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Intensive Care Medical and Health News Headlines
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All Recent Intensive Care Medical News Headlines |
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The Role of Serum Lactate in the Acute Care Setting
We present a review of the evidence behind use of the serum lactate level in this setting. (Source: Journal of Intensive Care Medicine)...
POSTED 09/01/2010 at 03:01 AM --
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Case Series: Tension Pneumothorax Complicating Narrow-Bore Enteral Feeding Tube Placement
We report 3 cases of severe pleuropulmonary complications after routine bedside placement of a narrow-bore enteral feeding tubes and a review of the literature. These episodes have not only prompted our adoption of a new policy specifying the routine use of ultrasound to guide feeding tube placement in obtunded or mechanically ventilated patients but also offer recommendations post-removal of misplaced feeding tubes. (Source: Journal of Intensive Care Medicine)...
POSTED 09/01/2010 at 03:01 AM --
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A Physicochemical Model of Crystalloid Infusion on Acid-Base Status
The objective of this study is to develop a physicochemical model of the projected change in standard base excess (SBE) consequent to the infused volume of crystalloid solutions in common use. A clinical simulation of modeled acid-base and fluid compartment parameters was conducted in a 70-kg test participant at standard physiologic state: pH = 7.40, partial pressure of carbon dioxide (PCO2) = 40 mm Hg, Henderson—Hasselbalch actual bicarbonate ([HCO3] HH) = 24.5 mEq/L, strong ion difference (SID) = 38.9 mEq/L, albumin = 4.40 g/dL, inorganic phosphate = 1.16 mmol/L, citrate total = 0.135 mmol/L, and SBE = 0.1 mEq/L. Simulations of multiple, sequential crystalloid infusions up to 10 L were conducted of normal saline (SID = 0), lactated Ringer’s (SID = 28), plasmalyte 148 (SID = 5......
POSTED 09/01/2010 at 03:01 AM --
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Empiric Therapy for Gram-Negative Pathogens in Nosocomial and Health Care-Associated Pneumonia: Starting With the End in Mind
Nosocomial pneumonia is a major cause of morbidity and mortality for hospitalized patients. Antimicrobial resistance is increasing, creating a strain between ensuring the provision of adequate empiric therapy and slowing the development of antimicrobial resistance. Excessive antimicrobial therapy places patients are at greater risk of drug interactions, adverse events, and superinfections. Ways to maximize adequate empiric therapy include (1) categorizing each patient’s risk of being infected with a multidrug-resistant pathogen and knowledge of local susceptibility patterns, (2) de-escalating antimicrobial therapy to decrease the rates of superinfections such as Clostridium difficile, and (3) limiting the duration of therapy to decrease the likelihood of adverse events, drug interact......
POSTED 09/01/2010 at 03:01 AM --
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SCCM Pod-136 PCCM: Community-Associated MRSA in Previously Healthy Children
Amy Creel, MD, a pediatric critical care physician at Childrens Hospital in New Orleans, Louisiana, served as lead author on an article published in the May 2009 issue of Pediatric Critical Care Medicine (Source: SCCM PodCast - iCritical Care)...
POSTED 08/27/2010 at 03:50 PM --
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Schwieriger Atemweg in der Notfall- und Intensivmedizin
Zusammenfassung Die Atemwegssicherung stellt eine zentrale MaÃnahme in der Notfall- und Intensivmedizin dar, um jederzeit eine ausreichende
Oxygenierung zu gewährleisten. Aufgrund des meist kritischen Patientenzustandes, der oft eingeschränkten Umgebungsbedingungen
und oft auch unzureichender Erfahrung aller Beteiligten ist sie sehr risikobehaftet. Oberstes Ziel ist deshalb die Umgehung
einer Intubation durch konsequente Anwendung nichtinvasiver Beatmung gerade auch im präklinischen Bereich. Bei bestehender
Notwendigkeit zur Intubation müssen ausreichende Rückfallebenen bzw. Alternativkonzepte zur Beherrschung des möglicherweise
schwierigen Atemweges vorhanden sein. Als moderne, unterstützende Verfahren stehen hier die fiberoptische Wachintubation und
Videolaryngos......
