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The purpose of this article was to provide a systematic review and critical appraisal of the literature on the incidence and risk factors for unplanned endotracheal extubations, factors associated with reintubations, and outcomes of unplanned extubations. Several evidence-based recommendations were presented to prevent unplanned extubations.
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In the ICU at the University of Connecticut Health Center, adult patients with both medical and surgical problems are primarily managed by the same team of intensivists.
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A middle-aged man with community-acquired pneumonia complicated by underlying cardiomyopathy develops the acute respiratory distress syndrome (ARDS).
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Two men (one age 57 with no prior significant illnesses and one age 67 with type 2 diabetes) from northwestern Missouri presented separately to a hospital with illnesses characterized by fever, fatigue, diarrhea, thrombocytopenia and leukopenia. Hepatic transaminase levels subsequently became elevated in both patients, peaking between 8 and 10 days.
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Three HIV-infected patients with refractory, corticosteroid-dependent and life-threatening IRIS were presented.
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In this issue: Side effects of statins; effects of cannabis use; antihypertensives and lip cancer; and FDA actions.
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Clostridium difficile infection (CDI) is a major complication associated with antibiotic usage, and its incidence continues to increase. Management of CDI remains challenging despite new therapies and many patients suffer from recurrences. Interventions to limit acquisition of the disease are therefore urgently needed.
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