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In this randomized, multicenter trial, early use of a pulmonary artery catheter in patients with shock, ARDS, or both did not significantly alter mortality or morbidity.
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Ventilator-associated pneumonia (VAP) remains a difficult problem in critically ill patients, both in diagnosis and treatment.
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Olsen SJ, Chang HL, Vheung T, et al. Transmission of the severe acute respiratory syndrome (SARS) on aircraft. N Engl J Med 2003: 349:2,416-2,422.
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Many questions continue to circle around the use of central venous catheter (CVC) devices. What are the demographics of their use and the practices of their insertion? How dangerous are they? What location in the hospital is CVC use most prevalent? What are ways to limit infection? Are there special considerations to treat infections, including bloodstream infections (BSI), resulting from the use of CVCs?
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Crisis response mode and rapidly emerging infections are the new normal for a public health system that has to expect new threats as part of the daily job, warned Julie Gerberding, MD, MPH, director of the Centers for Disease Control and Prevention (CDC).
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Antibiotics Associated With Cancer Risk; Topiramate Effective Against Migraine; Statin Therapy For Heart Failure; FDA Actions.
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Few clinical situations place intensive care practitioners in a more uncomfortable position than does treating patients of the Jehovahs Witness faith. The faith-based refusal of autogenous or allogenic blood transfusions conflicts with the typical life-saving intent implicit in the critical care environment. However, it is our obligation to have a basic level of understanding of the set of beliefs that leads to the choice to refuse this specific set of life-saving therapies, while accepting other aspects of modern medical care.
