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In This Issue: Shingles vaccine added to CDC list of vaccines for adults 60 and older; CDC recommends Tdap for postpartum women; new study suggests sequential therapy with antibiotics for H. pylori may be more effective than standard therapy; FDA Actions.
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Although protocol-driven sedation and analgesia management has been shown to improve patient outcomes, adherence to these guidelines is often poor.
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Clinicians generally believe that mechanical ventilation rests and restores the respiratory muscles in acute respiratory failure.
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Effective patient communication is a critical component to ICU patient care and to family member understanding of a critical illness.
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Investigators at St Paul's Hospital in Vancouver, BC, conducted a retrospective review of all ICU admissions between November 1998 and July 2003, to find all patients who were potential candidates for noninvasive ventilation (NIV) in the context of an exacerbation of COPD or acute cardiogenic pulmonary edema (CPE).
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A growing literature suggests that packed red blood cell (PRBC) transfusions are associated with adverse outcomes in a variety of patient populations, but the mechanisms behind the observed effects are not clear.
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With the increasing skill of our NICUs in saving extremely premature babies and the capability of rescuing children with acute illnesses and injuries in our PICUs, children with special healthcare needs are being discharged from tertiary centers and returning to their home communities.
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As the old adage goes, "If you can't beat 'em, join 'em." That's exactly what the ED leaders at Harborview Medical Center in Seattle did about one year ago when they noticed the rapid growth of urgent care clinics within local pharmacies.
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An ED manager must work closely with several other departments to ensure the success of a sepsis treatment program, says Tom Sweeney, MD, FACEP, vice chair of emergency medicine at Christiana Care Health Services of Wilmington, DE.