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In this in-depth examination of 111 patients at a center in the original ARDS Net low-tidal-volume study, patients managed with 6 mL/kg or less did not require more sedation during the first 48 hours than those managed with tidal volumes of 12 mL/kg.
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This 3-year cohort surveillance study of all adult patients admitted to ICUs in one region found that they were common (developing in 6.5% of patients, or 9.6 UTIs per 1000 ICU days) but did not contribute independently to mortality.
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This single center observational cohort study reveals that ARDS survivors have persistent neurocognitive, psychiatric and quality of life impairments at 2 years.
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Given the importance of acute bacterial rhinosinusitis (ABRS), a commonly encountered outpatient infection, this article attempts to outline in evidence-based detail what the authors conclude to be optimal, risk-stratified, empiric treatment recommendations. In addition, this review identifies key clinical findings, resistance patterns, risk factors, coexisting conditions, and other clinical triggers supporting referral of patients with ABRS to an otolaryngologist for more invasive i.e., multimodal surgical and more intensive antimicrobial management strategies.
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This cost-effectiveness analysis based on available published data suggests that the routine use of maximum sterile barriers for central venous line insertion would reduce the incidence of line-related infections and save both money and lives.
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This prospective, randomized trial evaluated the role of early percutaneous tracheostomy in critically ill adults projected to require more than 14 days of mechanical ventilation. They found significant reductions in ICU length of stay, the incidence of ventilator-associated pneumonia, and mortality.
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This issue is the second installment of a two-part series on evaluation and management of sexual assault in the emergency department. Part I of the series covered initial ED care, physical exam, and evidence collection. This issue will cover laboratory analysis, pharmacotherapy, disposition, follow-up, documentation, and court testimony.
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The fifth vital sign, pulse oximetry, routinely is used in every emergency department throughout the country to determine the baseline oxygenation of a patient in respiratory distress, to assess a patients response to therapeutic decisions, and to monitor a child during a conscious sedation or resuscitation. It is important to understand how the device functions and the limitations of this routinely used technology.
