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Uncategorized Published - 3 January, 2017    By - Dr Clemens
Lower Oxygen Saturation Goals Are Safe in Mechanically Ventilated Patients

Authors: Panwar R et al. Am J Respir Crit Care Med 2016 Jan 1. Targeting to 88%–92% did not cause harm. The optimal oxygenation goal for patients who are receiving invasive mechanical ventilation remains unclear. Clinicians usually target resolution of hypoxemia and pay little attention to weaning levels of oxygen once 100% saturation has been achieved. However, […]

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Uncategorized Published - 3 January, 2017    By - Dr Clemens
High-Sensitivity Troponin Assays Can Rule Out MI in 1 Hour

Authors: Neumann JT et al. JAMA Cardiol 2016 Jun 1. Carlton E et al. JAMA Cardiol 2016 Jun 1. Two large studies show that troponin levels that are normal at presentation and not increased 1 hour later can rule out myocardial infarction. Prior research has suggested that negative and nonincreasing high-sensitivity cardiac troponin (hsTn) levels measured at emergency department (ED) presentation […]

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Uncategorized Published - 3 January, 2017    By - Dr Clemens
Oxygen in Critically Ill Patients: Too Much of a Good Thing Might Do Harm

Authors: Girardis M et al. JAMA 2016 Oct 18. Ferguson ND.JAMA 2016 Oct 18. Outcomes were worse with a conventional high-oxygenation goal than with a conservative moderate-oxygenation goal. Increasingly, excess oxygen administration is recognized as a risk factor for adverse outcomes when used perioperatively (NEJM JW Infect Dis Nov 2009 and JAMA 2009; 302:1543) or after myocardial infarction (NEJM JW Hosp Med […]

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Uncategorized Published - 3 January, 2017    By - Dr Clemens
Two Approaches to Lessen Need for Reintubation

Authors: Jaber S et al. JAMA 2016 Mar 15. Hernández G et al. JAMA 2016 Mar 15.Spoletini G et al. JAMA 2016 Mar 15. High-flow oxygen and noninvasive positive pressure ventilation lowered reintubation rates in selected patient populations. During the past few years, interest has grown in using high-flow oxygen (HFO) and noninvasive positive pressure ventilation (NPPV) in lieu of intubation and […]

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Uncategorized Published - 2 January, 2017    By - Dr Clemens
Happy New Years

Today is the official New Year Holiday so there is no post so enjoy the family.

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