POSTED 08/27/2010 at 01:16 AM --
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Intra-abdominal hypertension: Does it influence the physiology of prone ventilation?
Prone ventilation (PV) is a ventilatory strategy that frequently improves oxygenation and lung mechanics in critical illness, yet does not consistently improve survival. While the exact physiologic mechanisms related to these benefits remain unproven, one major theoretical mechanism relates to reducing the abdominal encroachment upon the lungs. Concurrent to this experience is increasing recognition of the ubiquitous role of intra-abdominal hypertension (IAH) in critical illness, of the relationship between IAH and intra-abdominal volume or thus the compliance of the abdominal wall, and of the potential difference in the abdominal influences between the extrapulmonary and pulmonary forms of acute respiratory distress syndrome. The present paper reviews reported data concerning intra-abdomi......
POSTED 08/26/2010 at 06:00 PM --
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The Growing Incidence and Severity of Clostridium Difficile Infection in Inpatient and Outpatient Settings
What accounts for the rise in C. difficile infection, particularly among the elderly? Expert Review of Gastroenterology and Hepatology (Source: Medscape Critical Care Headlines)...
POSTED 08/25/2010 at 02:40 PM --
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Substitution of exudative trace elements losses in burned children
Description of an intravenous copper-selenium-zinc substitution policy in burned children with major burns using adult doses adapted to total body surface: blood levels and clinical course confirm safety, with a rapidly favourable clinical evolution (Source: Critical Care)...
POSTED 08/24/2010 at 06:00 PM --
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Withdrawing intra-aortic balloon pump support paradoxically improves microvascular flow
Conclusions:
In patients deemed ready for discontinuing IABP support according to current practice, SDF imaging showed an increase of microcirculatory flow of small vessels after ceasing IABP therapy. This observation may indicate that IABP impairs microvascular perfusion in recovered patients, although this warrants confirmation. (Source: Critical Care)...
POSTED 08/24/2010 at 06:00 PM --
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Evaluating guidelines for critical care: a need for detail
Content Type Journal ArticleDOI 10.1007/s00134-010-1978-2Authors
Peter Q. Eichacker, Critical Care Medicine Department, Clinical Center, National Institutes of Health, Building 10, Room 2C145, Bethesda, MD 20892-1662, USACharles Natanson, Critical Care Medicine Department, Clinical Center, National Institutes of Health, Building 10, Room 2C145, Bethesda, MD 20892-1662, USA
Journal Intensive Care MedicineOnline ISSN 1432-1238Print ISSN 0342-4642 (Source: Intensive Care Medicine)...
POSTED 08/24/2010 at 01:00 AM --
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Erratum to: A critical appraisal of the quality of critical care pharmacotherapy clinical practice guidelines and their strength of recommendations
Content Type Journal ArticleDOI 10.1007/s00134-010-1976-4Authors
Sean K. Gorman, Department of Pharmacy, Capital District Health Authority, College of Pharmacy, Dalhousie University, c/o Rm 2043 Victoria Building, 1276 South Park Street, Halifax, NS B3H 2Y9, CanadaMichelle Ho Chung, Department of Pharmacy, St. Paulâs Hospital, 1081 Burrard Street, Vancouver, BC V6Z 1Y6, CanadaRichard S. Slavik, Pharmacy Department, Interior Health Authority, Faculty of Pharmaceutical Sciences, University of British Columbia, 200-1835 Gordon Drive, Kelowna, BC V1Y 3H5, CanadaPeter J. Zed, Department of Pharmacy, Capital District Health Authority, College of Pharmacy, Dalhousie University, c/o Rm 2043 Victoria Building, 1276 South Park Street, Halifax, NS B3H 2Y9, CanadaKerry Wilbur, College of Pharmac......
