Critical Care Alert – January 1, 2015

January 1, 2015

• Treatment of Pulmonary Embolism in the ICU

  Venous thromboembolism (VTE) is the third most common cardiovascular condition behind myocardial infarction and stroke, with an incidence rate of about one per 1000 person-years.1,2 Nearly 5% of the population will experience

  Read more about Treatment of Pulmonary Embolism in the ICU - Critical Care Alert – January 1, 2015

• Clinical Practice Guidelines for Platelet Transfusion

  Based on a recent systematic review of the literature, clinical guidelines were developed by the American Association of Blood Banks with the goal of providing platelet transfusion thresholds for adult patients in common clinical scenarios.

  Read more about Clinical Practice Guidelines for Platelet Transfusion - Critical Care Alert – January 1, 2015

• Statins Not Helpful in Treating ARDS

  Although studies in animals and preliminary reports in patients with ARDS suggested that statin administration might be beneficial in patients with the syndrome, this multicenter, double-blind clinical trial showed no benefit from simvastatin by any measure examined.

  Read more about Statins Not Helpful in Treating ARDS - Critical Care Alert – January 1, 2015

• Should Long-acting Bronchodilators Be Used in Acute Exacerbations of COPD?

  In this study of administrative data from patients admitted to 421 U.S. hospitals with acute chronic obstructive pulmonary disease (COPD) exacerbations, 41% received long-acting bronchodilators, which are not recommended in this setting. Comparison with patients who did not receive the long-acting agents showed no evidence for clinical or economic benefit from their use.

  Read more about Should Long-acting Bronchodilators Be Used in Acute Exacerbations of COPD? - Critical Care Alert – January 1, 2015