Search results for "Critical care"
Guideline issued on home oxygen therapy for chronic lung disease
Among other recommendations, patients with chronic lung disease and severe chronic resting hypoxemia should receive long-term oxygen for at least 15 hours per day, the American Thoracic Society said.
https://immattersacp.org/weekly/archives/2020/11/24/4.htm
24 Nov 2020
More data on risk factors for poor COVID-19 outcomes, mixed results from treatment trials
A risk calculator, genetic findings, and red blood cell distribution width helped predict severity of and death from COVID-19. Tocilizumab showed benefit, but a number of other treatments, including CPR, did not, according to recent research.
https://immattersacp.org/weekly/archives/2020/09/29/2.htm
29 Sep 2020
Decision aid did not help surrogates, clinicians agree on treatment goals for critically ill patients
Nearly all surrogates chose a more aggressive treatment goal for patients on life support than was suggested by a decision aid, despite the aid being based on surrogates' reports of patients' values.
https://immattersacp.org/weekly/archives/2019/01/29/5.htm
29 Jan 2019
Clinical practice guideline released on pharmacologic management of COPD
The American Thoracic Society strongly recommended LABA/LAMA combination therapy over monotherapy with either agent in patients with chronic obstructive pulmonary disease (COPD) and dyspnea or exercise intolerance, among other guidance.
https://immattersacp.org/weekly/archives/2020/04/21/4.htm
21 Apr 2020
5 key takeaways from vaping crisis
The electronic cigarette or vaping product use-associated lung injury (EVALI) crisis has reached critical mass, sending thousands to the hospital and sometimes proving fatal.
https://immattersacp.org/archives/2020/03/5-key-takeaways-from-vaping-crisis.htm
1 Mar 2020
MKSAP Quiz: Follow-up for severe COPD
A 55-year-old man is evaluated in follow-up for severe COPD, which was diagnosed 2 years ago. He has had two exacerbations in the past year requiring hospitalization, and his baseline exercise tolerance is low. Following a physical exam and other tests, what is most likely to benefit this patient?
https://immattersacp.org/weekly/archives/2018/08/14/3.htm
14 Aug 2018
Latest research on COVID-19 antibodies, cardiac and stroke risks, mortality rates
A monoclonal antibody treatment showed benefit in outpatients, data varied on duration of antibody response, cardiac effects appeared common while strokes were not, and mortality improved, among other recent findings on COVID-19.
https://immattersacp.org/weekly/archives/2020/11/03/1.htm
3 Nov 2020
MKSAP Quiz: Follow-up for sleep apnea
A 52-year-old man is evaluated in follow-up after being diagnosed with severe obstructive sleep apnea 8 weeks ago. Continuous positive airway pressure (CPAP) was prescribed based on a titration during in-laboratory polysomnography. He notes some improvement in his sleep with CPAP, but he still feels drowsy during the day. Following a physical exam, cardiopulmonary exam, and neurologic exam, what is the most appropriate next step in management to address this patient's continued drowsiness?
https://immattersacp.org/weekly/archives/2018/06/05/3.htm
5 Jun 2018
ATS/IDSA release clinical practice guideline on diagnosing, treating CAP
The new American Thoracic Society (ATS) and Infectious Diseases Society of America (IDSA) guideline updates the 2007 community-acquired pneumonia (CAP) guideline, and changes include a different perspective on macrolides.
https://immattersacp.org/weekly/archives/2019/10/08/4.htm
8 Oct 2019
MKSAP Quiz: Posthospital evaluation for severe COPD
A 64-year-old woman is evaluated during a posthospital visit for severe COPD with an FEV1 of 30% of predicted. She has been admitted three times during the last year with acute exacerbations. Following physical and pulmonary exams, what is the most appropriate treatment to reduce this patient's COPD exacerbations?
https://immattersacp.org/weekly/archives/2019/08/20/3.htm
20 Aug 2019