Journal of critical care
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Journal of critical care · Feb 2015
ReviewThe spectrum of psychocognitive morbidity in the critically ill: A review of the literature and call for improvement.
The objective of the study is to review the cognitive and psychiatric dysfunction experienced by critically ill patients during and after hospitalization. ⋯ We propose a paradigm change highlighting the need for interventions focused on early psychological support applied in parallel with stabilization of physiologic status in the ICU.
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The purpose was to describe aspiration pneumonia in the context of other lung infections and aspiration syndromes and to distinguish between the main scenarios commonly implied when the terms aspiration or aspiration pneumonia are used. Finally, we aim to summarize current evidence surrounding the diagnosis, microbiology, treatment, risks, and prevention of aspiration pneumonia. ⋯ Aspiration pneumonia is a disease with a distinct pathophysiology. In the modern era, aspiration pneumonia is rarely solely an anaerobic infection. Antibiotic treatment is largely dependent on the clinical scenario. Several measures may help prevent aspiration pneumonia.