Crit Care Resusc
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Low tidal volume ventilation (LTVV) has been shown to reduce mortality of patients with acute lung injury (ALI) but uptake by clinicians has been low. Recent studies have shown that LTVV results in survival benefit at 24 months after discharge and, importantly, benefits patients without ALI. ⋯ Adherence to LTVV in a general cohort of ICU patients was low, but it was better in patients with more severe lung disease. Overestimation of PBW may have contributed to our findings. Regular auditing of LTVV adherence might be considered a clinical indicator of good MV practice.
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Elevation of body temperature is common after traumatic brain injury (TBI). Suppressing fever may be beneficial. ⋯ In patients with TBI, a substantial proportion of time is spent with a temperature _37°C. Prospective validation of these data are required.