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01-04-2004 | Commentary

Recently published papers: choose well, treat well, get well – which matters most?

Authors: Justin Kirk-Bayley, Richard Venn

Published in: Critical Care | Issue 2/2003

Excerpt

Choice underpins everything we do as critical care clinicians. We choose whether to treat, when to treat and how to treat from an ever-increasing selection of alternatives, and whether to afford the costs associated with the decisions we have made. Some recent articles have looked at how one chooses to ventilate patients (noninvasively or not), how to deal with and avoid ventilator-acquired pneumonia, and which regimens of antibiotics to use and how it affects outcome. It is these articles on which we shall focus. …

Garnacho-Montero J, Garcia-Garmendia JL, Barrero-Almodovar A, Jimenez-Jimenez FJ, Perez-Paredes C, Ortiz-Leyba C: Impact of adequate empirical antibiotic therapy on the outcome of patients admitted to the intensive care unit with sepsis. Crit Care Med 2003, 31: 2742-2751. 10.1097/01.CCM.0000098031.24329.10CrossRefPubMed

Leroy O, Meybeck A, d'Escrivan T, Devos P, Kipnis E, Georges H: Impact of adequacy of initial antimicrobial therapy on the prognosis of patients with ventilator-associated pneumonia. Intensive Care Med 2003, 29: 2170-2173. 10.1007/s00134-003-1990-xCrossRefPubMed

Leroy O, Devos P, Guery B, Georges H, Vandenbussche C, Coffinier C, Thevenin D, Beaucaire G: Simplified prediction rule for prognosis of patients with severe community-acquired pneumonia in ICUs. Chest 1999, 116: 157-165. 10.1378/chest.116.1.157CrossRefPubMed

Raymond DP, Pelletier SJ, Crabtree TD, Gleason TG, Hamm LL, Pruett TL, Sawyer RG: Impact of a rotating empiric antibiotic schedule on infectious mortality in an intensive care unit. Crit Care Med 2001, 29: 1101-1108. 10.1097/00003246-200106000-00001CrossRefPubMed

Hughes MG, Evans HL, Chong TW, Smith RL, Raymond DP, Pelletier SJ, Pruett TL, Sawyer RG: Effect of an intensive care unit rotating empiric antibiotic schedule on the development of hospital-acquired infections on the non-intensive care unit ward. Crit Care Med 2004, 32: 53-60. 10.1097/01.CCM.0000104463.55423.EFCrossRefPubMed

Rello J, Lorente C, Diaz E, Bodi M, Boque C, Sandiumenge A, Santamaria JM: Incidence, etiology, and outcome of nosocomial pneumonia in ICU patients requiring percutaneous tracheotomy for mechanical ventilation. Chest 2003, 124: 2239-2243. 10.1378/chest.124.6.2239CrossRefPubMed

van Nieuwenhoven CA, Buskens E, Bergmans DC, van Tiel FH, Ramsay G, Bonten MJ: Oral decontamination is cost-saving in the prevention of ventilator-associated pneumonia in intensive care units. Crit Care Med 2004, 32: 126-130. 10.1097/01.CCM.0000104111.61317.4BCrossRefPubMed

Bergmans DC, Bonten MJ, Gaillard CA, Paling JC, van der Geest S, van Tiel FH, Beysens AJ, de Leeuw PW, Stobberingh EE: Prevention of ventilator-associated pneumonia by oral decontamination: a prospective, randomized, double-blind, placebo-controlled study. Am J Respir Crit Care Med 2001, 164: 382-388.CrossRefPubMed

Nava S, Carbone G, DiBattista N, Bellone A, Baiardi P, Cosentini R, Marenco M, Giostra F, Borasi G, Groff P: Noninvasive ventilation in cardiogenic pulmonary edema: a multicenter randomized trial. Am J Respir Crit Care Med 2003, 168: 1432-1437. 10.1164/rccm.200211-1270OCCrossRefPubMed

10.

Ferrer M, Esquinas A, Leon M, Gonzalez G, Alarcon A, Torres A: Noninvasive ventilation in severe hypoxemic respiratory failure: a randomized clinical trial. Am J Respir Crit Care Med 2003, 168: 1438-1444. 10.1164/rccm.200301-072OCCrossRefPubMed

11.

Perrin F, Renshaw M, Turton C: Clinical decision-making and mechanical ventilation in patients with respiratory failure due to an exacerbation of COPD. Clin Med 2003, 3: 556-559.CrossRefPubMed

Title: Recently published papers: choose well, treat well, get well – which matters most?
Authors: Justin Kirk-Bayley
Richard Venn
Publication date: 01-04-2004
Publisher: BioMed Central
Published in: Critical Care / Issue 2/2003
Electronic ISSN: 1364-8535
DOI: https://doi.org/10.1186/cc2839

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