Decision Making Model Enables Resolution of Ethics Issues at the Bedside

A study from Switzerland that evaluated implementation of a stepped ethical decision-making model on three intensive care units (ICUs) and two geriatric wards found that it worked well, with staff able to find the time and... read more

Ratio-based Transfusion and Non-trauma Patients

Researchers at Massachusetts General Hospital (MGH) urge caution in adopting ratio-based transfusion - a practice previously studied only in patients with severe traumatic injuries - in non-trauma patients. Their study published... read more

Visual Abstracts, A New Strategy for Creating Journal Articles

You might be interested in this initiative arising out of surgery, and primarily developed by Andrew M. Ibrahim MD, MSc of the University of Michigan. Dr. Ibrahim is a Clinical Lecturer in Surgery here and a Robert Wood Johnson... read more

No IV Hydration for Contrast Nephropathy? AMACING Trial Challenges a Cornerstone of Prophylaxis

A Dutch study undercutting the established role of hydration in preventing kidney damage during procedures is raising eyebrows. Dutch researchers are calling into question one of the cornerstone practices of cath labs and... read more

Longer hospital stays may reduce readmissions, study suggests

A recent study found patients moved to post-acute care facilities have a higher chance of readmission than those kept in the hospital for a longer period of time. Researchers say longer hospital stays may prevent readmission... read more

In Hospital ICUs, AI Could Predict Which Patients Are Likely to Die

With streams of data coming from equipment that monitors patients’ vital signs, the ICU seems the perfect setting to deploy artificially intelligent tools that could judge when a patient is likely to take a turn for the... read more

Stapled versus hand-sewn

Stapled versus hand-sewn: A prospective emergency surgery study. An American Association for the Surgery of Trauma multi-institutional study. Data from the trauma patient population suggests handsewn (HS) anastomoses are... read more

Tracking Down the Transcriptome of Pancreatic Cells

Clinical Implications of Basic Research: Tracking Down the Transcriptome of Pancreatic Cells. High-resolution analysis of gene expression in individual pancreatic cells is providing new insights into cell subpopulations and... read more

The Changing Face of Informed Consent

Informed consent for a research study brings to mind a paper document with a handwritten signature completed at a clinical research site. However, the paper, ink, and clinical site are not necessary. Sufficient information... read more

The status of intensive care medicine research and a future agenda for very old patients in the ICU

The "very old intensive care patients" (abbreviated to VOPs; greater than 80 years old) are probably the fastest expanding subgroup of all intensive care unit (ICU) patients. Up until recently most ICU physicians... read more

Predicting HCAHPS scores from hospitals' social media pages

Social media is an important communication channel that can help hospitals and consumers obtain feedback about quality of care. However, despite the potential value of insight from consumers who post comments about hospital... read more

High Levels of Nosocomial Infection Found in Pediatric ICUs

One in six children in pediatric intensive care units (pICU), and one in ten babies in neonatal intensive care units (nICU) develop a hospital-acquired infection (HAI), according to a new study. Researchers at the European... read more

Assessing Postoperative Pulmonary Complications After Noncardiothoracic Surgery

In this multicenter study in 1202 American Society of Anesthesiologists physical status 3 patients undergoing noncardiothoracic surgery requiring 2 hours or more of general anesthesia with mechanical ventilation, at least... read more

Vitamin D supplementation to prevent acute respiratory tract infections

Vitamin D supplementation was safe and it protected against acute respiratory tract infection overall. Patients who were very vitamin D deficient and those not receiving bolus doses experienced the most benefit. 25 eligible... read more

Fecal microbiota transplantation a decolonization treatment option

The use of fecal microbiota transplantation is an option to eradicate highly drug-resistant enteric bacteria carriage, according to results from a small pilot study conducted by French investigators. A prospective study of... read more

Wide variations found in evaluation of newborns for sepsis

The evaluation of well-appearing term infants for early-onset sepsis (EOS) varies considerably among hospitals, with some doing extensive work-ups and giving antibiotics while others simply observe and provide newborn routine... read more

NIH $3.2 million Grant Funds Mobile Critical Care Recovery Program

Two million of the five million Americans admitted to intensive care units annually have or develop acute respiratory failure, predisposing them to long-term cognitive, functional and psychological impairments collectively... read more

Catheter System Drains Recurrent Pleural Effusions

A novel catheter system enables patients to drain pleural fluid at home, instead of requiring them to return to the hospital for thoracentesis. The PleurX catheter system consists of a catheter that is inserted in the chest... read more

Deaths After PCI: Study Compares Public Reporting Models Both With and Without Cardiogenic Shock

Three distinct models for reporting risk-adjusted mortality rates among hospitals and physicians performing PCI in New York State demonstrate a high degree of agreement, despite variation in how they handle the inclusion... read more

Social Media Helps Forecast Outbreak Transmission Patterns

A new study suggests then when epidemiological data are scarce, social media and Internet reports can be reliable tools for forecasting infectious disease outbreaks. Researchers at Georgia State University and the U.S. National... read more

Hydrocortisone Fails to Prevent Septic Shock

Hydrocortisone failed to reduce the risk of septic shock in severe sepsis patients in recent research, though its authors held out hope that a larger study could show a better result. Current guidelines recommend hydrocortisone... read more

Critical Care Patients Benefit From Restrictive Transfusion Strategy

Although a restrictive transfusion strategy significantly reduces the risk for 30-day all-cause mortality in critical care patients, its benefits are less clear in perioperative patients, according to a meta-analysis by a... read more