Effect of Intravenous Acetaminophen vs Placebo Combined With Propofol or Dexmedetomidine on Postoperative Delirium Among Older Patients Following Cardiac Surgery

Effect of Intravenous Acetaminophen vs Placebo Combined With Propofol or Dexmedetomidine on Postoperative Delirium Among Older Patients Following Cardiac Surgery

Among older patients undergoing cardiac surgery, postoperative scheduled IV acetaminophen, combined with IV propofol or dexmedetomidine, reduced in-hospital delirium vs placebo. Additional research, including comparison of... read more

Hemodynamic Support after Cardiac Surgery

Hemodynamic Support after Cardiac Surgery

Low cardiac output syndrome is a common complication of cardiac surgery and is associated with increased mortality. Levosimendan has been shown in small studies to be an effective therapy.... read more

The Year They Tried to Kill Me: Surviving a Surgical Internship… Even If the Patients Don’t

The Year They Tried to Kill Me: Surviving a Surgical Internship… Even If the Patients Don’t

Not exactly the warm welcome I hoped for. But I was just a naive Wisconsin boy, fresh out of medical school and new to Oakland, California. I chose Highland Hospital for my surgical internship: an entire year filled with... read more

Blue Collar, Blue Scrubs: The Making of a Surgeon

Blue Collar, Blue Scrubs: The Making of a Surgeon

Blue Collar, Blue Scrubs turns back the clock, taking readers from his days as a construction worker to his entry into medical school, expertly infusing his journey to become a doctor with humanity, compassion, and humor.... read more

Procedure Eases Complications Related to Fluid Around Lungs

Procedure Eases Complications Related to Fluid Around Lungs

As people live longer with more advanced stages of cancer or chronic diseases, the longer their complications must be treated. That can include pleural effusions, an unusually large amount of fluid around a person’s lungs... read more

How to Improve Worldwide Early Enteral Nutrition Performance in ICUs?

How to Improve Worldwide Early Enteral Nutrition Performance in ICUs?

Early enteral nutrition (EEN), typically started within 48 h after ICU admission, is recommended to be superior over delayed enteral nutrition and parenteral nutrition. The ESICM Working Group on Gastrointestinal Function... read more

Avoiding Common Errors in the Emergency Department

Avoiding Common Errors in the Emergency Department

In a conversational, easy-to-read style, Avoiding Common Errors in the Emergency Department, 2nd Edition, discusses 365 errors commonly made in the practice of emergency medicine and gives practical, easy-to-remember tips... read more

Early Resumption of β Blockers Is Associated with Decreased Atrial Fibrillation after Noncardiothoracic and Nonvascular Surgery

Early Resumption of β Blockers Is Associated with Decreased Atrial Fibrillation after Noncardiothoracic and Nonvascular Surgery

Resuming β blockers in chronic users by the end of the first postoperative day may be associated with lower odds of in-hospital atrial fibrillation. However, there seems to be little advantage to restarting on the day of... read more

Cast of the Right Bronchial Tree

Cast of the Right Bronchial Tree

A 36-year-old man was admitted to the intensive care unit with an acute exacerbation of chronic heart failure. His medical history included heart failure with an ejection fraction of 20%, bioprosthetic aortic-valve replacement... read more

The NeuroICU Book

The NeuroICU Book

An immediate classic, this groundbreaking text is based on the premise that neurointensivists must be trained to handle not only the brain, but the entire body. The NeuroICU Book, Second Edition does not limit coverage to... read more

Anesthesia Telemedicine: Assessing Hard-to-Reach Patients for Surgery

Anesthesia Telemedicine: Assessing Hard-to-Reach Patients for Surgery

Medically fragile infants on ventilation support at community or rural hospitals without surgical services sometimes need those services. That poses a challenge for pediatric anesthesiologists who need to assess these babies... read more

Nutrition in Surgery Podcast

Changing Care to Improve Surgical Outcomes. In this mini-series of six podcasts sponsored by Abbott Nutrition, the DCRI's Paul Wischmeyer, MD, EDIC, welcomes distinguished scientists and clinicians from the U.S. and the U.K.... read more

Dear NRA, I’m a doctor. My lane? I sit in this chair when I tell parents their kids are dead

Dear NRA, I’m a doctor. My lane? I sit in this chair when I tell parents their kids are dead

Seems like a little thing, but I did this in response to a tweet by the National Rifle Association, asserting that doctors should "stay in our lane" instead of studying or making recommendations when it comes to gun violence.... read more

Medical Device Rules Need Drastic Change To Protect Patients

Medical Device Rules Need Drastic Change To Protect Patients

Urgent and drastic changes to the rules around medical devices, such as pacemakers, are needed to protect patients, according to the Royal College of Surgeons. It wants a register of every device in every patient set up so... read more