Hypertensive disorders of pregnancy range from chronic pre-existing disease to life-threatening conditions such as HELLP syndrome (hemolysis, elevated liver enzymes, low platelets) and eclampsia. They often represent a continuum from bad to worse. The emergency department physician is likely to evaluate a pregnant patient for many conditions unrelated to the pregnancy itself, and knowledge of abnormalities that warrant further assessment and follow-up is essential.
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Septic shock is one of the common causes of hypotension in the ICU. For decades, adrenergic agents with variable alpha- and beta-adrenergic activities have been the mainstay among vasopressor agents. Very few randomized controlled trials have been done that identify the efficacy or superiority of any one particular agent.
This single-center prospective observational study reveals that the presence of 3 factors (low cough peak flow, high secretion volume, and poor neurologic score per a simple 4-task test) may be useful in predicting extubation failure.
In surgical and trauma patients, a single oral application of 2 mL chlorhexidine gluconate was successful in reducing oral bacterial growth over a 72-hour period following intubation.
