Physician offers guidance on treating vaping distress syndrome | Opioid overdoses among youths examined | Empirical anti-MRSA treatment for pneumonia raises mortality risk
February 25, 2020
Critical Care SmartBrief
Critical Care Update
Dr. Craig Lilly of the University of Massachusetts Medical School told the Society of Critical Care Medicine's annual meeting that currently there isn't a way to determine who is at highest risk for vaping-associated respiratory distress syndrome, but offered guidance on how to identify and treat patients. Lilly called the guidance a transition document since there is not enough evidence to develop clinical guidelines, and said the protocol is based on opinion and real-world experience.
Full Story: Medscape (free registration) (2/21) 
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A study presented at the Society of Critical Care Medicine's Critical Care Congress showed that 27.54% of 753,592 opioid overdoses in the US from 2005 to 2018 involved youths ages 18 and younger, with the rate of those with opioid exposure-related death increasing from 0.18% in 2005 to 0.28% in 2018, while the rate of those with opioid-related suicidal intent rose from 13.9% to 21.2% during the same period. However, researchers found that use of the overdose antidote naloxone only rose from 42.3% to 50.8% during the study period.
Full Story: HealthDay News (2/17),  Healio (free registration) (2/17) 
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Medicine in the News
The Trump administration sent Congress a $2.5 billion supplemental funding request to support efforts to contain the spread of the coronavirus that causes COVID-19, according to the Office of Management and Budget. House Speaker Nancy Pelosi, D-Calif., said the request is inadequate and the chamber will be advancing its own funding package.
Full Story: Reuters (2/25),  The Hill (2/24) 
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The CDC reports that the number of flu cases and flu-related hospitalizations in the US this season totaled 29 million and 280,000, respectively, as of the week ending Feb. 15. CDC officials also report that there have been 16,000 flu-related fatalities, including 105 pediatric deaths, so far this season.
Full Story: United Press International (2/21),  CNN (2/21),  The Hill (2/21) 
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Trends and Technology
Children's Minnesota is expanding neonatal care through a connected health program with six area medical centers and hospitals, which will use a telemedicine platform to for audio-visual access to the hospital's Level IV neonatal clinicians.
Full Story: mHealth Intelligence (2/21) 
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A predictive algorithm reduced intraoperative hypotension duration and severity in patients undergoing elective, noncardiac surgery, according to a study published in JAMA and presented at the Society of Critical Care Medicine's annual meeting. The intervention involves connecting a catheter placed in the radial artery to a pressure transducer equipped with early-warning software, and hemodynamic parameters were updated on a display in 20-second intervals.
Full Story: MedPage Today (free registration) (2/19) 
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