Fentanyl-Based Ventilator Sedation Decreased Ventilator Days in ICU Patients

Joseph Esherick, M.D., FAAFP, FHM
More Articles – Mechanical Ventilation, Medical General, medical procedures, Respiratory diseases
More Tags – Fentanyl-Based Ventilator, HPC Blog Updates, HPC updates, ICU, intubation, mechanical ventilation, RASS, Richmond Agitation-Sedation Scale
Complications from long-term deep sedation and the lack of adequate pain control for mechanically ventilated intensive care unit (ICU) patients has resulted in the development of sedation protocols emphasizing pain control over sedation. These protocols use either remifentanyl or fentanyl.…
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MRSA antibiotics are overprescribed in patients hospitalized for community-acquired pneumonia

Joseph Esherick, M.D., FAAFP, FHM
More Articles – Emergency Procedures, Infections, medical procedures, Respiratory diseases
More Tags – antibiotic stewardship, community-acquired pneumonia, HPC updates, mechanical ventilation, MRSA, pneumonia
Are MRSA Antibiotics Overprescribed for Community-Acquired Pneumonia? – NEJM Journal Watch Nearly 30% of hospitalized CAP patients received antibiotics for MRSA, even though fewer than 1% had MRSA-associated CAP. A recent multicenter, prospective, active-surveillance study of 2259 patients hospitalized with…
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How to Manage Patients with Atrial Fibrillation and Prior Intracranial Hemorrhage

Joseph Esherick, M.D., FAAFP, FHM
More Articles – Cardiovascular diseases, Emergency Procedures, medical procedures
More Tags – atrial fibrillation, CHADS2-VASc score, HPC updates, intracranial hemorrhage
It has always been a therapeutic dilemma whether to anticoagulate patients with Afib and a history of prior intracranial hemorrhage (ICH).  This study used a Taiwanese national database to identify 12,917 patients with an ICH history and new AF and…
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