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With the rise of a new Democratic administration and a continuing Congressional majority, there is an increasing perception that the health care system could be subject to new federal regulations.
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Infection preventionists have been drawn into the white-hot national spotlight on health care-associated infections in recent years, sometimes being accused by overzealous patient advocates as being as much a part of the problem as the solution.
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Having proposed federal "hospital report card" legislation while in the U.S. Senate that specifically cites heath care-associated infections (HAIs), President-elect Barack Obama comes into power this month with an unprecedented history of interest and advocacy about infection prevention.
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Every intensivist recognizes that families play a prominent role in ICU decision making.
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Prior studies have demonstrated that delayed transfer of critically ill patients from the emergency department (ED) to the ICU (> 6 hours) prolongs ICU and hospital stay.
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Prone positioning has been advocated as a management strategy for patients with acute respiratory distress syndrome (ARDS), but despite evidence of improved oxygenation with the technique, numerous studies have yet to establish a mortality benefit from the practice.
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In this issue: Statin and niacin increase HDL-C, omeprazole reduces effectiveness of clopidogrel, darbe-poetin increases risk of stroke, statins decrease risk of gallstone disease, FDA Actions.
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Early goal-directed therapy (EGDT) has been shown to reduce hospital mortality from severe sepsis and septic shock. Puskarich et al hypothesized that long-term outcome would also be improved.