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Outcomes after tunneled pleural catheters for malignant effusions

 Interventional Pulmonology, Lung Cancer, Pleural Disease, Review Articles  Comments Off on Outcomes after tunneled pleural catheters for malignant effusions
Apr 142011
 

In a retrospective review of 418 tunneled pleural catheters placed over 2 years, 91% of patients did not require any other drainage procedure. Spontaneous pleurodesis occurred in one-quarter, in whom the catheter was taken out at a median 44 days. More patients with catheters placed in the operating room achieved pleurodesis (36%). Complication rate overall [… read more]

Serious Infections in Intensive Care Units: 100+ pages, 12 articles reflecting the state of the art on managing infections and antibotic usage in the ICU (Special Issue)

 Critical Care, Infectious Disease and Sepsis, Review Articles  Comments Off on Serious Infections in Intensive Care Units: 100+ pages, 12 articles reflecting the state of the art on managing infections and antibotic usage in the ICU (Special Issue)
Apr 042011
 

Serious Infections in Intensive Care Units: 100+ pages, 12 articles reflecting the state of the art on managing infections and antibotic usage in the ICU. Sem Resp Crit Care Med, April 2011.  Review.

Workshop on molecular diagnostics for respiratory tract infections (Special Issue)

 Infectious Disease and Sepsis, Review Articles  Comments Off on Workshop on molecular diagnostics for respiratory tract infections (Special Issue)
Apr 032011
 

Workshop on molecular diagnostics for respiratory tract infections: Procalcitonin shows promise as a biomarker for differentiating bacterial from viral pneumonias, and to assess response to therapy. Rapid PCR for MRSA in sputum may become available after further development & testing. Molecular tests for S. pneumonia in respiratory secretions currently are uninterpretable in practice, due to [… read more]

Activated protein C for severe sepsis: review

 Critical Care, Infectious Disease and Sepsis, Review Articles  Comments Off on Activated protein C for severe sepsis: review
Mar 222011
 

Sadaka et al add their two cents and a cohort study to the Xigris efficacy/safety debate. In their retrospective, propensity-matched analysis of 563 patients sourced from the Project IMPACT database, the 108 who received activated protein C had 35% mortality, vs 54% for the 108 who did not (p=0.005). There were unusually low rates of [… read more]