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The overwhelming majority of women who go through pregnancy never require admission to the intensive care unit.
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In this issue: Escitalopram for menopausal hot flashes, rifaximin for IBS without constipation, herpes zoster vaccination, antiepileptics drugs and fracture risk, and FDA Actions.
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The authors set out to determine whether daily bathing of patients with 2% chlorhexidine gluconate (CHG)-impregnated cloths could reduce central line-associated bloodstream infection (CLABSI) rate by at least 30% in a surgical ICU where CLABSI rates were above National Healthcare Safety Network averages.
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Successful shared decision-making requires three key elements: identifying patient preferences, clearly explaining pertinent medical information, and developing consensus around a treatment plan.
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Laboratory studies and clinical data support the concept that prolonged mechanical ventilation (PMV) can induce or worsen lung injury, via activation of inflammatory mediators and/or microvascular fibrin deposition, processes that may be ameliorated by heparin.
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In this study from the Mayo Clinic in Rochester, MN, Herasevich et al tested an electronic algorithm that incorporated patient characteristics and ventilator data and notified clinicians immediately when potentially injurious ventilator settings were being used.
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Due to its lack of cardiovascular side effects, the short-acting non-barbiturate sedative, etomidate, has been one of the primary agents used to sedate hypotensive patients during rapid-sequence intubation (RSI).
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Hyponatremia is frequently seen in patients with left ventricular failure and has recently been shown to be associated with right ventricular dysfunction and worse outcomes in patients with pulmonary hypertension.