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Chronically critically ill patients are projected to increase in number over the next 10 years.
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Although previous studies have suggested that hypocalcemia, a common problem in critical illness, is associated with increased mortality in ICU patients, and correction of hypocalcemia has been advocated to prevent neurologic and cardiovascular complications, the literature is still unclear as to the precise relationship between abnormal calcium levels both hypo- and hypercalcemia and ICU outcomes.
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In this issue: Anticholinergic drugs for COPD; pioglitazone for diabetes prevention; insulin degludec in Phase 3 trials; and FDA Actions.
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Communicating with family members in a manner that ensures satisfaction with the information received, assists in reducing distress, and supports decision making is challenging.
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Cardoso and colleagues at University Hospital in Londrina, Brazil, prospectively studied all patients who were admitted to their 17-bed, closed, general adult ICU during a 12-month period.
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Flandreau and colleagues at the Hôpital de la Croix-Rousse in Lyon, France, report their experience with patients with chronic neuromuscular disease (CNMD) admitted to their 15-bed medical ICU because of acute respiratory failure (ARF).
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Twice in the past 2 years I've encountered pulmonary histoplasmosis in travelers returning from Central America (Mexico and Costa Rica), and both times the diagnosis proved challenging. One case, in particular, was a 60-year-old man who had traveled to Costa Rica for 1 week and then presented with fever, persistent dry cough, malaise, and complaints of memory loss.
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