Articles Tagged With:
-
Occult Hypoxemia Is More Common in Black Patients than in White Patients About to Undergo ECMO for Respiratory Failure
In this retrospective analysis of de-identified Extracorporeal Life Support Organization registry data, the prevalence of occult hypoxemia was higher in Black patients than in white patients. Hispanic and Asian patients had a similar prevalence of occult hypoxemia compared to white patients.
-
Surviving Sepsis: The New Guidelines
Subsequent revisions of Surviving Sepsis guidelines highlighted the need for early, appropriate antibiotics along with a new focus on initial resuscitation, stressing the importance of dynamic measurements instead of static variables to predict fluid responsiveness. The most recent 2021 revisions continue to stress the importance of these ideals, but they also place an increased emphasis on the hour-1 bundle and improving the care of sepsis patients after they are discharged from the intensive care unit.
-
Participant Distress Is Concern for IRBs Reviewing Child Maltreatment Studies
Surveys measuring prevalence of child maltreatment are important knowledge, but IRBs might overestimate the risk to participants.
-
Conflict Common Between ICU Clinicians
Ethicists often are seen as a neutral party. Their review of a situation can help provide space to reflect on how the conflict arose.
-
Consult Services Should Address Racism and Bias
Hospitals are addressing health equity and combatting racism in all areas, including ethics. Members of an ethics consult service can develop recommendations for consultants to help address health equity and promote anti-racism, both in care of individual patients and in institutional policy.
-
Build Emergency Care Research on Strong Regulatory, Financial Foundation
There are some notable gaps in studies of the ethics of emergency care in low- and middle-income countries, according to the authors of a recent analysis.
-
The Ethics of Creating a National Congenital Heart Disease Database
The population of adults with congenital heart disease (ACHD) continues to expand, as patients live longer thanks to advances in surgical and medical care. Thus, there has been increasing interest in creating an ACHD national database for both quality and research purposes.
-
Unique Challenges for IRBs Evaluating Radiation Oncology Study Protocols
There may be few if any radiation oncology investigators at some institutions, and radiation therapy involves rapidly advancing technology. In light of this, IRBs might lack the necessary expertise to review these studies.
-
Critical Care Nurse Researchers Must Know IRB Process
Many critical care nurses are involved in study recruitment. Lack of basic knowledge on how IRBs work can hinder this process.
-
Patterns of Egregious Physician Sexual Misconduct Require Ethical Response
If the perception is highly publicized cases of sexual misconduct go unpunished, this could erode public trust of physicians generally. Although those accused of sexual misconduct are entitled to due process and the presumption of innocence until proven guilty, all cases must be taken seriously and investigated thoroughly.