Titlebook: Controversies in Critical Care; Jose Chacko,Swapnil Pawar,Gagan Brar Book 2023 The Editor(s) (if applicable) and The Author(s), under excl

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Ventilator-Associated Pneumonia : Newer Definitions, Controversies, and Perspectivescare Safety Network (NHSN) of the Center for Disease Control and Prevention (CDC) in the USA proposed new definitions as a surveillance technique for VAP. This chapter reviews outcomes from VAP; methods of prevention, including bundled approaches; and the optimal duration of treatment.

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Lung-Protective Ventilation and Hypercapnia : How Much Is Permissible?respiratory distress syndrome (ARDS). Low tidal volume ventilation may often lead to hypercapnia. The clinical impact of permissive hypercapnia has been the subject of debate in ARDS. This chapter evaluates the evidence behind clinical outcomes related to hypercapnia in mechanically ventilated patients with ARDS.

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Thrombolytic Therapy in Acute Pulmonary Embolismood flow. However, the benefits of therapy must be balanced against the prospect of bleeding complications that may lead to adverse outcomes. This chapter reviews the utility of thrombolytic therapy in acute pulmonary embolism with varying levels of severity.

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Corticosteroids in Sepsis: The Enduring Debateg and waning of interest. There is a strong physiological rationale for the corticosteroid use as adjunctive therapy in septic shock. However, early clinical trials revealed possible harm from high-dose steroid therapy. This chapter evaluates the potential beneficial effects of steroid therapy in sepsis in light of recent evidence.

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Jose Chacko,Swapnil Pawar,Gagan BrarAddresses key areas in the practice of critical care medicine that are hotly debated.Offers clarity on controversies with differing viewpoints in dealing with critically ill patients.Describes basic p

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Oxygenation Targets in the ICU: Conservative or Liberal?ach toward supplemental oxygen, considering the well-established harmful effects of hypoxia. There has been increasing debate on appropriate oxygenation targets in critically ill patients. This chapter reviews the evidence behind optimal oxygenation targets in the ICU.