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Obstacles, Helpful Behaviors Explored for End-of-Life Care at Critical Access Hospitals

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Items associated with family behavior were reported by nurses as the largest obstacles to providing end-of-life care in critical access hospitals

Pressure Injury Prediction Tool Lacking for Severe COVID-19 Patients

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Risk factors for device-related pressure injury include fragile skin and prone positioning during mechanical ventilatory support

Asian, Black, Hispanic Patients Have Higher Pulse Oximetry Readings

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Lower average oxygen delivery rates seen in association with Asian, Black, Hispanic versus White race, ethnicity

Cognitive Impairment Predicts Outcomes for ICU Survivors

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Cognitive impairment at hospital discharge linked to risk of new physical disability at six-month follow-up

IV Vitamin C Increases Risk for Death, Organ Failure in Sepsis

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Risk increased with intravenous vitamin C versus placebo for adults with sepsis in the ICU receiving vasopressor therapy

No Fewer Deaths Seen With Restricted IV Fluid for Septic Shock

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Rates of death at 90 days, SAEs did not differ for patients with septic shock receiving restricted versus standard IV fluid therapy in the ICU

Age

Diagnostic Stewardship Cuts Blood Cultures, Antibiotic Use in PICU

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Relative reductions of 33 percent in rate of blood cultures, 13 percent in rate of broad-spectrum antibiotic use seen postimplementation

Ventilator monitor

Assessment Scale Scores That Identify Light Sedation Examined

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Scores best linked to ability to follow at least three commands were 4 on Sedation-Agitation Scale, −1 on Richmond Agitation-Sedation Scale

Middle Ear Effusion Up for Children With Tracheostomy on Ventilator

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Mechanical ventilation increases risk for development of middle ear effusion in tracheostomy-dependent children

Risk for Decline Up for Low-Income Seniors After ICU Stay

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Risks for disability and transition to probable dementia increased after ICU stay for seniors with dual eligibility for Medicare and Medicaid