Pulmonary Embolism Hospitalization, Readmission, and Mortality Rates in US Older Adults
Over the past 15 years, advances have occurred in the diagnosis and management of pulmonary embolism (PE).1 Computed tomographic pulmonary angiography (CTPA) is now the routine diagnostic test. The availability of risk... read more
Randomized Clinical Trial of an ICU Recovery Pilot Program for Survivors of Critical Illness
This randomized pilot trial found that a multidisciplinary ICU recovery program could deliver more interventions for post ICU recovery than usual care. The finding of longer time-to-readmission with an ICU recovery program... read more
Outcome After Out-of-Hospital Ventricular Fibrillation or Pulseless Ventricular Tachycardia
Survival was found to be at the upper range of the results retrieved by the systematic literature review. However, we found no significant improvements over time. The neurological outcomes of the survivors were favorable.... read more
Estimated Effects of Early Diuretic Use in Critical Illness
The main objectives of this study was to estimate the effects of diuretic use during the first 24 hours of an ICU stay on in-hospital mortality and other clinical outcomes including acute kidney injury (AKI) and duration... read more
The Role of Central Venous Oxygen Saturation (ScvO2) as an Indicator of Blood Transfusion in the Critically Ill
Transfusion of red blood cells is an everyday practice in critical care with the primary aim of restoring adequate tissue oxygenation. However, blood transfusion may also be harmful and costly, therefore a so called restrictive... read more
Department-Based ICU Improves Patient Survival Rates
A new Michigan Medicine study found that implementing a dedicated emergency medicine department-based intensive care unit improved patient survival rates and lowered inpatient intensive care unit (ICU) admissions. In the... read more
12 Great Summer Reads for Intensivists
From fascinating medical memoirs to horrifying accounts of medical mistreatment in the past two centuries, these books will make you aware of how far medicine has come and how far it has yet to go. Surgeries without anesthesia,... read more
Out-of-Hospital Cardiac Arrest Survivors Need Cardiological and Neurological Rehabilitation
Most survivors of out-of-hospital cardiac arrest (OHCA) suffer from cardiologic symptoms and approximately half of them experience cognitive problems because of hypoxic brain damage. Symptoms of anxiety and depression... read more
Risk Factors Associated with 30-day Mortality for Out-of-Center ECMO Support
Out-of-hospital extracorporeal membrane oxygenation (ECMO) implantation and ECMO transport have become a growing field useful for emergent treatment of heart or lung failure with increasing number of centers launching such... read more
Extubating Ventilated Patients on Vasoactive Infusions is Safe
In a large single centre study, 21% of intubated patients who received infusions of vasoactive infusions while mechanically ventilated were extubated for the first time while still receiving them. Coincident with their earlier... read more
Outcome Assessment in Advanced Practice Nursing
As the role of the nurse continues to expand in today's healthcare environment, APRNs and DNPs are more frequently tasked with quantifying, evaluating, and improving their individual care processes, as well as demonstrating... read more
Effect of Catheter Ablation vs Antiarrhythmic Drug Therapy on Mortality, Stroke, Bleeding, and Cardiac Arrest Among Patients With Atrial Fibrillation
The CABANA Randomized Clinical Trial. In this randomized clinical trial involving 2204 patients with atrial fibrillation, catheter ablation, compared with medical therapy, did not significantly reduce the primary composite... read more
Counterbalancing Work-related Stress? Work Engagement Among Intensive Care Professionals
Work engagement counterbalances work-related stress reactions. The relatively high workload in ICUs, coupled with an especially heavy emotional burden, may be acknowledged as an integral part of ICU work. This workload... read more
Audiobooks As Good As The Old-fashioned Reading
With the rise of new technologies, long gone are the days of cassette tapes and CDs that made stopping, rewinding, learning, and restarting an audio recording an annoyance. Digital media now makes it possible for individuals... read more