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Critical care & Emergency med

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5 papers 0 to 25 followers
By Howie Real Anesthetist
https://www.readbyqxmd.com/read/26045965/mechanical-ventilation-of-acute-respiratory-distress-syndrome
#1
REVIEW
Ryoichi Ochiai
Acute respiratory distress syndrome (ARDS) has been intensively and continuously studied in various settings, but its mortality is still as high as 30-40 %. For the last 20 years, lung protective strategy has become a standard care for ARDS, but we still do not know the best way to ventilate patients with ARDS. Tidal volume itself does not seem to have an important role to develop ventilator-induced lung injury (VILI), but the driving pressure, which is inspiratory plateau pressure-PEEP, is the most important to predict and affect the outcome of ARDS, though there is no safe limit for the driving pressure...
2015: Journal of Intensive Care
https://www.readbyqxmd.com/read/25910673/the-critical-care-literature-2014
#2
REVIEW
Michael E Winters, Joseph P Martinez, Haney Mallemat, William J Brady
No abstract text is available yet for this article.
June 2015: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/24902920/the-design-and-rationale-of-a-multicenter-clinical-trial-comparing-two-strategies-for-control-of-systolic-blood-pressure-the-systolic-blood-pressure-intervention-trial-sprint
#3
RANDOMIZED CONTROLLED TRIAL
Walter T Ambrosius, Kaycee M Sink, Capri G Foy, Dan R Berlowitz, Alfred K Cheung, William C Cushman, Lawrence J Fine, David C Goff, Karen C Johnson, Anthony A Killeen, Cora E Lewis, Suzanne Oparil, David M Reboussin, Michael V Rocco, Joni K Snyder, Jeff D Williamson, Jackson T Wright, Paul K Whelton
BACKGROUND: High blood pressure is an important public health concern because it is highly prevalent and a risk factor for adverse health outcomes, including coronary heart disease, stroke, decompensated heart failure, chronic kidney disease, and decline in cognitive function. Observational studies show a progressive increase in risk associated with blood pressure above 115/75 mm Hg. Prior research has shown that reducing elevated systolic blood pressure lowers the risk of subsequent clinical complications from cardiovascular disease...
October 2014: Clinical Trials: Journal of the Society for Clinical Trials
https://www.readbyqxmd.com/read/24534899/a-top-five-list-for-emergency-medicine-a-pilot-project-to-improve-the-value-of-emergency-care
#4
Jeremiah D Schuur, Dylan P Carney, Everett T Lyn, Ali S Raja, John A Michael, Nicholas G Ross, Arjun K Venkatesh
IMPORTANCE The mean cost of medical care in the United States is growing at an unsustainable rate; from 2003 through 2011, the cost for an emergency department (ED) visit rose 240%, from $560 to $1354. The diagnostic tests, treatments, and hospitalizations that emergency clinicians order result in significant costs. OBJECTIVE To create a "top-five" list of tests, treatments, and disposition decisions that are of little value, are amenable to standardization, and are actionable by emergency medicine clinicians...
April 2014: JAMA Internal Medicine
https://www.readbyqxmd.com/read/23984731/severe-sepsis-and-septic-shock
#5
REVIEW
Derek C Angus, Tom van der Poll
New England Journal of Medicine, Volume 369, Issue 9, Page 840-851, August 2013.
August 29, 2013: New England Journal of Medicine
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