Functional Status Change Among Children With ECMO to Support Cardiopulmonary Resuscitation in a Pediatric Cardiac ICU

Functional Status Change Among Children With ECMO to Support Cardiopulmonary Resuscitation in a Pediatric Cardiac ICU

This is the first extracorporeal cardiopulmonary resuscitation report to examine changes in Functional Status Scale from admission (baseline) to discharge as a measure of overall functional outcome. Half of surviving patients... read more

Prehospital Plasma during Air Medical Transport in Trauma Patients at Risk for Hemorrhagic Shock

Prehospital Plasma during Air Medical Transport in Trauma Patients at Risk for Hemorrhagic Shock

In injured patients at risk for hemorrhagic shock, the prehospital administration of thawed plasma was safe and resulted in lower 30-day mortality and a lower median prothrombin-time ratio than standard-care resuscitation.... read more

Inspiratory Muscle Training for ICU Patients

Inspiratory Muscle Training for ICU Patients

Inspiratory muscle weakness is a known consequence of prolonged mechanical ventilation, and there is emerging evidence that specific inspiratory muscle training (IMT) can ameliorate this weakness. Australian researchers recommend... read more

Legacy Emanuel Medical Center Plants With Purpose

Legacy Emanuel Medical Center Plants With Purpose

The benefits of access to nature have been shown in a variety of settings and contexts, notes Roger S. Ulrich, an international leader in evidence-based healthcare design and a consultant to Legacy Health’s therapeutic... read more

Doctors Rely on More than Just Data for Medical Decision Making

Doctors Rely on More than Just Data for Medical Decision Making

Many technology companies are working on artificial intelligence systems that can analyze medical data to help diagnose or treat health problems. Such systems raise the question of whether this kind of technology can perform... read more

Over Half Of Patients And Families Hesitate To Raise ICU Safety Concerns

Over Half Of Patients And Families Hesitate To Raise ICU Safety Concerns

Imagine you're in the intensive care unit at the bedside of your loved one, and you think you see a medical mistake — a wrong pill, an unwashed hand. Do you speak up? Even if you're afraid that might annoy or alienate the... read more

ICU ventilators overused among advanced-dementia patients

ICU ventilators overused among advanced-dementia patients

Mechanical ventilation may be lifesaving, but in certain patient cases it may prolong suffering without a clear benefit. JAMA Internal Medicine published a study of 635,008 hospitalizations of nursing-home patients with advanced... read more

Operation Timing and 30-Day Mortality After Elective General Surgery

Operation Timing and 30-Day Mortality After Elective General Surgery

Elective general surgery appears to be comparably safe at any time of the workday, any day of the workweek, and in any month of the year. The binary outcomes of 32,001 elective general surgical patients at the Cleveland Clinic... read more

Foleys Aren’t Fun: Patient Study Shows Catheter Risks

Foleys Aren’t Fun: Patient Study Shows Catheter Risks

A new study puts large-scale evidence behind what many hospital patients already know: Having a urinary catheter may help empty the bladder, but it can hurt, lead to urinary tract infections, or cause other issues in the... read more

The Intensive Care Medicine Research Agenda in Nutrition and Metabolism

The Intensive Care Medicine Research Agenda in Nutrition and Metabolism

Priorities for clinical research in the field of nutritional management of critically ill patients were suggested, with the prospect that different nutritional interventions targeted to the appropriate patient population... read more

Evaluation of a strategy for enrolling the families of critically ill patients in research using limited human resources

Evaluation of a strategy for enrolling the families of critically ill patients in research using limited human resources

Family members were recruited for more than one third of eligible patients, and >90% of approached consented to participate. There are important demographic differences between patients with vs without an enrolled family... read more

Bacterial protein structure could aid development of new antibiotics

Bacterial protein structure could aid development of new antibiotics

Bacterial cells have an added layer of protection, called the cell wall, that animal cells don't. Assembling this tough armor entails multiple steps, some of which are targeted by antibiotics like penicillin and vancomycin.... read more

New research shows why nutrition should be back on the table for surgical patients

New research shows why nutrition should be back on the table for surgical patients

More than 48 million people in the U.S. undergo surgery each year, and for decades the focus has been on making sure patients do not consume any food or drinks in the hours leading up to the surgery. Yet, 1 in 3 patients... read more

Critically Ill: A 5-Point Plan to Cure Healthcare Delivery

Critically Ill: A 5-Point Plan to Cure Healthcare Delivery

Two decades ago Dr. Fred Southwick witnessed the near demise of his wife while she was being cared for in a prominent academic medical center. For 15 years he blamed the individual physicians who cared for Mary. However five... read more