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This was a comprehensive, interdisciplinary, 2-year quality improvement project to reduce continuous sedation infusions and improve the recognition and prevention of delirium in patients with acute lung injury. It resulted in less infusion use, more days per patient without sedation, and more patient days awake and not delirious, although the median proportion of days with delirium per patient actually increased.
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n their 1985 article The Chronically Critically Ill: To Save or Let Die?, Girard and Raffin created the term chronically critically ill to describe patients admitted to an ICU who survived their acute insults but remained dependent on intensive care therapies.
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This multicenter, randomized controlled trial compared daily B-type natriuretic peptide (BNP) measurements as a way to guide fluid management with usual care in patients undergoing weaning from mechanical ventilation.
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The purpose of this study was to determine which protocols guiding the management of mechanical ventilation are incorporated into practice and to determine if any organizational characteristics of hospitals are associated with the adoption of protocols using evidence-based treatments.
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In this issue: Apixaban approval; new dental clinical practice guideline; apixaban for VTE; aspirin resistance; tamoxifen treatment; and FDA actions.
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Handoffs have been extensively examined as a potential source of communication failure. Such studies typically focus on how to best share details of care when patient responsibility is transferred from one clinical care team to another.
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More than 95% of shoulder dislocations are anterior in location.
Pre- and post-reduction radiographs are not required in patients with chronic recurrent dislocations who have dislocations with minor or no trauma.
Leverage reduction techniques may be able to reduce the dislocation without the need for opiates or sedatives.
Post-reduction immobilization is primarily done for patient comfort, not to reduce the risk of recurrent dislocation.
