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Critical Care

News, opinions and meeting coverage in critical care.

RSNA: Portable CT Scan Saves Time to Save Brain in Stroke Patients

CHICAGO -- Bringing the CT to the stroke patient, rather than the other way round, dramatically reduced door-to-scan time in a community hospital, researchers said here.

MRI Accurate in Screening for Pressure on the Brain

CAMBRIDGE, England -- An MRI scan of the optic nerve sheath may provide an accurate, noninvasive way to screen for raised intracranial pressure, researchers found.

Cardiac Arrest Survivors Can Expect Good Long-term Quality of Life

MARBURG, Germany -- Resuscitated cardiac arrest patients treated in an ICU who leave the hospital without severe neurological disabilities may expect a reasonable quality of life over the next five years, a study found.

Seasonal Flu Starts in Asia and Migrates Throughout World

CAMBRIDGE, England -- Seasonal influenza starts in east and southeast Asia and follows a highly predictable path to infect the rest of the world, researchers here said.

Boxed Heart Failure Warning Added to Two Diabetes Drugs

ROCKVILLE, Md. -- The makers of rosiglitazone (Avandia) and pioglitazone (Actos), have agreed to add a black box warning to the type 2 diabetes drugs' labels about an increased risk of heart failure, the FDA said today.

AAPA: Obstructive Sleep Apnea Wearies the Heart

PHILADELPHIA -- The most obvious clinical feature of obstructive sleep apnea may be weariness of mind, but this breathing disorder also slowly and silently wears down the heart, according to researchers.

Methamphetamine May Trigger Ischemic Stroke

IRVINE, Calif. -- Methamphetamine users may develop carotid artery dissections, leading to a severe stroke, an effect also seen in cocaine users, according to researchers here.

Heartburn Remedy May Help Treat Heart Failure

SUITA CITY, Japan -- Heart failure patients who added 30 mg of Pepcid (famotidine) to standard therapy significantly improved NYHA functional class and reduced plasma B-type natriuretic peptide levels compared with those given 150 mg of teprenone.

High Blood Pressure Lowers Walking Ability in Elderly

CHICAGO -- High blood pressure appears to impair older patients' ability to walk, and the reason may be more than just peripheral arterial disease.

High-Dose Steroids Linked to Risk of Atrial Fibrillation

ROTTERDAM, The Netherlands 芒鈧€� High dose corticosteroid therapy may increase the risk of atrial fibrillation, researchers here reported.

Blood Clots Linked to Alzheimer's and Vascular Dementias

MANCHESTER, England 芒鈧€� Spontaneous cerebral blood clots were detected at similar rates in patients with Alzheimer's disease and vascular dementia, suggesting a common pathology and a potentially preventable or treatable cause for some dementias, researchers here said.

ACP: Garlic, Ginseng, Ginkgo Biloba, and Ginger All Bad Actors with Coumadin

PHILADELPHIA - When it comes to adverse events associated with Coumadin (warfarin) therapy, beware of herbs and many supplements beginning with the letter G, according to a University of Washington investigator.

Medicare Will Pay for tPA in Stroke Thrombolysis

WASHINGTON-Medicare is about to announce that beginning in October it will start paying hospitals for use of the thrombolytic drug tissue plasminogen activator (tPA) for treatment of ischemic stroke, according to published reports.

FDA Okays Single Dose Antibiotic for Pneumonia and Sinusitis

NEW YORK-The FDA has approved Zmax (azithromycin extended release) as a single-dose treatment for adults with pneumonia and certain types of acute mild-to-moderate bacterial sinusitis and pneumonia, Pfizer announced yesterday.

Feeding By Tube Is Common with Tracheotomy

CLEVELAND-Patients who require a tracheotomy to help them breathe often have trouble swallowing, which cuts their caloric intake. The solution, say experts, is to supplement regular meals with feeding by a nasogastric tube, which is what doctors treating Pope John Paul II have decided to do.

ACC: LDL Cholesterol of Less than 80 mg/dL Reduces Risk of Heart Attack and Stroke

ORLANDO-Cardiologists report that aggressive cholesterol-lowering to new super low target levels of LDL is associated with a 22% reduction in risk of heart attack, stroke, cardiac arrest and death from heart disease for patients with stable coronary disease. The reduction to a mean of 77 mg/dL compared with standard cholesterol-lowering therapy that aims to reduce LDL to about 100 mg/dL. In addition, stroke risk was reduced by 25% compared with risk in patients treated to the recommended target of 100 mg/dL.