The new joint guidelines from AHA and ASA recommend considering hemi-craniectomy in a subset of patients with swollen hemispheric stroke or swollen cerebellar stroke. Age seems to matter, and a sizeable proportion will have a severely impaired quality of life in the long-run.
A new good-sized tria
l seems to confirm that tight sugar control is no better than aiming for under 10. And take a look at the incidence of hypos!
An excellent prospective observational study highlights the high incidence of iatrogenic events in patients prior to ICU admission. These events were seen in 27% of admissions and were associated with a longer ICU stay.
Whether you think they’re effective or not, if you have a MET team, make sure it’s called in time. Delay more than 30 minutes costs lives according to this Brazilian study
If you like a good acronym and some prosaic explanation read the new CDC ventiator-associated event guidelines.
If not then skip to page 10-18 and read the algorithm.
New analysis of data from 339 patients with sepsis and pneumonia way back in 2004-2006 suggests NMBs might be good for more than just ARDS.
Collect together the work on Nitric Oxide in ARDS and it doesn’t suggest a mortality benefit. Furthermore no one seems to be looking into to it any further. Are there subgroups with benefit that we’re missing (after all we know it has good antimicrobial properties)?
A recent study in Chest looks at a week vs 2 week course if antibiotics for VAP.
How about 3 days vs a week for the next study?
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