Medscape Critical Care Headlines
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Abnormal Sleep and Errors More Common in ICU Nurses
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Intensive care unit (ICU) nurses are more likely than floor nurses to have abnormal sleep and to experience a drop in vigilance during their shift that could impair patient safety, according to study findings presented this week at the CHEST 2009 meeting in San Diego, California. Reuters Health Information (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - November 9, 2009 Category: Intensive Care Tags: Nursing Source Type: info
Epidemiology and Outcome of Nosocomial Bloodstream Infection in Elderly Critically Ill Patients: A Comparison Between Middle-Aged, Old, And Very Old Patients
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Investigators evaluated the epidemiology of nosocomial bloodstream infection in elderly intensive care unit (ICU) patients. Critical Care Medicine (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - October 28, 2009 Category: Intensive Care Tags: Critical Care Source Type: info
Understanding the Sequence of Pulmonary Injury in the Extremely Low Birth Weight, Surfactant-Deficient Infant
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This article provides bedside clinicians with foundational information about the sequence of events that can ultimately lead to neonatal chronic lung disease and bronchopulmonary dysplasia. Neonatal Network (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - October 22, 2009 Category: Intensive Care Tags: Nursing Source Type: info
Discharge Teaching in the NICU: Are Parents Prepared? An Integrative Review of Parents' Perceptions
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At the end of their infant's NICU stay, parents are expected to assume full responsibility for their infant's care. Do parents feel that discharge practices prepare them effectively? Neonatal Network (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - October 21, 2009 Category: Intensive Care Tags: Nursing Source Type: info
The Golden Hour: Care of the LBW Infant During the First Hour of Life -- One Unit's Experience
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This unit's evidence-based care process for the first hour of life -- which sometimes goes beyond the guidelines -- has reduced the complications that cloud the outcomes of low birth weight infants. Neonatal Network (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - October 15, 2009 Category: Intensive Care Tags: Nursing Source Type: info
End-of-Life Care by Nurses in the ICU
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Nurses articulate what it means to "do their utmost" at the end of a patient's life. Medscape Nurses (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - October 13, 2009 Category: Intensive Care Tags: Nursing Source Type: info
Assessment of a Multifactorial Risk Index for Predicting Postoperative Pneumonia After Open Abdominal Aortic Aneurysm Repair
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The Postoperative Pneumonia Risk Index (PPRI) is helpful in predicting pneumonia risk following open abdominal aortic aneurysm repair, but weight loss alone may also be predictive. Vascular (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - September 30, 2009 Category: Intensive Care Tags: General Surgery Source Type: info
Management of Acute Lung Injury and Acute Respiratory Distress Syndrome in Children
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This review article focuses on the epidemiology, diagnosis, and evidence base for management of ALI/ARDS in children. Critical Care Medicine (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - September 30, 2009 Category: Intensive Care Tags: Critical Care Source Type: info
Association Between Blood Lactate Levels, Sequential Organ Failure Assessment Subscores, and 28-Day Mortality During Early and Late Intensive Care Unit Stay: A Retrospective Observational Study
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Are the level and duration of increased blood lactate levels associated with daily SOFA scores and organ subscores? Investigators assessed these during the early and late phases of the ICU stay. Critical Care Medicine (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - September 30, 2009 Category: Intensive Care Tags: Critical Care Source Type: info
Can Bacteriological Upper Airway Samples Obtained at Intensive Care Unit Admission Guide Empiric Antibiotherapy for Ventilator-Associated Pneumonia?
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Investigators sought to determine whether the results of upper airways samples performed at ICU admission can help guide adequate empiric antibiotherapy for ventilator-associated pneumonia. Critical Care Medicine (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - September 30, 2009 Category: Intensive Care Tags: Critical Care Source Type: info
A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Dose-Escalation Trial Assessing Safety and Efficacy of Active Site Inactivated Recombinant Factor VIIa in Subjects With Acute Lung Injury or Acute Respiratory Distress Syndrome
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This study assessed the safety and efficacy of active site inactivated recombinant factor VIIa (FFR-rFVIIa) in patients with acute lung injury or acute respiratory distress syndrome. Critical Care Medicine (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - September 30, 2009 Category: Intensive Care Tags: Critical Care Source Type: info
Safety of Epoietin Beta-Quinine Drug Combination in Children With Cerebral Malaria in Mali
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Cerebral malaria carries an unacceptable case fatality rate in children. To improve the survival rate, a new adjunctive strategy using erythropoietin was proposed. Malaria Journal (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - September 29, 2009 Category: Intensive Care Tags: Infectious Diseases Source Type: info
Use of Chemotherapy at End of Life in Oncology Patients
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This study assessed the uses of and factors associated with end-of-life chemotherapy at 2 centers. Annals of Oncology (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - September 28, 2009 Category: Intensive Care Tags: Hematology-Oncology Source Type: info
Are There Sex-Based Differences in Serum Troponin I After Cardiac Surgery?
