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Intensive blood glucose control in the ICU is not helpful (TGC-FAST trial)
Finally, the end of intensive insulin therapy in the ICU
5 hrs ago
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PulmCCM
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Intensive blood glucose control in the ICU is not helpful (TGC-FAST trial)
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Extracorporeal membrane oxygenation (ECMO) for cardiogenic shock after MI (ECLS-SHOCK trial)
When patients with massive myocardial infarctions develop cardiogenic shock, it’s a terrible sign. Even if they undergo rapid revascularization of the…
5 hrs ago
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PulmCCM
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Extracorporeal membrane oxygenation (ECMO) for cardiogenic shock after MI (ECLS-SHOCK trial)
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Adding anticoagulation to thrombolytics for acute ischemic stroke (MOST trial)
There were lingering hopes that for patients with ischemic stroke, adding parenteral anticoagulation after thrombolytic therapy might improve outcomes…
15 hrs ago
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PulmCCM
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Adding anticoagulation to thrombolytics for acute ischemic stroke (MOST trial)
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Are midline catheters or PICCs safer? A randomized trial
Midline catheters are long (8 to 20 cm) peripherally inserted lines that terminate in or just distal to the axillary vein. They’re shorter than…
15 hrs ago
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PulmCCM
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Are midline catheters or PICCs safer? A randomized trial
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Ceftriaxone for all vented brain injured patients? (PROPHY-VAP)
Patients with strokes and traumatic brain injuries who require mechanical ventilation due to coma are at very high risk for developing ventilator…
15 hrs ago
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PulmCCM
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Ceftriaxone for all vented brain injured patients? (PROPHY-VAP)
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Extracorporeal CO2 removal for COPD exacerbations (VENT-AVOID trial)
Extracorporeal membrane oxygenation (ECMO) is a sometimes life-saving technology for acute respiratory or cardiac failure. ECMO remains primarily a…
15 hrs ago
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PulmCCM
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Extracorporeal CO2 removal for COPD exacerbations (VENT-AVOID trial)
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Machine learning to individualize oxygenation targets during mechanical ventilation
Multiple randomized trials in heterogeneous patients requiring mechanical ventilation have not shown any benefit from any particular oxygenation target…
16 hrs ago
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PulmCCM
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Machine learning to individualize oxygenation targets during mechanical ventilation
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One in 33 central-line placements results in major complications?
We doubt it.
16 hrs ago
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PulmCCM
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One in 33 central-line placements results in major complications?
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Higher vs. lower oxygenation targets in Covid-19 (HOT-COVID trial)
Published in January 2021, the HOT-ICU trial found no difference in mortality (42.9% vs 42.4%) among 2928 hypoxemic patients in European ICUs receiving…
16 hrs ago
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PulmCCM
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Higher vs. lower oxygenation targets in Covid-19 (HOT-COVID trial)
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How safe is early mobilization in the ICU?
Providing physical therapy early in the ICU is a recommended practice that appears to prevent ICU-related weakness at the time of discharge, based on…
16 hrs ago
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PulmCCM
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How safe is early mobilization in the ICU?
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Systematic decolonization of nursing home patients reduced hospitalizations and infections (SHIELD-OC)
About half of nursing home residents and 80% of patients in long term acute care hospital (LTACH) patients are colonized with multidrug resistant…
16 hrs ago
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PulmCCM
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Systematic decolonization of nursing home patients reduced hospitalizations and infections (SHIELD-OC)
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New-onset atrial fibrillation provoked by sepsis: anticoagulate or not?
Your elderly patient with sepsis develops new-onset atrial fibrillation that spontaneously converts to normal sinus rhythm. Should long-term…
16 hrs ago
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PulmCCM
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New-onset atrial fibrillation provoked by sepsis: anticoagulate or not?
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