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Delirium, or acute brain dysfunction, is a syndrome that affects many patients in the intensive care unit (ICU). A number of modifiable and non-modifiable risk factors contribute to the development of delirium, such as illness severity, receipt of benzodiazepine medications, and metabolic alterations.
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Gershengorn and colleagues used prospectively collected data from the Project IMPACT database (a nationwide, voluntary, proprietary database for assessing performance of U.S. ICUs with respect to patient outcomes and numerous other variables) to examine the question of whether the use of arterial catheters (ACs) in critically ill, mechanically ventilated patients was associated with improved survival or other documentable benefits.
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Pain defined as an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage1 is a common symptom experienced by critically ill patients.
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The ECG in the Figure was obtained from a patient with atypical chest pain. Is this a normal ECG? If not, why not?
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In this prospective study of older ICU patients (mean age, 67 years), frailty as assessed by a simple scale was present in one-third and was strongly associated with increased risk of adverse events, morbidity, and mortality.
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The risk of developing atrial fibrillation is increased by the use of oral or intravenous bisphosphonates, but the risk is relatively greater when the drug is given intravenously.
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After caring for patients with Clostridium difficile infection, nearly 25% of health care workers were found to have hand contamination with C. difficile spores.
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The first oxaborole antifungal has been approved for the treatment of fungal toenail infection. Tavaborole is a topical solution that is applied daily to the infected nail. It is marketed by Anacor Pharmaceuticals as Kerydin¢â
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