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Infection

Covid-19 in Critically Ill Patients in the Seattle Region — Case Series
April 1, 2020
Useful series from the Pacific North West, main questions: -Why four patients who had a do-not-resuscitate order on admission were included in the dead and, ultimately, why been admitted in an ITU/ICU setting? -How come no sputum samples from nine fatalities were ever sent for bacterial culture in an ITU/ICU setting?
Treatment for Severe Acute Respiratory Distress Syndrome From COVID-19
March 24, 2020
A succinct comment with a wealth of up-to-date references vis-a-vis the SARS-CoV-2 pandemic.
A Fasco in the Making? As the Coronavirus Pandemic Takes Hold, We Are Making Decisions Without Reliable Data
March 20, 2020
Interesting input from a Stanford expert on the hottest topic on the planet at the moment.
Allocate Ventilators, Other Covid-19 Resources Based on Evidence, Not Political Hunches
March 18, 2020
The authors describe a thoughtful process for resource utilization in the setting of competing needs that optimizes survival for a popultion. Examples of existing guidelines are provided.
Diagnosis of Pulmonary Embolism with d-Dimer Adjusted to Clinical Probability
December 4, 2019
Well-presented Canadian prospective study juxtaposing a combination of Wells scoring and dimers to the imaging gold standard. It was particularly fascinating to read the referenced assertion that:
Aspergilloma Resection in a Partial Anomalous Pulmonary Venous Connection of the Left Upper Lobe
November 13, 2019
The authors report the case of a 50-year-old woman suffering from lymphoblastic leukemia, developing left upper lobe aspergilloma during aplastic chemotherapy, and presenting partial anomalous pulmonary vein connection of the left upper lobe, who submitted to pulmonary resection.
Current State of Empyema Management
June 14, 2018
Semenkovich and colleagues examined the current treatment practices for empyema in New York state using information from the Healthcare Cost and Utilization Project New York State Inpatient Database.
VATS Using Local Anesthesia and Sedation: Lessons Learned
January 12, 2018
The authors summarizes a personal experience with 529 patients undergoing VATS operations under local anesthesia and sedation.  No nerve block, epidural, laryngeal mask airway, or endotracheal intubation was used.  Indications were lung nodule, hemothorax, empyema, pleural effusion, pericardial effusion, chylothorax, etc.  There was one unsuccessful

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