Evidence-Based Guidelines to Eliminate Repetitive Laboratory Testing

Evidence-Based Guidelines to Eliminate Repetitive Laboratory Testing

Routine daily laboratory testing of hospitalized patients reflects a wasteful clinical practice that threatens the value of health care. Choosing Wisely initiatives from numerous professional societies have identified repetitive... read more

Hypertension and Prehypertension Underdiagnosed, Undertreated in U.S. Children

Hypertension and Prehypertension Underdiagnosed, Undertreated in U.S. Children

Hypertension and prehypertension in children often go undiagnosed, according to a new study published in Pediatrics. The study focused on children with abnormal blood pressures across the United States.... read more

Variation in Monitoring and Treatment Policies for Intracranial Hypertension in TBI

Variation in Monitoring and Treatment Policies for Intracranial Hypertension in TBI

Substantial variation was found regarding monitoring and treatment policies in patients with Traumatic Brain Injury (TBI) and intracranial hypertension. The results of this survey indicate a lack of consensus between European... read more

Cochrane Strategy to 2020

Cochrane Strategy to 2020

Strategy to 2020 aims to put Cochrane evidence at the heart of health decision-making all over the world. It defines how we intend to accomplish this and provides a framework for Cochrane's future decision-making, helping... read more

Ultrasound-guided Central Venous Catheter Placement

Ultrasound-guided Central Venous Catheter Placement

Ultrasound-guided central venous catheter placement: a structured review and recommendations for clinical practice. Although placement of a central venous catheter (CVC) is a routine procedure in intensive care medicine and... read more

Most pediatric ICU physicians don’t use current guidelines to diagnose acute kidney injury

Most pediatric ICU physicians don’t use current guidelines to diagnose acute kidney injury

A study by University at Buffalo researchers has shown that physicians in pediatric intensive care units are not using the newest guidelines to diagnose acute kidney injury (AKI) in critically ill children, a practice that... read more

Antibiotic Guidelines Improve Prescription Practices for Vulnerable Infants

Antibiotic Guidelines Improve Prescription Practices for Vulnerable Infants

Yale University School of Medicine neonatal intensive care unit (NICU) significantly reduced the number of cases of late-onset sepsis, a leading cause of death among pre-term infants, by implementing guidelines designed to... read more

nutritionDay ICU

nutritionDay ICU

An worldwide prevalence study to determine the nutrition practice in the ICUs and the associated outcome across the world, a yearly 1 day cross sectional audit was performed from 2007 to 2013. This very large collaborative... read more

Worldwide Survey of the ABCDEF Bundle in the ICU

Worldwide Survey of the ABCDEF Bundle in the ICU

The current implementation of the ABCDEF bundle varies across individual components and regions. We identified specific targets for quality improvement and adoption of the ABCDEF bundle. Our data reflect a significant but... read more

Most ICU Patients Underfed

Most ICU Patients Underfed

A large international multicentre cohort study shows that most of the patients are underfed during their ICU stay. In their findings published in the journal Clinical Nutrition, researchers say most of the patients in intensive... read more

A Brief Review of Troponin Testing for Clinicians

A Brief Review of Troponin Testing for Clinicians

Current American College of Cardiology and American Heart Association guidelines state that troponin is the preferred biomarker for diagnosing acute myocardial infarction (MI). Troponin T (TnT) and I molecules have amino... read more

Consideration of the Intracranial Pressure Threshold Value for the Initiation of TBI Treatment

Consideration of the Intracranial Pressure Threshold Value for the Initiation of TBI Treatment

Monitoring of intracranial pressure (ICP) is considered to be fundamental for the care of patients with severe traumatic brain injury (TBI) and is routinely used to direct medical and surgical therapy. The cerebral circulation... read more

Clinical Impact of COPD on Non-cystic Fibrosis Bronchiectasis

Clinical Impact of COPD on Non-cystic Fibrosis Bronchiectasis

Clinical impact of chronic obstructive pulmonary disease on non-cystic fibrosis bronchiectasis. A study on 1,790 patients from the Spanish Bronchiectasis Historical Registry. Patients with BE related to COPD have the same... read more

Reducing Brain Injury After Cardiac Arrest

Reducing Brain Injury After Cardiac Arrest

Therapeutic hypothermia (TH) (32-34°C for 24 hours) should be mandatory practice for patients who are comatose after being resuscitated from out-of-hospital cardiac arrest, if the initial cardiac rhythm is either pulseless... read more

Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient

Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient

This document represents the first collaboration between two organizations, American Society of Parenteral and Enteral Nutrition and the Society of Critical Care Medicine, to describe best practices in nutrition therapy in... read more

Update: Implementation of Antibiotic Stewardship Core Elements

Update: Implementation of Antibiotic Stewardship Core Elements

This document provides guidance on practical strategies to implement antibiotic stewardship programs in small and critical access hospitals. It was developed as a collaboration between The Centers for Disease Control and... read more

Detecting impaired myocardial relaxation in sepsis with a novel tissue Doppler parameter

Detecting impaired myocardial relaxation in sepsis with a novel tissue Doppler parameter

Left ventricular diastolic dysfunction is associated with mortality outcomes in severe sepsis and septic shock. There are ongoing issues with diagnosing diastolic dysfunction in this cohort, partly owing to the poor applicability... read more