High Morning Cortisol Tied to Long-term Anxiety in Family Members of ICU Patients
A new study published in the journal Critical Care Medicine finds that a biomarker may help identify which family members will be most emotionally impacted by their loved one's ICU stay. In particular, family members who... read more
Alarm Reductions Don’t Improve ICU Response Times
It will take more than a reduction in alarms to address the issue of alarm fatigue in the ICU; a change in the ICU staff culture is needed, suggests new research. A program run at Dr. Kunadu's hospital showed that cutting... read more
New Guidance for Medication Safety in the ICU
Critically ill patients are a population at high risk for more frequent and more severe medication-related events. Critically ill patients receive twice the number of medications that non-critically ill, hospitalized patients... read more
Ethics in the NICU: Principles, Methods, and Application
Dr. Mark Mercurio gives a basic review of some of the fundamental principles and approaches relevant to decision-making in the NICU. Adequate fellowship training in ethics and professionalism is essential so that neonatologists... read more
Reduction in Central Line–Associated Bloodstream Infections Correlated With the Introduction of a Novel Silver-Plated Dressing for Central Venous Catheters
Use of SDs is associated with a significant decrease in CLABSI rates in adult ICU patients compared to CHGIS dressings, with an estimated cost savings of US$4070 to US$39 600 per 1000 catheter days. A total of 3189 patient... read more
Guidelines for Point-of-Care Use of Transesophageal Echocardiography in Cardiac Arrest Resuscitation
In patients with cardiac arrest, transesophageal echocardiography (TEE) may provide greater benefits than transthoracic echocardiography (TTE) for imaging, diagnosis, and prognosis, according to a review paper published in... read more
The Nurses: A Year of Secrets, Drama, and Miracles with the Heroes of the Hospital
Nurses is the compelling story of the year in the life of four nurses, and the drama, unsung heroism, and unique sisterhood of nursing—one of the world's most important professions (nurses save lives every day), and one... read more
Effects of the I-PASS Nursing Handoff Bundle on Communication Quality and Workflow
Implementation of the I-PASS Nursing Handoff Bundle was associated with widespread improvements in the verbal handoff process without a negative impact on nursing workflow. Implementation of I-PASS for nurses may therefore... read more
Why Nursing Burnout is A Priority
Nursing burnout is still seen as a "soft" topic. How do we know that? Well, it is still a dilemma that organizations do not know what to do with. That and it is often bumped from the agenda. Think about it- what comes first?... read more
Mountain Ultra-Marathon Finishers Exhibit Marked Immune Alterations Similar to Those of Severe Trauma Patients
Runners competing in mountain ultra-marathons (MUMs) are known to display features of marked inflammation due to muscle micro-trauma, oxidative stress, gastrointestinal dysfunction, or endotoxin translocation. Furthermore,... read more
Late Mortality After AHRF
Acute hypoxic respiratory failure (AHRF) is associated with significant acute mortality. It is unclear whether later mortality is predominantly driven by pre-existing comorbid disease, the acute inciting event or is the result... read more
Heuristic Thinking in the Emergency Department
This paper explores the use of heuristics among highly-trained physicians diagnosing heart disease in the emergency department, a common task with life-or-death consequences. Using data from a large private-payer claims database,... read more
3D-Printed Organs Could Let Surgeons Practice and Plan Dangerous Operations
An international team of researchers has used 3D-printing technology to produce individually-tailored model organs. These dummy organs could one day improve your chances of surviving surgery, by allowing doctors to plan and... read more
Are hospital readmission penalties a good idea?
A closely watched experiment in health care has unfolded over the last few years: Financial incentives for hospitals to reduce readmissions. It was a feature of the Affordable Care Act, and researchers are now assessing its... read more
The Digital Capital of the World, Where Patients OWN Their Medical Data
E-ambulance is keyed onto X-Road, and allows paramedics to access patients' medical records, meaning that the team that arrives for your chest pains will have access to your latest cardiology report and E.C.G. Since 2011,... read more
Treating Acid–Base Abnormalities in the ICU
Acidemia has both harmful and beneficial biological effects. Sodium bicarbonate is generally ineffective in raising pH when ventilation is limited, as in patients with ARDS. Even when alkalinizing agents can correct the pH,... read more
Tree-like Color Doppler in Diagnosing Pneumonia in Critically Ill
Pneumonia remains a difficult sonographic diagnosis in the critically ill. It is characterized by hypoechoic areas, irregular margins, heterogeneous echo texture, dynamic air bronchogram, pleural effusion and vascular flow... read more
Optimal Approach to Mechanical Ventilation After Cardiac Arrest
Return of spontaneous circulation after cardiac arrest results in a systemic inflammatory state called the post-cardiac arrest syndrome (PCAS), characterised by oxidative stress, coagulopathy, neuronal injury, and organ dysfunction.... read more
Acute Hypoxemic Respiratory Failure in Immunocompromised Patients
In immunocompromised patients with acute hypoxemic respiratory failure (ARF), initial management aims primarily to avoid invasive mechanical ventilation (IMV). HFNC has an effect on intubation but not on mortality rates.... read more
Clinical Examination, Critical Care Ultrasonography and Outcomes in the Critically Ill
In the Simple Intensive Care Studies-I (SICS-I), we aim to unravel the value of clinical and haemodynamic variables obtained by physical examination and critical care ultrasound (CCUS) that currently guide daily practice... read more
Improving Handovers By Learning From Ferrari Team
We were able to improve our vulnerable processes by translating good practice found in two industries – aviation and motor racing – into healthcare. We were able to do this by taking into account the subtle complexities... read more
Is Simvastatin the Miracle Drug We Think It Is?
Evaluation of early administration of simvastatin in the prevention and treatment of delirium in critically ill patients undergoing mechanical ventilation. This well designed and conducted trial demonstrates that there is... read more
