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Investigators at the University of Utah hospital carried out a comprehensive observational study of alarms that sounded in the medical ICU.
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Acute pancreatitis was described by surgeon Berkely Moynihan in 1925 as " the most terrible of all calamities that occur in connection with the abdominal viscera." Although our understanding and management of this condition has progressed considerably since then, this description remains apt at least for the most advanced and complex cases of severe acute pancreatitis.
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In this issue: Clopidogrel and proton pump inhibitors; adverse events with tamsulosin after cataract surgery; new guidelines for persistent pain in the elderly; and FDA Actions.
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In the past half century, technology, environmental awareness, and modern science have surged. Yet, as in all generations, a significant number of consumers, perhaps intent upon getting back to simpler times, are choosing "healthful" therapies not fully accepted by the mainstream.
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NSAIDs in the elderly; managing GI and CVD risk with NSAIDs; low-dose naltrexone and fibromyalgia; treating glucocorticoid-induced bone loss; FDA Actions.
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This study showed that surrogate decision-makers with a loved one in the ICU want clinicians to discuss the patient's prognosis, even if it is uncertain.
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The introduction of drug-eluting stents (DES) was met with enthusiasm from the interventional cardiology community because of the dramatic reduction in rates of in-stent restenosis (ISR). However, it came to be recognized that this clinical benefit, due to reduced proliferation of smooth muscle cells, came at a price.
