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This page shows you the most recent publications within this specialty of the MedWorm directory.

Music Therapy Appears To Help Reduce Anxiety, Use Of Sedatives For Patients Receiving Ventilator Support
Among intensive care unit patients receiving acute ventilatory support for respiratory failure, use of patient-preferred music resulted in greater reduction in anxiety and sedation frequency and intensity compared with usual care, according to a study published online by JAMA. The study is being released early online to coincide with its presentation at the American Thoracic Society international conference... (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - May 20, 2013 Category: Consumer Health News Tags: Anxiety / Stress Source Type: news

Providing Intravenous Nutrition Within 24 Hours For Certain Critically Ill Patients Does Not Appear To Improve Survival Or Reduce ICU Length Of Stay
The early (within 24 hours of intensive care unit [ICU] admission) provision of intravenous nutrition among critically ill patients with contraindications (a condition that makes a particular procedure potentially inadvisable) to early use of enteral nutrition (such as through a feeding tube) did not result in significant differences in 60 day mortality or shorter ICU or hospital length of stay, compared with standard care, according to a study in the May 22/29 issue of JAMA... (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - May 20, 2013 Category: Consumer Health News Tags: GastroIntestinal / Gastroenterology Source Type: news

Metabolic biomarkers can predict mortality in the ICU
(American Thoracic Society) A metabolic profile of intensive care unit patients based on biomarkers of four metabolites can be used to accurately predict mortality, according to a new study. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - May 20, 2013 Category: Global & Universal Source Type: news

ECG Signal Quality During Arrhythmia and Its Application to False Alarm Reduction
An automated algorithm to assess electrocardiogram (ECG) quality for both normal and abnormal rhythms is presented for false arrhythmia alarm suppression of intensive care unit (ICU) monitors. A particular focus is given to the quality assessment of a wide variety of arrhythmias. Data from three databases were used: the Physionet Challenge 2011 dataset, the MIT-BIH arrhythmia database, and the MIMIC II database. The quality of more than 33 000 single-lead 10 s ECG segments were manually assessed and another 12 000 bad-quality single-lead ECG segments were generated using the Physionet noise stress test...
Source: IEEE Transactions on Biomedical Engineering - May 18, 2013 Category: Biomedical Engineering Source Type: research

Optimization of Mechanical Ventilator Settings for Pulmonary Disease States
The selection of mechanical ventilator settings that ensure adequate oxygenation and carbon dioxide clearance while minimizing the risk of ventilator-associated lung injury (VALI) is a significant challenge for intensive-care clinicians. Current guidelines are largely based on previous experience combined with recommendations from a limited number of in vivo studies whose data are typically more applicable to populations than to individuals suffering from particular diseases of the lung. By combining validated computational models of pulmonary pathophysiology with global optimization algorithms, we generate in silico exper...
Source: IEEE Transactions on Biomedical Engineering - May 18, 2013 Category: Biomedical Engineering Source Type: research

Reply to the Editor
In their letter, Koster and coworkers refer to our recent articles on a comprehensive blood-sparing approach in pediatric cardiac surgery and the effects of this approach on blood transfusion incidence and on potential effects of blood transfusion on postoperative morbidity. They propose a pair of simple but plausible mechanisms to explain how morbidity may contribute to the need for blood transfusion, rather than vice versa. The first is based on the well-known vasodilatory effect of analgosedation. We fully agree that the resulting volume treatment could induce hemodilution to such an extent that it would contribute to t...
Source: The Journal of Thoracic and Cardiovascular Surgery - May 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Matthias Redlin, Marian Kukucka, Wolfgang Boettcher, Helge Schoenfeld, Michael Huebler, Hermann Kuppe, Helmut Habazettl Tags: Letters to the Editor Source Type: research

Urinalysis a Valid Screen for UTI in Trauma Patients in the ICUUrinalysis a Valid Screen for UTI in Trauma Patients in the ICU
A negative urinalysis (UA) reliably rules out catheter-associated urinary tract infection (UTI) in febrile trauma patients in intensive care, according to a retrospective study. Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - May 17, 2013 Category: Consumer Health News Tags: Critical Care News Source Type: news

Adaptive support ventilation: State of the art review
This article will discuss ASV while emphasizing appropriate ventilator settings, their advantages and disadvantages, their particular effects on oxygenation and ventilation, and the monitoring priorities for clinicians. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - May 17, 2013 Category: Intensive Care Authors: Jaime FernándezDayra MiguelenaHernando MulettJavier GodoyFederico Martinón-Torres Source Type: research

