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In this issue: Dementia and benzodiazepines; effectiveness of omega-3 fatty acid and Ginkgo biloba supplements; and FDA actions.
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As more patients are surviving critical illness, there is documentation of serious cognitive, physical, and psychiatric consequences arising from lengthy ICU stays in these patients.
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The authors note a paucity of literature on early (0-48 hours of ventilation and ICU admission) sedation practices and their impact on outcomes; thus they performed this multicenter prospective cohort study with the hypothesis that early sedation is associated with delirium, time to extubation, and hospital and 180-day mortality.
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Approximately one in five children evaluated in the emergency department (ED) are physically abused: Emergency physicians and primary care physicians have a responsibility to consider abuse in the differential of every injured child. This article reviews the identification, evaluation, and management of a child with possible physical abuse.
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As the lines blur between patient safety and worker safety, employee health professionals including those "two-hat" infection preventionists with dual responsibilities can expect much more scrutiny from regulators who traditionally focused on patient care.
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Memo to the Centers from Medicare & Medicaid Services (CMS) from two leading surgeons on the literal cutting edge of infection prevention in the OR: Hospitals and federal regulators should encourage the use of newer and safer types of surgery and more transparency with patients on procedure options and possible outcomes. That would do more to reduce surgical site infection (SSI) rates than inspections by CMS and other government regulators.
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Endoscopic hysterectomy and staging has proved to be equivalent to open laparotomy in reference to survival for selected women with endometrial cancer. Increasingly, endoscopic procedures are being performed with robotic assistance under the claim of improved safety and efficacy.