Atlas of Interventional Pain Management

Atlas of Interventional Pain Management

Arranged by anatomic region, Atlas of Interventional Pain Management provides pain medicine specialists in practice and in training with the most up-to-date and practical guide to over 160 interventional pain management techniques.... read more

Does Preoperative Troponin Level Impact Outcomes Following Coronary Artery Bypass Grafting?

Does Preoperative Troponin Level Impact Outcomes Following Coronary Artery Bypass Grafting?

As a marker of myocardial injury, troponin level correlates with adverse outcomes following myocardial infarction (MI). We hypothesized that patients with higher preoperative troponin level would have increased morbidity... read more

Nominate Your Sepsis Hero!

Nominate Your Sepsis Hero!

Sepsis Alliance is excited to announce Sepsis Heroes, the organization's annual fundraising gala, will be returning on September 13, 2018 in New York City. The annual event, timed to coincide with Sepsis Awareness Month,... read more

Virtual Reality to Improve Cognitive Alterations in ICU

More than 30 percent of patients who survive an episode of critical illness presents brain alterations that go beyond those of the disease that has led to the admission to intensive care (ICU). As a result of this cerebral... read more

Delirium a Dreaded Scourge Underdiagnosed in Hospitals

Delirium a Dreaded Scourge Underdiagnosed in Hospitals

Pain medications, infections, medical illnesses, ventilators, dehydration or withdrawing from alcohol can be risk factors for delirium. Hospitals are one of the biggest culprits. They're noisy, busy and not conducive to getting... read more

Unexplained Mortality Differences Between Septic Shock Trials

Unexplained Mortality Differences Between Septic Shock Trials

Although the definition of septic shock has been standardized, some variation in mortality rates among clinical trials is expected. Insights into the sources of heterogeneity may influence the design and interpretation of... read more

When Should Nutritional Support Be Implemented in a Hospitalized Patient?

At the time of admission to the hospital, malnutrition is already present in over 20% of patients. Hospitalized patients are particularly susceptible to developing malnutrition because of increased catabolic states in acute... read more

Fluid, Electrolyte and Acid-Base Physiology

Fluid, Electrolyte and Acid-Base Physiology

With a strong focus on problem solving and clinical decision making, Fluid, Electrolyte, and Acid-Base Physiology is your comprehensive, go-to guide on the diagnosis and management of fluid, electrolytes, and acid-base disorders.... read more

RRT in the Critically Ill Child

RRT in the Critically Ill Child

Although renal replacement therapy (RRT) is widely used in critically ill children, there have been few comprehensive population-based studies of its use. This article describes renal replacement therapy use, and associated... read more

Ten False Beliefs in Neurocritical Care

Ten False Beliefs in Neurocritical Care

1. Only neurointensivists should care about the brain. 2. Clinical examination of neurocritically ill patients is impossible. 3. We should no longer monitor ICP in traumatic brain injury (TBI). 4. The threshold to treat... read more

Tracheotomy in the ICU: Guidelines from a French Expert Panel

Tracheotomy in the ICU: Guidelines from a French Expert Panel

Tracheotomy is widely used in intensive care units (ICUs), albeit with great disparities between medical teams in terms of frequency and modality. Indications and techniques are, however, associated with variable levels of... read more

Papers of the Month March 2018

Gavin Denton and I get together again to review a couple of recent papers that have some bearing on our practice. Welcome to the Papers of the month. This month we cover Check Up- Position- “A Multicenter, Randomized Trial... read more

Lower EGS Mortality Among Hospitals with Higher-Quality Trauma Care

Lower EGS Mortality Among Hospitals with Higher-Quality Trauma Care

Patients undergoing emergency general surgery (EGS) procedures are up to eight times more likely to die than patients undergoing the same procedures electively. This excess mortality is often attributed to nonmodifiable patient... read more

In ICUs, a Furry Friend to Comfort Patients

In ICUs, a Furry Friend to Comfort Patients

Amid the monitor alarms and life-and-death conversations on the intensive care unit, Tucker, a very mellow Labrador retriever, rolled onto his back at the nurses' station. Delighted staff surrounded the dog, cooing and scratching... read more