Supraclavicular approach of central venous catheter insertion in critical patients in emergency settings: Re-visited
Gaurav Singh Tomar, Sonali Chawla, Suprio Ganguly, Grace Cherian, Akhilesh TiwariIndian Journal of Critical Care Medicine 2013 17(1):10-15The supraclavicular approach was first put into clinical practice in 1965 by Yoffa and is an underused method for gaining central access. It offers several advantages over the conventional infraclavicular approach to the subclavian vein. At the insertion site, the subclavian vein is closer to the skin, and the right-sided approach offers a straighter path into the subclavian vein. Also, this site is often more accessible during CPR and surgical procedures. In patients who are obese, this...
Source: Indian Journal of Critical Care Medicine - May 17, 2013 Category: Intensive Care Authors: Gaurav Singh TomarSonali ChawlaSuprio GangulyGrace CherianAkhilesh Tiwari Source Type: research

Multivisceral organ failure related to leptospirosis in pregnant patient
We report a case of leptospirosis presenting as multiple organ failure during third trimester of pregnancy with a good outcome. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - May 17, 2013 Category: Intensive Care Authors: Sbai HichamMellouki ihsaneEl Bouazzaoui AbderahimBoukatta BrahimSmail LabibHarrandou MustaphaKhatouf MohamedIbrahimi AdilMelhouf AbdelilahKanjaa Nabil Source Type: research

Reimbursement for critical care services in India
Raja Jayaram, Nagarajan RamakrishnanIndian Journal of Critical Care Medicine 2013 17(1):1-9There are significant variations in critical care practices, costs, and reimbursements in various countries. Of note, there is a paucity of reliable information on remuneration and reimbursement models for intensivists in India. This review article aims to analyze the existing reimbursement models in United States and United Kingdom and propose a frame-work model that may be applicable in India. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - May 17, 2013 Category: Intensive Care Authors: Raja JayaramNagarajan Ramakrishnan Source Type: research

Target blood pressure in sepsis: between a rock and a hard place
None (Source: Critical Care)
Source: Critical Care - May 17, 2013 Category: Intensive Care Authors: Thiago CorrêaJukka TakalaStephan Jakob Source Type: research

Early, reliable, utilitarian predictive factors for fat embolism syndrome in polytrauma patients
Conclusions: The combination of three factors including polytrauma (with NISS >17), serum lactate >22 mmol/l at admission (within 12 hours of injury) fall in oxygen saturation (SaO 2 below 90% in the initial 24 hours) predict the development of post-traumatic pulmonary complications, especially the fat embolism syndrome. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - May 17, 2013 Category: Intensive Care Authors: Nirmal Raj GopinathanRamesh K SenVibhu K ViswanathanAmit AggarwalHC MallikarjunSakthivel R Rajaram ManoharanRadheshyam SamentAvinash Kumar Source Type: research

Risk factors for hospital-acquired hypernatremia among critically ill medical patients in a setting utilizing a preventive free water protocol: Do we need to do more?
Conclusions: The study suggests that administration of free water to prevent HAH should be more meticulously complied with in patients who are elderly, present with AKI, suffer multi-organ dysfunction, require mechanical ventilation, receive enteral feeds and drugs like mannitol or ionotropes. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - May 17, 2013 Category: Intensive Care Authors: Sundar VarunEmmanuel BhaskarGeorgi AbrahamAnandabhavan Sukumaramenon ArunkumarMuthiah Kothandaramanujam Renuka Source Type: research

Evaluation of obstetric admissions to intensive care unit of a tertiary referral center in coastal India
Conclusions: Hemorrhage and pregnancy-related hypertension with its complications are the two common indications for ICU admissions. The need for a HDU should be considered. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - May 17, 2013 Category: Intensive Care Authors: Poornima B Ramachandra BhatMahesha H NavadaSujaya V RaoG Nagarathna Source Type: research

Intensive care nurses' opinions and practice for oral care of mechanically ventilated patients
Conclusions: Nurses did not consider oral care in intensive care patients as a high priority. This result highlights the need to continue education programs on oral care for improving the knowledge and attitude of intensive care nurses with respect to oral care. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - May 17, 2013 Category: Intensive Care Authors: Mohsen Adib-HajbagheryAkram AnsariIsmail Azizi-Fini Source Type: research

Acute myocardial infarction in a young cocaine addict with normal coronaries: time to raise awareness among emergency physicians
Achyut Sarkar, Arindam Pande, GS Naveen Chandra, Imran AhmedIndian Journal of Critical Care Medicine 2013 17(1):56-58 (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - May 17, 2013 Category: Intensive Care Authors: Achyut SarkarArindam PandeGS Naveen ChandraImran Ahmed Source Type: research

