Safety of MRI in Patients with Cardiac Devices

Patients who have pacemakers or defibrillators are often denied the opportunity to undergo magnetic resonance imaging (MRI) because of safety concerns, unless the devices meet certain criteria specified by the FDM. We evaluated... read more

Safety of MRI in Patients with Cardiac Devices

Elevated BNP Levels in CFS Associated with Cardiac Dysfunction

This study confirms an association between reduced cardiac volumes and brain natriuretic peptide (BNP) in chronic fatigue syndrome (CFS). Lack of relationship between length of disease suggests that findings are not secondary... read more

Elevated BNP Levels in CFS Associated with Cardiac Dysfunction

Clinicians’ Expectations of the Benefits and Harms of Treatments, Screening, and Tests

Clinicians rarely had accurate expectations of benefits or harms, with inaccuracies in both directions. However, clinicians more often underestimated rather than overestimated harms and overestimated rather than underestimated... read more

Clinicians’ Expectations of the Benefits and Harms of Treatments, Screening, and Tests

Development and Validation of an Empiric Tool to Predict Favorable Neurologic Outcomes Among PICU Patients

This proposed prediction tool encompasses 20 risk factors into one probability to predict favorable neurologic outcome during ICU stay among children with critical illness. Future studies should seek external validation and... read more

Development and Validation of an Empiric Tool to Predict Favorable Neurologic Outcomes Among PICU Patients

Burnout and Stress Among US Surgery Residents

Burnout among physicians affects mental health, performance, and patient outcomes. Surgery residency is a high-risk time for burnout. We examined burnout and the psychological characteristics that can contribute to burnout... read more

Burnout and Stress Among US Surgery Residents

Dexmedetomidine-Associated Hyperthermia

Dexmedetomidine-associated hyperthermia: a retrospective cohort study of intensive care unit admissions between 2009 and 2016. Dexmedetomidine-associated hyperthermia has not been previously studied. Analysis is warranted... read more

Dexmedetomidine-Associated Hyperthermia

Top 10 Critical Care Trials for 2017

We held a poll within our editorial group, rating all 36 of the published trials from 2017 that we have summarised and critiqued. We considered the importance of the clinical question, how game changing the conclusion was... read more

Top 10 Critical Care Trials for 2017

How Big Tech Is Going After Your Health Care

When Daniel Poston, a second-year medical student in Manhattan, opened the App Store on his iPhone a couple of weeks ago, he was astonished to see an app for a new heart study prominently featured. People often learn about... read more

How Big Tech Is Going After Your Health Care

Knowledge of Constituent Ingredients in Enteral Nutrition Formulas Can Make a Difference in Patient Response to Enteral Feeding

The selection of an EF should be a conscientious process based on a number of factors, including the patient's clinical and medical status. The ingredients need to be carefully evaluated in their quality and quantity as they... read more

Knowledge of Constituent Ingredients in Enteral Nutrition Formulas Can Make a Difference in Patient Response to Enteral Feeding

Meta-Analysis Shows Mixed Results with Palliative Care

Palliative care was tied to some improvements in quality of life (QOL) in critically ill patients, but the impact on caregiver outcomes was mixed, and there was no significant association between palliative care delivery... read more

Meta-Analysis Shows Mixed Results with Palliative Care

Prognostic Effect and Longitudinal Hemodynamic Assessment of Borderline Pulmonary Hypertension

Borderline PH is common in patients undergoing RHC and is associated with significant comorbidities, progression to overt PH, and decreased survival. Small increases in mPAP, even at values currently considered normal, are... read more

Prognostic Effect and Longitudinal Hemodynamic Assessment of Borderline Pulmonary Hypertension

What Can Psychologists Do in Intensive Care?

As awareness has grown of the great distress intensive care patients may suffer, units have begun recruiting psychologists to their teams. Intensive care unit psychologists aim to assess and reduce distress for patients,... read more

Causes of Mortality in ICU-Acquired Weakness

Intensive care unit–acquired weakness (ICU-AW) is a common complication of critical illness and is associated with increased mortality, longer mechanical ventilation and longer hospital stay. Little is known about the causes... read more

Causes of Mortality in ICU-Acquired Weakness

The Relationship between Clinical Experience and Quality of Health Care

Physicians with more experience are generally believed to have accumulated knowledge and skills during years in practice and therefore to deliver high-quality care. However, evidence suggests that there is an inverse relationship... read more

The Relationship between Clinical Experience and Quality of Health Care

Prevention of Hospital Infections by Intervention and Training (PROHIBIT)

Results of a pan-European cluster-randomized multicentre study to reduce central venous catheter-related bloodstream infections. This study demonstrates that multimodal prevention strategies aiming at improving CVC insertion... read more

Prevention of Hospital Infections by Intervention and Training (PROHIBIT)

The Effect of ICU Out-of-Hours Admission on Mortality

Adjusted risk of death for ICU admission was greater over the weekends compared with weekdays. The absence of a dedicated intensivist on-site overnight may be associated with increased mortality for acute admissions. These... read more

The Effect of ICU Out-of-Hours Admission on Mortality

Hope is a Therapeutic Tool

Everyone who has been a patient, or accompanied a relative to see a doctor, recognises the importance of the doctor-patient relationship. At its heart is the patient's need to understand what is wrong, be understood, and... read more

Hope is a Therapeutic Tool

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

High Morning Cortisol Tied to Long-term Anxiety in Family Members of ICU Patients