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July 2020 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 2020. This roundup includes the...
Blood iodine concentrations in newborns do not vary for infants with or without congenital hypothyroidism

Newborn Iodine Status Not Tied to Congenital Hypothyroidism

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But among infants treated in neonatal ICU, cases had significantly higher blood iodine levels than controls
Critically ill patients with COVID-19 are more likely to develop heart rhythm disorders than other hospitalized patients

Heart Rhythm Disorders Seen in Critically Ill COVID-19 Patients

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ICU admission tied to incident atrial fibrillation, nonsustained ventricular tachycardias
Resident physicians randomly assigned to schedules that eliminate extended shifts during their intensive care unit rotation make more serious errors than those with extended shifts

Serious Resident Errors Increase When Extended ICU Shifts Are Cut

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But after adjustment for number of patients per resident, errors not increased with ≤16-hour shifts
For patients with severe COVID-19

Acalabrutinib Promising for Treatment of Severe COVID-19

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Selective bruton tyrosine kinase inhibitor treatment may improve oxygenation, reduce inflammation
Most patients with COVID-19 in the intensive care unit recover

COVID-19 Mortality Rate for Intubated Adults Lower Than Previously Reported

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35.7 percent of 165 patients requiring mechanical ventilation died, while overall mortality was 30.9 percent
Hypercoagulable thromboelastography can predict thrombotic events in patients with COVID-19 in the intensive care unit

Thromboelastography Can Predict Blood Clots in COVID-19

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For innate TEG maximum amplitude, sensitivity and negative predictive value were 100 percent
During the current new coronavirus pandemic

Anesthesiologists Shift Practice From OR to ICU During Pandemic

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Given drop in elective and nonemergency procedures, two-thirds of practices shifted to critical care
Understaffing and increased nursing workload are associated with multiple organ failure in intensive care unit patients

Nurse Understaffing May Up Risk for Multiple Organ Failure in ICU Patients

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Nursing workload was significantly higher in patients with multiple organ failure, nonsurvivors
Despite anticoagulant prophylaxis

High Rates of DVT Seen in Critically Ill COVID-19 Patients

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Authors call for prompt detection and early anticoagulant therapy