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Investigators sought to determine whether there are sex-based differences in serum troponin I (TnI) after cardiac surgery with cardiopulmonary bypass. Critical Care Medicine (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - September 24, 2009 Category: Intensive Care Tags: Critical Care Source Type: info
Prolonged Ventilation Increases Clostridium Difficile-Associated Disease Risk
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Patients on prolonged acute mechanical ventilation face an increased risk of Clostridium difficile-associated disease, according to a report in the September Chest. Reuters Health Information (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - September 23, 2009 Category: Intensive Care Tags: Pulmonary Medicine Source Type: info
Hypertonic Saline Attenuates Cord Swelling and Edema in Experimental Spinal Cord Injury: A Study Utilizing Magnetic Resonance Imaging
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Investigators used MRI to assess secondary injury immediately after spinal cord injury and to show the effect of hypertonic saline on MRI indices of swelling, edema, and hemorrhage within the cord. Critical Care Medicine (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - September 23, 2009 Category: Intensive Care Tags: Critical Care Source Type: info
SAME Is Different: A Case Report and Literature Review of Staphylococcus aureus Metastatic Endophthalmitis
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Read about a case of MRSA associated metastatic endophthalmitis that developed secondary to bacteremia. Southern Medical Journal (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - September 22, 2009 Category: Intensive Care Tags: Family Medicine/Primary Care Source Type: info
Are Families Prepared for Discharge From the NICU?
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Assistance with pediatrician selection and home preparation may improve the percentage of families prepared for discharge. Journal of Perinatology : Official Journal of the California Perinatal Association (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - September 21, 2009 Category: Intensive Care Tags: Pediatrics Source Type: info
Validation of the Global Registry of Acute Coronary Event (GRACE) Risk Score for In-Hospital Mortality in Patients With Acute Coronary Syndrome in Canada
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Does the GRACE risk score maintain its validity when applied to patients in a different geographical area who are treated with the latest evidence-based therapy? American Heart Journal (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - September 21, 2009 Category: Intensive Care Tags: Cardiology Source Type: info
Effect of Prasugrel Versus Clopidogrel on Outcomes Among Patients with Acute Coronary Syndrome Undergoing Percutaneous Coronary Intervention Wthout Stent Implantation: TRITON-TIMI 38
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A clear winner emerged in the TRial to assess Improvement in Therapeutic Outcomes by optimizing platelet inhibitioN with prasugrel (TRITON) - Thrombolysis in Myocardial Infarction (TIMI) 38. American Heart Journal (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - September 21, 2009 Category: Intensive Care Tags: Cardiology Source Type: info
Acute Lung Injury May Be Missed in Kids on Ventilation
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Given that arterial lines are used less frequently in pediatric ICUs these days, the criteria for diagnosis of acute lung injury are less often available, making it difficult to conduct randomized controlled trials of therapies in children with this condition. Reuters Health Information (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - September 21, 2009 Category: Intensive Care Tags: Pulmonary Medicine Source Type: info
Corticosteroids Help Prevent Atrial Fibrillation After Cardiac Surgery
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Perioperative corticosteroids reduce the risk of postoperative atrial fibrillation (AF) by more than 50% in patients undergoing cardiac surgery, according to a meta-analysis of trial data. Reuters Health Information (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - September 16, 2009 Category: Intensive Care Tags: Critical Care Source Type: info
Cytomegalovirus Infection in Critically Ill Patients: A Systematic Review
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This study reviewed studies in which critically ill immunocompetent adults were monitored for CMV infection in the ICU and assessed how patient outcomes may have been affected by CMV infection. Critical Care (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - September 15, 2009 Category: Intensive Care Tags: Critical Care Source Type: info
Most Elderly Ventilator Patients Will Never Return to Independent Functioning
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Only a small minority of elderly patients who require mechanical ventilation will survive and return to independent functioning, Israeli researchers say - and this information, they add, is important for patients, their families, and their doctors. Reuters Health Information (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - September 14, 2009 Category: Intensive Care Tags: Critical Care Source Type: info
Influence of Patient-Controlled IV Analgesia With Opioids on Supraventricular Arrhythmias After Pulmonary Resection
