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Systemic corticosteroid therapy in patients with COPD exacerbations requiring mechanical ventilation is associated with a significant increase in the success of noninvasive mechanical ventilation, a significant reduction in the duration of mechanical ventilation, and a trend toward shorter length of stay.

The number of admissions for severe sepsis has increased from the year 2000 to 2007, however mortality has decreased and more patients are surviving to hospital discharge.

Mean severity of disease and nursing workload significantly higher on days when one or more adverse drug events occurred.

Taming Three High-Risk Chemotherapy Complications
Nursing2011, November 2011

Chemotherapeutic agents can produce a wide range of adverse reactions and toxicities. This article reviews three common chemotherapy-associated complications that can be serious enough to require hospitalization: febrile neutropenia, chemotherapy-related nephrotoxicity, and chemotherapy-related enterotoxicity.

Tech Talk: Going Digital to Improve Change-Of-Shift Communication
Nursing2011 Critical Care, November 2011

A computerized charge report tool has been a success in this hospital ICU setting, saving time and increasing data availability and accuracy. Read more about this quality improvement project which took place in a 22-bed mixed surgical/trauma ICU in a Level I trauma center at a large urban university hospital.

Carbon Monoxide Poisoning: Case Studies and Review
Dimensions of Critical Care Nursing, November/December 2011

Using a case study approach, this article covers pathophysiology, epidemiology, clinical presentation, and complications of carbon monoxide poisoning.

Providing a "Good Death" for Oncology Patients during the Final Hours of Life in the Intensive Care Unit
AACN Advanced Critical Care, October/December 2011

Critical care nurses often care for patients with cancer during the final hours of life in the ICU without the support of palliative care experts. This article provides an overview of the meaning of the final hours of life for cancer patients and uses principles of a "good death" and the tenets of hospice care to organize recommendations for critical care nurses for providing high quality end-of-life care to patients with cancer in the ICU.

Water World PART 1: Understanding the Syndrome of Inappropriate Antidiuretic Hormone Secretion
Nursing2011 Critical Care, November 2011

This article describes the underlying pathophysiology, clinical manifestations, and management of SIADH. Also included is a great review of endocrine function.

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On-Demand Webcast: Discussions at the End of Life Confidently answer patient and family questions about palliative care, hospice care, and the dying process. CE credit available. Sponsored by Crossroads Hospice

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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:

• QTc Prolongation in the Intensive Care Unit: A Review of Offending Agents
• Using ventilator waveforms to identify and eliminate double triggering