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Management of COPD Patients in the Intensive Care Unit

Chronic obstructive pulmonary disease (COPD) is a disease characterized by progressive, persistent, expiratory airflow limitation that is not fully reversible. In the United States, COPD annually accounts for $29.5 billion in direct health care costs, 750,000 hospitalizations, and 1.5 million emergency visits. Globally it is now ranked as the fifth leading cause of death. COPD is generally described as a progressive disease; however, there is considerable variability among patients. Exacerbations are often the cause of morbidity and mortality in COPD patients. An exacerbation of COPD is characterized by an acute worsening of a patient's respiratory symptoms that results in change in treatment and increased utilization of health care resources. Most exacerbations can be managed in the outpa...

Current Knowledge of Acute Lung Injury and Acute Respiratory Distress Syndrome

The first published report describing the clinical syndrome currently referred to as acute respiratory distress syndrome (ARDS) occurred in 1967. Since this landmark work by Ashbaugh and colleagues, numerous investigators have reported clinical trials and observations of adult patients who exhibited the clinical sequelae associated with this syndrome with varying outcomes. Current evidence suggests that the mortality associated with this syndrome has been decreasing while substantial morbidity persists. (Source: Critical Care Nursing Clinics of North America)

Six‐minute walk distance and dyspnoea scores to assess the course of COPD exacerbation in elderly patients

ConclusionWe were able to demonstrate that 6‐min walk test and dyspnoea scores, but not pulmonary function test, are suitable parameters to assess the course of COPD exacerbations. (Source: The Clinical Respiratory Journal)

Vitamin D supplementation can cut risk of respiratory infections in children by half

If you or someone you know has children who routinely get respiratory infections, particularly during the winter months when natural exposure to the sun's rays is limited, you might want to seriously consider having them supplement daily with vitamin D3. A randomized... (Source: NaturalNews.com)

Varicose veins are a risk factor for deep venous thrombosis in general practice patients.

Conclusions: There are strong associations between VV and DVT in a general practice population with documented VV. Special medical attention is required for patients with VV, a history of previous venous thromboembolism, comorbid malignancy, and recent hospital discharge, particularly those with a combination of these factors. PMID: 22915533 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)

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