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Investigators evaluated the effect of postoperative patient-controlled analgesia with opioids on postoperative supraventricular arrhythmias in patients following pulmonary resection. British Journal of Anaesthesia (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - September 11, 2009 Category: Intensive Care Tags: Anesthesiology Source Type: info
Caring for Dying Children: Assessing the Needs of the Pediatric Palliative Care Nurse
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What are some of the issues staff face when caring for dying children? Pediatric Nursing (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - September 2, 2009 Category: Intensive Care Tags: Nursing Source Type: info
Effect of Patient Transfer on Outcomes After Open Repair of Ruptured Abdominal Aortic Aneurysms
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Hemodynamic status, but not patient transfer, may adversely affect mortality after open ruptured abdominal aortic aneurysm repair. Vascular (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - September 2, 2009 Category: Intensive Care Tags: General Surgery Source Type: info
Methadone-Associated Q-T interval prolongation and torsades de pointes
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Are you aware of how to prevent these fatal adverse effects? American Journal of Health-System Pharmacy (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - August 31, 2009 Category: Intensive Care Tags: Pharmacist Source Type: info
A Randomized Trial of Chlorhexidine Gluconate on Oral Bacterial Pathogens in Mechanically Ventilated Patients
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This study attempted to determine the minimum frequency for 0.12% chlorhexidine gluconate application needed to reduce oral colonization by pathogens in intubated patients in a trauma ICU. Critical Care Medicine (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - August 31, 2009 Category: Intensive Care Tags: Critical Care Source Type: info
Correlates of Motor Dysfunction in Children with Traumatic Brain Injury: Exploration of Compensatory Recruitment Patterns
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Motor impairment in TBI children is associated with changes in functional cerebral activity. Brain (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - August 31, 2009 Category: Intensive Care Tags: Neurology & Neurosurgery Source Type: info
Correlates of Motor Dysfunction in Children with Traumatic Brain InIjury: Exploration of Compensatory Recruitment Patterns
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Motor impairment in TBI children is associated with changes in functional cerebral activity. Brain (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - August 31, 2009 Category: Intensive Care Tags: Neurology & Neurosurgery Source Type: info
Comparison of the Bedside Central Venous Catheter Placement Techniques: Landmark vs Electrocardiogram Guidance
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This study compared the accuracy of CVC tip localization between ECG- and landmark-guided catheterization. British Journal of Anaesthesia (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - August 31, 2009 Category: Intensive Care Tags: Anesthesiology Source Type: info
Comparison of Three Methods of Extravascular Lung Water Volume Measurement in Patients After Cardiac Surgery
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This observational study compared measurement of EVLW by the Li-thermal and single-thermal indicator dilution method with the ICG-thermal method in patients following cardiac surgery. Critical Care (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - August 31, 2009 Category: Intensive Care Tags: Critical Care Source Type: info
Using Quality Indicators to Improve Hospital Care: A Review of the Literature
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How do the various strategies for implementing quality indicators compare in effectively improving the quality of hospital care? International Journal for Quality in Health Care (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - August 28, 2009 Category: Intensive Care Tags: Public Health & Prevention Source Type: info
Treatment of Multidrug-Resistant and Extensively Drug-Resistant Tuberculosis: Current Status and Future Prospects
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Are you up-to-date on the current strategies for combating multidrug-resistant tuberculosis? Expert Review of Clinical Pharmacology (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - August 27, 2009 Category: Intensive Care Tags: Infectious Diseases Source Type: info
Wish Fulfillment: Palliative Care and End-of-Life Intervention
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In children with life-threatening illnesses, the fulfillment of a special wish can ease suffering and sorrow, but may raise complex emotions that require sensitive management. Pediatric Nursing (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - August 26, 2009 Category: Intensive Care Tags: Nursing Source Type: info
Propofol Consumption and Recovery Times After Bispectral Index or Cerebral State Index Guidance of Anaesthesia
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This study compares propofol requirements and recovery times when BIS and CSM are used to guide propofol anesthesia. British Journal of Anaesthesia (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - August 25, 2009 Category: Intensive Care Tags: Anesthesiology Source Type: info
Effects of Low Oxygen Saturation Limits on the Ductus Arteriosus in Extremely Low Birth Weight Infants
