A number of previous studies, including three randomized controlled trials, demonstrated an association with improved outcomes in patients with acute lung injury (ALI) or sepsis-induced respiratory failure when fatty acid supplements were administered. In the October issue of the Journal of the American Medical Association, Todd Rice, MD, MS, and investigators from the National Heart, […]

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Unintended consequences, such as limited ability to think beyond algorithms, may exist when protocols are used extensively. In the September issue of the Journal of American Medical Association, Prasad et al studied the relationship between critical care training under high- and low-intensity institutional mechanical ventilation protocols and subsequent knowledge about ventilator management.

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Intensive care unit (ICU) admissions may lead to unintentional discontinuation of long-standing, evidence-based drug therapies. In the August issue of the Journal of the American Medical Association, Bell et al conducted a population-based cohort study in Ontario, Canada, to investigate whether ICU or hospital admissions were associated with a greater risk for inadvertent discontinuation of long-term medications. A […]

The Surviving Sepsis Campaign guidelines recommend initiating broad-spectrum antibiotics within one hour to treat severe sepsis or septic shock. In September’s Critical Care Medicine, Puskarich et al studied the association between time to initial antibiotic administration and in-hospital mortality rates for septic patients treated with the quantitative resuscitation protocol. The study design was a preplanned […]

Ultrasound use in the intensive care unit (ICU) has become increasingly prevalent, especially as more intensivists gain valuable training and experience in this cost-effective imaging modality. In this month’s issue of Intensive Care Medicine, Xirouchaki et al compared the diagnostic performance of lung ultrasound and bedside chest radiography (CXR) for the detection of four pathologic […]

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