Articles Tagged With:
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Routine Chest Radiographs After Ultrasound-guided Central Line Placement May Be Unnecessary
Catheter misplacement and pneumothorax after routine ultrasound-guided catheter placement are rare, and routine post-procedural chest radiographs may not be cost-effective.
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Real-time Tracking of Influenza-related ICU Use
Surrogate markers of influenza severity, specifically trends in ICU use, were collected and revealed differences from current influenza reporting.
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Management of Catheter-related Bloodstream Infections
Catheter-related bloodstream infections (CRBSIs) remain one of the more common nosocomial infections today, with an estimated 250,000 CRBSIs occurring in the United States annually, of which approximately 80,000 are associated with an ICU stay. The science behind current practices has reduced the CRBSI rate by 50% between 2008 and 2014. However, the rate of infection is far from zero, and rates remain significantly different between states, suggesting that there is room for improvement.
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Episode 1: Checking for Legionella in Your Healthcare Setting
Avoiding deadly outbreaks of a pneumonia called Legionnaires’ disease is a top concern in healthcare facilities. Janet Stout, PhD, shares advice on how to minimize the risks from Legionella, a bacteria that causes the disease and lurks in the water supply in many large facilities.
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CMS Final Rule: More Affordable Health Plans Will Be Offered
Agency aims to stabilize insurance markets, provide more options.
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Update on Early Pregnancy Loss Management
Early pregnancy failure typically is defined as an intrauterine pregnancy in the first trimester that is not viable, either because the gestational sac is empty or because the embryo or fetus has no cardiac activity. This article will discus the main options for the management of early pregnancy failure: expectant management, medical management with misoprostol, and surgical management. Women’s preferences should guide treatment decisions, given that all three options are medically safe.
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Interpregnancy Interval and Chances for Recurrent Miscarriage
Authors of a recent study surprisingly have shown that the best chances of avoiding another early pregnancy loss is to become pregnant within six months of a miscarriage.
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Can We Use Manual Vacuum Aspiration for Molar Pregnancies?
In this retrospective cohort study, manual vacuum aspiration in a hospital setting was equivalent to electric suction for uterine evacuation of molar pregnancy in terms of the risks of incomplete abortion and development of postmolar gestational trophoblastic disease.
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After the WHI: How Is Your Sex Life?
Women who discontinued systemic postmenopausal hormonal therapy following participation in the Women’s Health Initiative studies experienced an increase in vaginal and sexual symptoms.
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Infectious Meningitis: A Focused Review
The effectiveness of the current vaccine schedule has led to a significant decline in the incidence of bacterial meningitis. Delays in recognition and antibiotic administration result in increased morbidity and mortality; therefore, clinicians must maintain a high degree of vigilance for the subtle findings of meningitis, particularly in infants. Current standards for selective imaging, diagnostic testing, and empiric antibiotics are discussed.