Critical Care General
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Abstract & Commentary: Mechanical Insufflation-Exsufflation and Prevention of Post-Extubation Respiratory Failure
This study from Portugal addresses an important gap in managing patients who have been extubated after an episode of acute respiratory failure facilitating the clearance of airway secretions to avoid the necessity of reintubation. -
Clinical Briefs in Primary Care supplement
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Pharmacology Watch: Does Aspirin Prevent Cancer?
In this issue: Aspirin and cancer prevention; rivaroxaban for pulmonary embolism; new rhinosinusitis practice guidelines; and FDA actions. -
Abstract & Commentary: ICU Bed Availability Appears to Influence Goals of Care but not Hospital Mortality
This study examined outcomes for 3494 adult patients who experienced clinical deterioration that triggered a medical emergency team (MET) activation over a 2-year period. -
Abstract & Commentary: Failure to Adhere to Evidence-Based Guidelines Worsens Outcomes: Support from a Large Study in Trauma Patients
Rice and colleagues report a secondary analysis of outcomes among trauma patients in relation to the degree to which the clinicians managing them adhered to a specified set of evidence-based guidelines. -
Pharmacology Watch: Statins and Cognition — More to the Story?
In this issue: Side effects of statins; effects of cannabis use; antihypertensives and lip cancer; and FDA actions. -
Don't Stop CPR Too Soon: Study Shows Better Outcomes with Longer Attempts
Goldberger and colleagues at the University of Michigan sought to determine the variation in duration of cardiopulmonary resuscitation (CPR) attempts following in-hospital cardiac arrest among different institutions across the United States. -
Tele-ICU: Is It Worth It?
Kumar et al set out to describe the cost of ICU telemedicine programs (tele-ICU). They had two objectives: to systematically review the existing literature reporting costs of tele-ICU programs and to provide cost figures for tele-ICU implementation in a Veterans Health Administration (VHA) hospital network. -
Clinical Briefs in Primary Care supplement
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High-Value Health Care: Implications from Complexity Theory
Much of the recent attention to the high cost of health care has focused on opposing political viewpoints. Less attention has been given to an equally important issue: How do health care delivery organizations reliably deliver high-value health care and, by doing this, ensure optimal patient outcomes?