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New guidelines released for the diagnosis and management of COPD.

Loss of selected brainstem responses is predictive of mortality and altered mental status in critically ill patients.

Patients with weaning protocols being followed were less likely to have unplanned extubations, which resulted in shorter ventilation time and decreased length of ICU stay.

Brilinta (ticagrelor) approved by the FDA to reduce cardiovascular death and heart attack in patients with acute coronary syndromes (ACS).

Breathing New Life into COPD Management
Nursing Made Incredibly Easy!, July/August 2011

COPD patients are surviving longer and with a better quality of life. Learn about The Global Initiative for Chronic Obstructive Lung Disease (GOLD) and read an overview of recommended evidence-based guidelines for prevention, diagnosis, and treatment of this chronic lung disease.

Reiki Therapy: A Nursing Intervention for Critical Care
Critical Care Nursing Quarterly, July/September 2011

Complementary therapies, such as Reiki, have been shown to relieve pain and anxiety and reduce symptoms of stress such as elevated blood pressure and pulse rates. It is cost-effective, noninvasive, and can easily be incorporated into patient care. Learn more about the benefits of this intervention.

Topics in Progressive Care: Critical care drugs: Pitavastatin calcium
Nursing2011 Critical Care, July 2011

Pitavastatin calcium is indicated for adults with primary hyperlipidemia or mixed dyslipidemia as an adjunctive therapy to diet to reduce elevated total cholesterol, low-density lipoprotein cholesterol, apolipoprotein B, and triglycerides; and to increase high-density lipoproteins. Read more about this lipid-lowering statin.

Management of Intracranial Hypertension: Focus on Pharmacologic Strategies
AACN Advanced Critical Care, July/September 2011

Prolonged intracranial hypertension results in compromised cerebral perfusion pressure and subsequent cerebral ischemia. Review pharmacologic and nonpharmacologic strategies to manage elevated intracranial pressure.

A System-Level Approach to Improving the Care of the Older Critical Care Patient
AACN Advanced Critical Care, April/June 2011

Critical illness, age-related changes, multiple comorbidities, and the hospital environment contribute to the challenge of diagnosing and managing the older adult's critical illness. Discover The NICHE (Nurses Improving Care for Healthsystem Elders) program, which provides a framework to create an aging-sensitive care environment in the critical care setting.

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CALL FOR MANUSCRIPTS

Have you ever thought about being published in a major journal? Now's your chance! Critical Care Insider is currently accepting articles. To submit an article to the journal, follow the new online submission process: http://lwwesubmissions.edmgr.com.

In Our Next Issue:

• Dyspnea
• Use of an Intervention Bundle to Eliminate Pressure Ulcers in Critical Care