% to 9% for every hour that diagnosis and treatment are delayed.1 2 Artificial intelligence (AI) […]