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Acceptance of a lower saturation limit as described in this study reduced the incidence of severe ROP but increased the incidence of early hsPDA. Journal of Perinatology : Official Journal of the California Perinatal Association (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - August 24, 2009 Category: Intensive Care Tags: Pediatrics Source Type: info
Effects ofLow Oxygen Saturation Limits on the Ductus Arteriosus in Extremely Low Birth Weight Infants
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Acceptance of a lower saturation limit as described in this study reduced the incidence of severe ROP but increased the incidence of early hsPDA. Journal of Perinatology : Official Journal of the California Perinatal Association (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - August 24, 2009 Category: Intensive Care Tags: Pediatrics Source Type: info
The Landscape of Antibiotic Resistance
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The problem of antibiotic resistance is so extensive that the future of existing antibiotic therapies may be in jeopardy. What can be done to better control this trend in antibiotic resistance? Environmental Health Perspectives (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - August 24, 2009 Category: Intensive Care Tags: Public Health & Prevention Source Type: info
Simultaneous Targeting of Multiple Opioid Receptors: A Strategy to Improve Side-Effect Profile
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Analgesics that are designed not to be highly selective morphine-like ligands represent a new avenue for the production of useful drugs for chronic pain. British Journal of Anaesthesia (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - August 21, 2009 Category: Intensive Care Tags: Anesthesiology Source Type: info
Anaesthesia for Deep Brain Stimulation and in Patients With Implanted Neurostimulator Devices
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This study reviews the current knowledge of anesthetic techniques and perioperative complications of neurostimulator insertion, as well as considerations in patients with an implanted neurostimulator. British Journal of Anaesthesia (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - August 21, 2009 Category: Intensive Care Tags: Anesthesiology Source Type: info
Effects of Staff Training on the Care of Mechanically Ventilated Patients: A Prospective Cohort Study
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Investigators evaluated whether staff training in predefined interventions (bundle) improves the quality of care in mechanically ventilated patients. British Journal of Anaesthesia (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - August 20, 2009 Category: Intensive Care Tags: Anesthesiology Source Type: info
Simultaneous Targeting of Multiple Opioid Receptors
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This study evaluates the simultaneous targeting of multiple opioid receptors as a strategy to improve the side-effect profile of opioids. British Journal of Anaesthesia (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - August 19, 2009 Category: Intensive Care Tags: Anesthesiology Source Type: info
NHLBI Halts Study of Concentrated Saline for Shock Due to Lack of Survival Benefit
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A recent clinical trial has been terminated by the NHLBI due to patient mortality; find out what happened. American Academy of Emergency Medicine (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - August 17, 2009 Category: Intensive Care Tags: Emergency Medicine Source Type: info
Washington Watch: Hospital Fined for Failure to Provide Emergency Care
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In this installment of Washington Watch, Kathleen Ream discusses the fine by the US Department of Health and Human Services levied on a California hospital for failing to provide required emergency care. American Academy of Emergency Medicine (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - August 14, 2009 Category: Intensive Care Tags: Emergency Medicine Source Type: info
Anaesthesia and Myocardial Ischaemia/Reperfusion Injury
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This review article focuses on the translation of the laboratory evidence of anesthetic-induced cardioprotection into daily clinical practice. British Journal of Anaesthesia (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - August 14, 2009 Category: Intensive Care Tags: Anesthesiology Source Type: info
Mortality and Glycemic Targets in the Intensive Care Unit: Another Paradigm Shift?
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Hospitals and clinicians should avoid a “knee jerk” reaction to the findings of the NICE-SUGAR trial. Diabetes (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - August 13, 2009 Category: Intensive Care Tags: Diabetes & Endocrinology Source Type: info
The Frequency of Adverse Drug Reaction Related Admissions According to Method of Detection, Admission Urgency and Medical Department Specialty
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How often do adverse drug reactions send patients to the hospital? BMC Clinical Pharmacology (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - August 12, 2009 Category: Intensive Care Tags: Pharmacist Source Type: info
Palliative Care Referrals After Lung Transplantation in Major Transplant Centers in the United States
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Lung transplantation is a widely used treatment for patients with end-stage lung disease, but its long-term outcomes are limited. Why are palliative care referrals so low? Critical Care Medicine (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - August 6, 2009 Category: Intensive Care Tags: Critical Care Source Type: info
