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Increased Mortality of Ventilated Patients with Endotracheal Pseudomonas Aeruginosa without Clinical Signs of Infection. Ranked "Changes Clinical Practice" from F1000.
You can't always rely on standard criteria for treating patients with presumed VAP.
Journal Article, October 10, 2008
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Alterations During Medical Interpretation of ICU Family Conferences That Interfere With or Enhance Communication
This study characterizes the types, prevalence, and potential effects of alterations in interpretation during ICU family conferences involving end-of-life discussions.
Journal Article, October 10, 2008
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Risk of Late-Acquired Incomplete Stent Apposition After Drug-Eluting Stent versus Bare-Metal Stent. A Meta-Analysis from 12 Randomized Trials
Does drug-eluting stent implantation increase the incidence of late-acquired incomplete stent apposition?
Journal Article, October 10, 2008
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Complications of Awake Fibreoptic Intubation Without Sedation in 200 Healthy Anaesthetists Attending a Training Course
Nasendoscopy with lidocaine as a topical anesthetic sounds like it may be a safe bet for intubation, but not if there are significant side effects. Learn how healthy subjects were affected.
Journal Article, October 10, 2008
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Liver Transplantation for Recurrent Hepatocellular Carcinoma on Cirrhosis After Liver Resection: University of Bologna Experience
Is liver transplantation a safe and effective strategy for managing recurrent hepatocellular carcinoma after liver resection for cirrhosis?
Journal Article, October 10, 2008
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Clinical Pharmacology 2008: Practical Information for Physicians, Nurses and Pharmacists
Sepsis, pain management, and the safe use of anticoagulants were key topics at this meeting.
Journal Article, October 10, 2008
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Why and How to Use the Photographic Atlases of the American Registry of Pathology
William A. Gardner, MD, Executive Director, American Registry of Pathology, Silver Spring, Maryland, describes the importance of visual images to medicine.
Editorial, October 10, 2008
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Sepsis
The latest guidelines provide a logical approach to managing this common infection.
Journal Article, October 9, 2008
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Influenza
Is your knowledge of influenza up to date? Current diagnostics, therapeutics, and infection control measures associated with this deadly disease are reviewed.
Journal Article, October 8, 2008
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CME/CE
A 14-Year-Old Boy With Progressive Weakness and Dyspnea
A 14-year-old boy presents to the ED with a 10-day history of progressive weakness following symptoms of an upper respiratory infection. The patient’s weakness is affecting his extremities, and he has developed shortness of breath and difficulty urinating. The patient is sent for magnetic resonance imaging (MRI) of his brain and spine. What is the patient’s condition as verified by the MRI?
Clinical Case, October 8, 2008
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Anaesthesia and Morbid Obesity
Morbid obesity has a grave effect on health and is increasing in prevalence among children and adults. This review explains the effects of anaesthesia on patients who are morbidly obese.
Journal Article, October 7, 2008
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A Comprehensive Review of Pediatric Endotracheal Suctioning: Effects, Indications, and Clinical Practice
What gaps exist in the evidence base for pediatric endotracheal suctioning? These authors survey the literature to try and identify best practice standards.
Journal Article, October 7, 2008
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Clinical Guidelines, Audits and Hemovigilance in Managing Blood Transfusion Needs
Tools for improving blood supply safety are described and justified in this article.
Journal Article, October 7, 2008
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Emergency Medicine Doc Vents on the State of Healthcare
Although not always politically correct, this emergency medicine physician has a lot to say about the way medicine is practiced today.
Article, October 7, 2008
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Effect of Preprocedural Statin Use on Procedural Myocardial Infarction and Major Cardiac Adverse Events in Percutaneous Coronary Intervention: A Meta-Analysis
Does statin use prior to percutaneous coronary intervention improve outcomes by reducing the risk of major adverse cardiac events?
Journal Article, October 6, 2008
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Precious Last Moments: Family Presence During Resuscitation
Tammie Quest, MD, Director of EPEC -- Emergency Medicine Project -- discusses whether families should observe CPR.
Editorial, October 6, 2008
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Peripheral Arterial Perfusion: Is it Adequate for Wound Healing?
Revascularization is necessary to allow healing for certain wounds, but what are the criteria for determining which patients need to see a vascular surgeon?
Journal Article, October 6, 2008
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Opioids and the Control of Respiration
What are the mechanisms of opioid-induced respiratory depression and how can safer opioid analgesia be achieved? Future research avenues are proposed.
Journal Article, October 3, 2008
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CME
A Prospective Randomized Trial of Acute Normovolemic Hemodilution Compared to Standard Intraoperative Management in Patients Undergoing Major Hepatic Resection
For patients undergoing major liver resection, ANH is safe, effectively reduces the need for allogeneic transfusions, and should be considered for routine use.
Journal Article, October 3, 2008
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Doing Better for Less: The Case for Organized Group Practices
Shannon Brownlee, MS, Visiting Scholar, National Institutes of Health, Washington, DC, explains how to both cut healthcare costs and improve quality.
Editorial, October 3, 2008
