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Many questions continue to circle around the use of central venous catheter (CVC) devices. What are the demographics of their use and the practices of their insertion? How dangerous are they? What location in the hospital is CVC use most prevalent? What are ways to limit infection? Are there special considerations to treat infections, including bloodstream infections (BSI), resulting from the use of CVCs?
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Olsen SJ, Chang HL, Vheung T, et al. Transmission of the severe acute respiratory syndrome (SARS) on aircraft. N Engl J Med 2003: 349:2,416-2,422.
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Increasing numbers of elderly Americans spend their last days in nursing homes, and very few benefit from hospice services, experts say. Researchers and national health care experts predict that the number of people who die in nursing homes or other long-term care facilities will continue to rise in coming decades as the baby boomers age.
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Women who initially were diagnosed with Stage IA disease and who had serous borderline tumors or underwent cystectomy appeared to derive the most benefit from restaging surgery. Nonetheless, the indications for restaging surgery remain controversial, as no difference in recurrence rate was observed between women who underwent restaging and those who did not.
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In this special feature, up-to-date information will be provided regarding the risks and benefits of various diagnostic methods available today for patients of advanced maternal age (AMA).
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Positive Alendronate Data in Osteoporosis; NSAIDs For Myocardial Infarction; Four-Hour Window for CAP Patients; FDA Actions.
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Few clinical situations place intensive care practitioners in a more uncomfortable position than does treating patients of the Jehovahs Witness faith. The faith-based refusal of autogenous or allogenic blood transfusions conflicts with the typical life-saving intent implicit in the critical care environment. However, it is our obligation to have a basic level of understanding of the set of beliefs that leads to the choice to refuse this specific set of life-saving therapies, while accepting other aspects of modern medical care.
