Chest
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Slide PresentationsPRESENTED ON: Saturday, March 22, 2014 at 12:15 PM - 01:15 PMPURPOSE: To assess the diagnostic yield and complications associated to cryobiopsies in ILD diagnosis. ⋯ The following authors have nothing to disclose: Helena Azcuna, Julio Pérez Izquierdo, Myriam Aburto, Inmaculada Barredo, Jose Javier Echeverria, Luis Tena, Sandra Dorado, Amaia Garcia Loizaga, Arantza Romani, Amaia Aramburu, Ane Uranga, Cristobal Esteban, Alberto CapelasteguiNo Product/Research Disclosure Information.
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Successfully designing a new ICU requires clarity of vision and purpose and the recognition that the patient room is the core of the ICU experience for patients, staff, and visitors. The ICU can be conceptualized into three components: the patient room, central areas, and universal support services. Each patient room should be designed for single patient use and be similarly configured and equipped. ⋯ This coordination helps establish efficient and safe patient throughput and care and fosters physical and social cohesiveness within the ICU. A balanced approach to centralized and decentralized monitoring and logistics also offers great flexibility. Synchronization of the universal support services in the ICU with the hospital's existing systems maintains unity of purpose and continuity across the enterprise and avoids unnecessary duplication of efforts.
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Multicenter Study
Predicting Pulmonary Fibrosis Disease Course from Past Trends in Pulmonary Function.
The clinical course of idiopathic pulmonary fibrosis (IPF) is characterized by progressive decline in lung function and eventual mortality. We sought to determine if future declines in pulmonary function, mortality, or both can be predicted from prior trends in pulmonary function tests (PFTs). ⋯ PFT decline predicts early mortality, but not future declines in physiology, regardless of time since diagnosis.
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Respiratory Infections PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: Infections are common important cause of severe complications in sickle cell patients, a person may not know what brought severe pain named crisis but infection common trigger .The Pneumonia Severity Index and CURB-65 predict outcomes in community acquired pneumonia but have limitations. Procalcitonin, a biomarker of bacterial infection, may provide prognostic information in community-acquired pneumonia. Our objective is to describe if procalcitonin in community-acquired pneumonia may Provides prognostic information with the Pneumonia Severity Index and CURB-65 in sickle cell adult patients. ⋯ The following authors have nothing to disclose: Sherif Alsayed, Samar MarzoukNo Product/Research Disclosure Information.
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Critical CareSESSION TYPE: Slide PresentationsPRESENTED ON: Monday, March 24, 2014 at 10:45 AM - 11:45 AMPURPOSE: Patients with severe alcohol withdrawal often require escalating doses of benzodiazepines and intubation with mechanical ventilation which leads to prolonged Intensive Care Unit(ICU) stays. Earlier studies suggest dexmedetomidine is effective in reducing benzodiazepine dosage and autonomic symptoms seen with alcohol withdrawal. We report a retrospective analysis of 53 ICU patients treated for alcohol withdrawal, conducted to compare treatment with benzodiazepine alone to those receiving dexmedetomidine as escalation or substitution therapy. ⋯ The following authors have nothing to disclose: Amit Kachalia, Kinjal Kachalia, Shivaraj Nagalli, Habibur Rahman, Ricardo Lopez, Vincent RizzoNo Product/Research Disclosure Information.