POSTED 08/24/2010 at 01:00 AM --
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Safer ventilation of the injured lung - one step closer
Prevention of iatrogenic injury due to ventilation of a heterogeneous lung requires knowledge of dynamic regional events occurring within the tidal cycle. Quantitative bedside imaging techniques that are sensitive to regional mechanics and tidal events hold potential for information delivery that cannot be realized by pressure volume monitoring alone. (Source: Critical Care)...
POSTED 08/23/2010 at 06:00 PM --
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Bacterial flagellin elicits widespread innate immune defense mechanisms, apoptotic signaling, and a sepsis-like systemic inflammatory response in mice
Conclusions:
Bacterial flagellin elicits prototypical innate immune responses in mice, leading to the release of multiple pro-inflammatory cytokines in the lung, small intestine, liver and kidney, and also activates apoptotic signalling in the gut. Therefore, this bacterial protein may represent a critical mediator of systemic inflammation and intestinal barrier failure in sepsis due to flagellated micro-organisms. (Source: Critical Care)...
POSTED 08/23/2010 at 06:00 PM --
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Reminders Significantly Reduce Catheter-Associated Infections
Reminders that encourage hospital staff to remove catheters promptly can reduce the rate of catheter-associated urinary tract infections by 52%, according to a study published in Clinical Infectious Diseases... (Source: SCCM RSS News)...
POSTED 08/23/2010 at 08:50 AM --
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Pharmacotherapy Registration, Hotel Deadlines Approaching
Advance registration for the Society of Critical Care Medicineâs (SCCM) upcoming conference, Pharmacotherapy in Critical Illness, ends Wednesday, September 1, 2010. After this date, registration will be accepted on site and only if space is available. Register online today or contact SCCM Customer Service at +1 847 827-6888 to guarantee your spot... (Source: SCCM RSS News)...
POSTED 08/23/2010 at 08:49 AM --
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Grenvik Awards Recognizes Excellence in Ethics
Each year the Grenvik Family Award for Ethics recognizes a Society of Critical Care Medicine (SCCM) member who has devoted significant efforts toward advancing the ethical aspects of care in the intensive care unit (ICU). Certainly, David C. Kaufman, MD, FCCM, meets and exceeds these criteria, having dedicated his 20-year career to advancing this very idea... (Source: SCCM RSS News)...
POSTED 08/23/2010 at 08:48 AM --
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Look to LearnICU for a Collection of Rapid Response Resources
A comprehensive list of resources to help intensive care unit teams build or improve their rapid response system is now available on LearnICU.org. Resources are listed by date and include references from a variety of journals, including Critical Care Medicine. The list was compiled with help from SCCM members Joe C. Hylton, RRT; Ruth M. Kleinpell, RN, PhD, RN-CS, FCCM; Elizabeth LaVelle, PhD; Gourang P. Patel, PharmD; and Frank Sebat, MD, FCCM... (Source: SCCM RSS News)...
POSTED 08/23/2010 at 08:48 AM --
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Access Free Quality Improvement Sessions and Tools
Last yearâs postgraduate review course on quality improvement was deemed a great success, and several sessions from the meeting are now posted to the Paragon website. Access the slides and audio from the presentation, Practical Tools for ICU Performance Improvement, and from the pro/con debate, Should Multiprofessional Rounds Include a Physician? Each session is accompanied by links related to quality tools, including checklists for central venous catheter insertion, family conferences, and withdrawal of life support. SBAR-Q daily goal sheets and safety reports also are available... (Source: SCCM RSS News)...
POSTED 08/23/2010 at 08:47 AM --
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NIH Offers 2011 Funding Opportunities
Each year, the National Institutes of Health (NIH) offers grants to exceptionally creative scientists through the NIH Directorâs Pioneer Award, New Innovator Award and the Transformative Research Projects Award programs... (Source: SCCM RSS News)...
POSTED 08/23/2010 at 08:47 AM --
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