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May 2018 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 May 2018. This roundup includes the...
The widespread shortages of injectable opioids and small-volume parenteral solutions are jeopardizing patient care and placing a strain on hospital operations

ASHP: SVP, Injectable Opioid Shortages Threaten Patient Care

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98.4 percent of respondents report moderate, severe shortages of morphine, hydromorphone, fentanyl
The widespread shortages of injectable opioids and small-volume parenteral solutions are jeopardizing patient care and placing a strain on hospital operations

ASHP: SVP, Injectable Opioid Shortages Threaten Patient Care

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98.4 percent of respondents report moderate, severe shortages of morphine, hydromorphone, fentanyl
Most premature infants receive empirical antibiotic therapy

Most Premature Infants Receive Early Antibiotics

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Variation across centers in early antibiotic exposures, prolonged antibiotic administration
Short-term mortality is similar among patients with hematologic cancer who receive chemotherapy while in the intensive care unit versus those who do not

ICU Mortality Similar for Patients With Hematologic CA ± Chemo

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However, patients with hematologic cancer receiving chemotherapy have longer ICU, hospital stays
Long-term mortality after congenital heart surgery is higher than that of the general population for all forms of congenital heart defects

Mortality Still High After Surgery for Congenital Heart Defects

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Long-term mortality elevated even for mild defects; overall survival improved over time
For patients with very severe acute respiratory distress syndrome

60-Day Mortality Not Significantly Lower With ECMO in ARDS

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No significant drop in mortality with extracorporeal membrane oxygenation in severe ARDS
Each hour of delay in detecting abnormal lactates in patients with sepsis increases the odds of in-hospital death

Delay of Lactate Draws in Sepsis Ups Risk of In-Hospital Death

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Systematic early lactate measurements speed antibiotic administration, improve outcomes
There is considerable global variation in personal health care access and quality

Global Variation in Personal Health Care Access and Quality

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Highest performance in Iceland, lowest in Central African Republic, with variation in rate of progress
Patients served by the beleaguered Veterans Affairs health system may have wider access to private care

Congress Approves Bill Expanding Private Care for VA Patients

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New bill would open up access to private doctors for veterans