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Reversible myocardial dysfunction may be much more common in critical illness than has been generally appreciated.
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Recent reports from Paris that scores of patients developed aplastic anemia after receiving eprex, the oxygen therapeutic drug known generically as erythropoietin (EPO), have some stateside researchers puzzled.
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Despite measures taken following the resurgence of TB cases in the late 1980s and early 1990s, many health care workers still poorly understand respiratory isolation procedures, says Kevin P. Fennelly, MD, MPH, researcher at the Center for Emerging Pathogens of the New Jersey Medical School in Newark.
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As hospitals struggle to comply with aspects of the Emergency Medical Treatment and Labor Act (EMTALA), one thorny issue is whether patients can be transferred from an ICU of one hospital to the emergency department of another hospital, based on an accepting physicians request.
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Warren and colleagues performed a nonrandomized pre- and postobservational trial of an educational intervention to prevent catheter-associated bloodstream infections (CABSIs) in a 500-bed private community hospital in Missouri.
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To determine practices regarding use of closed-system suctioning (CSS) and airway management of intubated patients, Sole and colleagues surveyed a national sample of 1665 registered nurses (RNs) and respiratory therapists (RTs) in 27 institutions.
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A wide variety of therapeutic interventions have failed to produce a significant change in the mortality of critically ill patients. Studies of these interventions include numerous trials of anti-inflammatory agents in sepsis, the trial involving growth hormone in critically ill patients, as well as a host of other investigations.
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The ARDSNetwork trial that began in 1996 (ARMA trial)1 was designed to test the validity of using lower tidal volumes in mechanical ventilators was halted because critics who were not a part of the ARDSNetwork argued that the control arm chosen was harmful and unethical.
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Specialty beds marketed for ICU patients range from simple air-filled mattresses designed for use on ordinary hospital beds to high-tech, electronically controlled rotating or vibrating devices.
