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October 2017 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 October 2017. This roundup includes the...
Recent immigrants to Canada are more likely to receive aggressive care and die in intensive care than long-standing residents

Recent Immigrants to Canada More Likely to Die in ICU

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Immigrants more likely than long-standing residents to receive aggressive care in six months before death
For critically ill adults

Age of Transfused Red Cells Doesn’t Impact Mortality

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No significant difference in mortality for critically ill receiving freshest or oldest available red cells
Race and ethnicity may be factors in the quality of care a premature baby receives in a neonatal intensive care unit

Race/Ethnicity Shown to Factor Into Quality of Care in NICU

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It may not be intentional, but there's room for improvement, researchers find
From 2009 to 2015 there was an increase in opioid overdose admissions requiring intensive care

ICU Admissions for Opioid Overdose Up From 2009 to 2015

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Average annual mortality rate was 7 percent, with increase to 10 percent in 2015
For patients undergoing cardiac surgery

Use of ICU Resources After Cardiac Surgery Upped by Obesity

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Increasing obesity tied to greater likelihood of prolonged ICU stay and ventilation, ICU readmission
Functional magnetic resonance imaging and electroencephalography may be able to detect consciousness in patients with severe traumatic brain injury who appear unconscious in the intensive care unit

fMRI, EEG May Detect Consciousness in TBI Patients

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Bedside exams often miss subtle signs that patient is 'awake,' researchers say
A frequency-selective silencing device can allow intensive care unit patients to hear and communicate without experiencing the negative consequences of audible alarms

Frequency-Selective Silencing Device Beneficial for ICU Patients

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Device removes alarm sounds while allowing patients to hear everything and communicate
For patients with acute respiratory distress syndrome

ATS: Lower ARDS Mortality at High-Volume Intensive Care Units

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Lower ICU mortality, hospital length of stay for acute respiratory distress syndrome at high-volume ICUs
The risk of wrong-patient orders is higher in the neonatal intensive care unit (NICU) versus non-NICU pediatric units

More Wrong-Patient Orders in NICU Versus Non-NICU Ped Units

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Reduction in frequency of errors with ID reentry intervention and combined ID, distinct naming