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August 2019 Briefing – Critical Care

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Here are what the editors at HealthDay consider to be the most important developments in Critical Care for August 2019. This roundup includes the...
About 40 percent of hospital-acquired pressure injuries are unavoidable

Some Hospital-Acquired Pressure Injuries Are Unavoidable

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Unavoidable HAPIs less likely with chemical sedation, systolic BP <90 mm Hg, receipt of vasopressor
Current evidence does not support routine use of haloperidol or second-generation antipsychotics for prevention or treatment of delirium in hospitalized adults

Evidence Says Antipsychotics Do Not Prevent Delirium in Adults

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Evidence also refutes routine use of haloperidol, second-generation antipsychotics for tx of delirium
Among elderly patients

Flu Vaccine Tied to Better Long-Term Outcomes in Elderly ICU Survivors

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Those who are vaccinated have lower risk for stroke, death in year following ICU discharge
Using the true number of central lines as the denominator improves methods of determining central line-associated bloodstream infection rates

Method to Calculate Central Line Infections Flawed

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Counting multiple concurrent central lines may help account for hospitals with patients with higher acuity of care
Nurse-driven root cause analysis is associated with a substantial reduction in hypoglycemia in the intensive care unit

Nurse-Led Quality Initiative Cuts Hypoglycemia in ICU Patients

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Percentage of patients experiencing hypoglycemia decreased for those without, with diabetes

July 2019 Briefing – Critical Care

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Here are what the editors at HealthDay consider to be the most important developments in Critical Care for July 2019. This roundup includes the...
A predictive model that uses prenatal risk factors to help identify women at higher risk for admission to the maternal intensive care unit has low positive predictive value

Model Fails to Predict Risk for Maternal ICU Admission

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Model intended to predict admission to maternal ICU based on cumulative effect of multiple risk factors
Acute exposure to pollutants in the week prior to delivery and day of delivery is associated with increased odds of neonatal intensive care unit admission

Exposure to Air Pollution Tied to Raised Odds of NICU Admission

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Acute exposure during week prior to delivery, day of and day prior to delivery may up odds of admission
Compared with standard restricted visiting hours

Flexible Family Visitation Policy Does Not Cut Delirium in ICU

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For family members, anxiety and depression scores were significantly better with flexible visitation policy