Critical Care
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Keep up with the latest practices, perspectives in critical care
CHEST 2025 will present updates on cardiac output monitoring, diagnosing and addressing sepsis, best practices in endotracheal intubation, optimal use of new tools in mechanical ventilation, and much more.
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Study shows earlier vasopressin initiation for sepsis reduced in-hospital mortality
Critical care expert Natalie Achamallah, MD, FCCP, said OVISS data support guidelines that recommend earlier vasopressin as well as lower norepinephrine doses.
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UK trial finds propofol remains preferred ICU sedation agent
The recent A2B trial found that neither dexmedetomidine nor clonidine are superior to propofol and may increase risks of agitation and bradycardia.
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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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Bronchoscopy: An emerging role for advanced practice providers
Bronchoscopy is becoming an increasingly common skill for a growing subset of interventional pulmonary and critical care APPs.
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Procalcitonin levels may guide antibiotic duration in patients with suspected sepsis
Paul Dark, MD, PhD, said a 10% reduction in duration of antibiotic use shown in a recent study may seem small, but in the context of antibiotic stewardship, a 10% reduction is important.
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CHEST to offer first-of-its-kind certification for APPs in critical care
For APPs in the critical care setting, this certification exam will be a valuable way to validate their knowledge and competence in the ICU.
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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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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.