Posts Tagged ‘ICU’

Catheter-Associated Urinary Tract Infections

Posted by • June 2nd, 2016

In your role as Unit Medical Director, you regularly meet with nursing leadership for 6-West.  Today, they bring to your attention several cases from the last month: a 67-year old female admitted for severe pneumonia who initially rapidly improved on antibiotics, but then developed a new fever and was found to have a urinary tract… Read More…

Early versus Late Parenteral Nutrition in Critically Ill Children

Posted by • March 23rd, 2016

During our intensive care unit rotations as residents, patient nutrition is a daily talking point. While it is easy to get lost in the details of the critical illnesses that bring patients to the ICU, we are regularly asked by attendings, nurses, and others, “how are we going to feed this patient?” Indeed, nutrient deficiencies… Read More…

Dying with Dignity in the Intensive Care Unit

Posted by • June 27th, 2014

It is common for patients to have an expected death in an ICU. The final review in the Critical Care series covers issues related to the end of life in the absence of discordance between the patient’s family and caregivers. The traditional goals of intensive care are to reduce the morbidity and mortality associated with critical… Read More…

ICU-Acquired Weakness

Posted by • April 25th, 2014

Stays in intensive care units are commonly accompanied by muscle weakness. The latest article in the Critical Care series reviews the basis for this condition and provides guidance on how to prevent, diagnose, and treat it. Weakness acquired in the intensive care unit (ICU) is caused by many different pathophysiological mechanisms that are not mutually exclusive…. Read More…

Blood-Pressure Target in Patients with Septic Shock

Posted by • April 25th, 2014

In a multicenter, open-label trial, patients with septic shock were treated to maintain a mean arterial pressure target of either 80 to 85 mm Hg or 65 to 70 mm Hg. There were no significant between-group differences in 28-day mortality or in 90-day mortality. Septic shock is characterized by arterial hypotension despiteadequate fluid resuscitation. Clinical Pearls •… Read More…

Sedation and Delirium in the ICU

Posted by • January 31st, 2014

Patients in ICUs often require pain relief and sedation to treat both the underlying medical condition and the unpleasantness associated with being in an ICU. This review provides guidance on the identification and treatment of delirium and sedation. Patients in intensive care units (ICUs) are treated with many interventions (most notably endotracheal intubation and invasive mechanical… Read More…

Reducing Transmission of Resistant Bacteria in ICUs

Posted by • April 13th, 2011

Health care-associated infections harm patients and consume limited resources. Such infections with methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococcus (VRE) have become a popular target for lawmakers and regulators to improve quality, and some prevention efforts have been codified. However, we still don’t have a good sense of which efforts are worthwhile. Two studies in… Read More…