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Nasal High-Flow Oxygen Lowers Reintubation Rate

SYNOPSIS: Use of nasal high-flow oxygen was associated with better comfort, fewer desaturations and interface displacements, and a lower reintubation rate.

Can We Reduce Unnecessary Head CT Scans in Patients with Delirium?

This study was a retrospective review of medical records of hospitalized general medicine patients with head CT imaging performed for the evaluation of delirium.

Health Care Utilization in the Aftermath of Severe Sepsis

SYNOPSIS: This observational cohort study of survivors of severe sepsis found that the post-discharge needs of this population are substantial. Severe sepsis survivors spent more days admitted to facilities after their acute hospitalization than prior and had greater mortality, a steeper decline in days at home, and a greater increase in proportion of days alive in a facility compared to survivors of non-sepsis hospitalizations.

Peri-procedural Management of New Oral Anticoagulants

Due to the short half-life and rapid onset of action of the new oral anticoagulants (NOACs), peri-procedural anticoagulant free time intervals should be shorter than with warfarin. Thus, there is uncertainty about the use of heparin bridging. These investigators from Germany analyzed the Dresden NOAC registry data to assess peri-procedural NOAC management and safety until 30 days post-procedure.

Clinical Briefs in Primary Care

Effects of Losartan on Cardiovascular Morbidity and Mortality in Patients with Isolated Systolic Hypertension and LVH; Increase in Nocturnal Blood Pressure and Progression to Microalbuminuria in Type 1 Diabetes; HRT, Lipid, and Glucose Metabolism in Diabetic and Nondiabetic Postmenopausal Women; Effects of Long-Term Treatment With ACE Inhibitors in the Presence or Absence of Aspirin; Long-Term Risks Associated with Atrial Fibrillation: 20-Year Follow-up of the Renfrew/Paisley Study; Olfactory Impairment in Older Adults

Will ‘Quick Start’ give women jump on pill use?

You reviewed the instructions for initiating the first pack of oral contraceptives (OCs) with your patient. She elects to use the Sunday start, beginning pills on the first Sunday after her next period. When she returns for a follow-up visit in a few months, though, you discover she never started the pills and now is pregnant.

New data address impact of sterilization

Since about one-fourth of all U.S. women ages 15-44 who have ever married have undergone tubal sterilization,1 chances are that you have counseled women about their permanent contraceptive options.

Check your options to expand IUD access

Your patient is a young mother in a mutually monogamous relationship who cannot tolerate oral contraceptives, has heavy menses, and says she doesnt want to use an injectable birth control method. She has no medical insurance coverage. What options can you offer her?

Women who want permanent birth control now have a second option

American women now have a choice when it comes to permanent birth control: They can opt to undergo tubal ligation or choose the Essure transcervical sterilization procedure.

Who should not use Essure?