A 12-year-old boy with an unremarkable familial and medical history presents with global aphasia and right hemiplegia 14 days after a streptococcal pharyngeal infection. A neurological examination performed three hours after symptom onset reveals a conjugate gaze deviation to the left, right hemiplegia, hemihypesthesia, and extensor plantar sign. The NIHSS score is 22. Laboratory examinations are normal. A cerebral CT shows a hyperdense left MCA and early signs of infarction in that area.
The purpose of this article was to apply aviation communication principles and strategies to the field of critical care medicine, particularly crisis communication situations.
This is a report of a secondary analysis of data from the original Acute Respiratory Distress Syndrome (ARDS) Network low-tidal-volume study, which demonstrated improved survival with ventilator tidal volumes of 6 (vs 12) mL/kg predicted body weight in patients meeting the American-European consensus definition of acute lung injury (ALI) or ARDS.
In this issue: New treatment for prostate cancer; avastin and breast cancer; new CMS disclosure rule; and FDA actions.
Patients have referred to receiving mechanical ventilatory support as, "the most inhumane ever experienced".... While mechanical ventilation is one of the most commonly used treatment modalities in the ICU, this life-saving modality causes great anxiety, distress, and discomfort in patients.
This study was a secondary analysis of data from an earlier randomized clinical trial comparing one antibiotic vs two (meropenem alone or meropenem plus ciprofloxacin) as early empiric therapy for ventilator-associated pneumonia (VAP).
