Critical Care Alert – March 1, 2016

March 1, 2016

• Swallowing Dysfunction in Critical Illness

  Maintaining a high index of suspicion for the presence of possible swallowing dysfunction is key for the clinician.

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• New Insights Into Alveolar Mechanics and Gas Exchange in Experimental Acute Respiratory Distress Syndrome

  Experimental acute respiratory distress syndrome was induced in mice to study local alveolar gas dynamics using advanced microimaging techniques. Heretofore unrecognized disturbances in alveolar ventilation will alter our understanding of alveolar mechanics and gas exchange dysfunction as well as promote the use of recruitment maneuvers.

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• Effects of a Rapid Response System Driven by Real-time Automated Clinical Alerts on Hospital Mortality and Length of Stay

  The addition of an automated real-time clinical deterioration alert system to a rapid response system had marginal effects.

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• Does the Use of Saline vs Buffered Crystalloid Reduce Risk of Acute Kidney Injury in ICU?

  The use of a buffered crystalloid compared with saline did not reduce the risk of acute kidney injury in patients receiving crystalloid fluid therapy in the ICU.

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