Journal of critical care
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Journal of critical care · Mar 2008
Comparative StudyEarly- and late-onset ventilator-associated pneumonia acquired in the intensive care unit: comparison of risk factors.
To compare risk factors of early- (E) and late-onset (L) ventilator-associated pneumonia (VAP). ⋯ E-VAP and L-VAP have different risk factors, highlighting the need for developing specific preventive measures.
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Journal of critical care · Mar 2008
Missed opportunities for noninvasive positive pressure ventilation: a utilization review.
Although noninvasive positive pressure ventilation (NPPV) improves outcomes in patients who have acute respiratory failure due to chronic obstructive pulmonary disease (COPD) or congestive heart failure (CHF), it may be underutilized outside the controlled trial setting. ⋯ Nearly two thirds of patients who appeared to meet criteria for NPPV did not receive a trial of this intervention. There is an opportunity to improve the use of NPPV in these patients. Systematic knowledge translation strategies such as guideline implementation and interactive educational interventions may optimize the appropriate use of NPPV.