IV Fluids and Solutions Quick Reference Guide Cheat Sheet
Intravenous solutions are used in fluid replacement therapy by changing the composition of the serum by adding fluids and electrolytes. Quick reference guide on the different intravenous solutions.... read more
Chloride and Other Electrolyte Concentrations in Commonly Available 5% Albumin Products
This study is the first to identify and document a statistically significant variability in the chloride concentration of available 5% albumin products. This study has also informed a pilot randomized controlled trial examining... read more
We’re Not Ready for a Flu Pandemic
The influenza season is just getting started in the United States, and it already promises to be more severe than usual. Hospital emergency rooms are filling up with flu sufferers, and pharmacies have reported medicine shortages.... read more
Joint Consensus Statement on Postoperative Gastrointestinal Dysfunction Within an Enhanced Recovery
The primary driver of length of stay after bowel surgery, particularly colorectal surgery, is the time to return of gastrointestinal (GI) function. Traditionally, delayed GI recovery was thought to be a routine and unavoidable... read more
Six-month Outcome of Immunocompromised Severe ARDS Patients Rescued by ECMO
Recently diagnosed immunodeficiency is associated with a much better prognosis in ECMO-treated severe ARDS. However, low 6-month survival of our large cohort of immunocompromised patients supports restricting ECMO to patients... read more
Critical Care Notes: Clinical Pocket Guide
This pocket-sized, quick reference is your go-to guide for the clinical information you need to care for adult patients safely and effectively. Completely revised and updated, the 2nd Edition offers even more of what you... read more
Age of Red Cells for Transfusion and Outcomes in Critically Ill Adults
The age of transfused red cells did not affect 90-day mortality among critically ill adults. In an international, multicenter, randomized, double-blind trial, we assigned critically ill adults to receive either the freshest... read more
How Do You Feel? Subjective Perception of Recovery
Long-term subjective and objective outcome appears good in the majority of cardiac arrest survivors. Specific functional and cognitive impairments were found in patients reporting unsatisfactory recovery. Subjective recovery... read more
Healthcare Utilization and Infection in the Week Prior to Sepsis Hospitalization
Over 45% of sepsis patients had clinician-based encounters in the week prior to hospitalization with an increasing frequency of diagnoses for acute infection and antibiotic use in the outpatient setting. These presepsis encounters... read more
Probiotics Offer Powerful Protection Against Sepsis in Infants
Sepsis can occur in just about anyone, including infants. Recent research shows feeding newborns probiotics (healthy bacteria) significantly lowers the child's risk of developing sepsis. The study involved infants in rural... read more
Enhancing Recovery From Sepsis
Survival from sepsis has improved in recent years, resulting in an increasing number of patients who have survived sepsis treatment. Current sepsis guidelines do not provide guidance on posthospital care or recovery. In the... read more
Central Venous Catheter – Which Needle?
A prospective randomised trial comparing insertion success rate and incidence of catheterisation-related complications for subclavian venous catheterisation using a thin-walled introducer needle or a catheter-over-needle... read more
No Electrodes, No Problems
This is what Emmanuel had to say about his innovation: “There are times in the emergency department (ED) when there are no electrodes available to place patient on a monitor. In resource limited settings like Ghana, it... read more
Serum Lactate Upon Emergency Department Arrival as Predictor of 30-day In-Hospital Mortality
Despite of numerous evidences that elevated serum lactate levels were associated with unfavorable outcomes, there have been no study demonstrated an optimal cutoff of serum lactate in unselected patients. This study was aimed... read more
Are Nurses Ready to Help to Improve Cost-Effectiveness?
The whole hospital workforce is nowadays compelled to accept greater responsibility for controlling health-care expenses. Nurses are in the front line to ensure proper use of drugs and consumables, and could have an important... read more
The Fallacy of Time-to-Intervention Studies
We are barraged by time-to-intervention studies (door-to-balloon time, time-to-antibiotics, door-to-needle, etc.). However, it must be kept in mind that these studies are purely correlational in design. Such studies cannot... read more
Both Nurse Practitioners and Physicians Should be Outraged
The United States is facing a looming physician shortage, and some groups see this as an opportunity to promote an agenda of replacing physicians with nurses. The nurse-as-doctor concept appeared in the Institute of Medicine... read more
Pediatric Critical Care, 5e
Still the #1 resource for today's pediatric ICU teams, the newly released Pediatric Critical Care, 5th Edition covers the entire field, from basic science to cutting-edge clinical applications. Drs. Bradley P. Fuhrman and... read more
Effect of Standardized Handoff Curriculum on Improved Clinician Preparedness in the ICU
The UW-IPASS standardized handoff curriculum was perceived to improve intensive care provider preparedness and workflow. IPASS-based curricula represent an important step forward in communication standardization efforts and... read more
Development of Dementia in Patients with Femoral Neck Fracture Who Experience Postoperative Delirium
It remains unclear to what extent postoperative delirium (POD) affects the incidence of dementia in hip fracture patients, and the methods used to detect delirium and dementia require validation. The aim of this study was... read more
The Way We Think About Nurse Burnout is Broken
There are several things wrong with the way we think about nurse burnout. This is troubling for several reasons. If we do not have a clear understanding about burnout, then we cannot help nurses who may be suffering from... read more
Potentially Modifiable Risk Factors for Long-Term Cognitive Impairment After Critical Illness
Long-term cognitive impairment is common in survivors of critical illness. Little is known about the etiology of this serious complication. We sought to summarize current scientific knowledge about potentially modifiable... read more