Incidence of Pulmonary Aspergillosis and Correlation of Conventional Diagnostic Methods with Nested PCR and Real‐Time PCR Assay Using BAL Fluid in Intensive Care Unit Patients
ConclusionsAlthough a significant number of specimens were positive in nested PCR, results of this study showed that establishment of a correlation between the conventional methods with nested PCR and real‐time PCR needs more data confirmed by a prospective study with a larger sample group. (Source: Journal of Clinical Laboratory Analysis)
Source: Journal of Clinical Laboratory Analysis - May 17, 2013 Category: Laboratory Medicine Authors: Hossein Zarrinfar, Koichi Makimura, Kazuo Satoh, Hossein Khodadadi, Hossein Mirhendi Tags: Original Article Source Type: research

Red man syndrome due to accidental overdose of rifampicin
Syed Ahmed Zaki, Swapnil Bhongade, Preeti ShanbagIndian Journal of Critical Care Medicine 2013 17(1):55-56 (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - May 17, 2013 Category: Intensive Care Authors: Syed Ahmed ZakiSwapnil BhongadePreeti Shanbag Source Type: research

Bed-side ultrasound of the optic nerve sheath in a patient with bilateral acutely dilated pupils
Mohan Gurjar, Nabeel Muzaffar, Afzal Azim, Arvind K BaroniaIndian Journal of Critical Care Medicine 2013 17(1):54-55 (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - May 17, 2013 Category: Intensive Care Authors: Mohan GurjarNabeel MuzaffarAfzal AzimArvind K Baronia Source Type: research

Accidental guide-wire loss during central venous catheterization: A report of two life-threatening cases
Tanmoy Ghatak, Afzal Azim, Arvind K Baronia, Neelima K GhatakIndian Journal of Critical Care Medicine 2013 17(1):53-54 (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - May 17, 2013 Category: Intensive Care Authors: Tanmoy GhatakAfzal AzimArvind K BaroniaNeelima K Ghatak Source Type: research

Septic acute kidney injury in critically ill Indian patients
Mohan Gurjar, Arvind K Baronia, Afzal Azim, Narayan Prasad, Sunil Jain, Ratender K Singh, Banani Poddar, Dharmendra BhadauriaIndian Journal of Critical Care Medicine 2013 17(1):49-52Acute kidney injury (AKI) is an independent variable for poor outcome in critically ill patients. The pathophysiology of septic AKI is distinct from that of non-septic AKI. We studied the clinical profile and outcome of septic AKI since such data is sparse in Indian patients. In this single-center retrospective, observational, cohort study, septic AKI has been found with high incidence (31%) and overall mortality was 52%. Age, num...
Source: Indian Journal of Critical Care Medicine - May 17, 2013 Category: Intensive Care Authors: Mohan GurjarArvind K BaroniaAfzal AzimNarayan PrasadSunil JainRatender K SinghBanani PoddarDharmendra Bhadauria Source Type: research

Clinically lesser known entity in India: A Report of two cases of Melioidosis
Purabi Barman, Ravneet Kaur, Kamlesh KumarIndian Journal of Critical Care Medicine 2013 17(1):46-48Melioidosis is endemic in the South Asian regions, like Thailand, Singapore Malaysia and Australia. The disease is more pronounced in the southern part of the country. It is caused by Burkholderia pseudomallei which causes systemic involvement, morbidity and mortality associated with the disease is high. Due to highly varied clinical presentation, and low general awareness this infection is largely underdiagnosed and under reported in our country. Most laboratories in the country still rely on conventional culturing methods w...
Source: Indian Journal of Critical Care Medicine - May 17, 2013 Category: Intensive Care Authors: Purabi BarmanRavneet KaurKamlesh Kumar Source Type: research

Glutamine and Antioxidants for Patients with Multiple Organ Failure
Critically ill patients are at risk for significant oxidative stress; however, several small analyses have proposed that supplementation with glutamine, with or without antioxidants, may improve survival. Heyland and colleagues from the Canadian Critical Care Trials Group conducted an international, multicenter study to test the hypothesis that 28-day mortality in critically ill adults would be reduced by supplementation with glutamine, with or without antioxidants. Results were published in a recent issue of The New England Journal of Medicine. (Source: SCCM RSS News)
Source: SCCM RSS News - May 16, 2013 Category: Intensive Care Source Type: news

Wear Blue Tomorrow to Support Critical Care
Be sure to wear blue on Friday, May 17, to show your support for National Critical Care Awareness and Recognition Month (NCCARM). There is still time to mark this year’s NCCARM, and the Society offers several simple ideas for recognition of the critical care team. Some teams choose to offer tours of the intensive care unit to other hospital staff, while others organize educational symposia or invite former patients and their families back to the unit. No matter how you choose to celebrate, we hope you post your NCCARM photos and stories to the SCCM Facebook page. (Source: SCCM RSS News)
Source: SCCM RSS News - May 16, 2013 Category: Intensive Care Source Type: news

SCCM Congratulates Members on Research Awards
The Patient Centered Outcomes Research Institute (PCORI) has approved 51 new awards, totaling $88.6 million over three years, to fund patient-centered comparative clinical effectiveness research projects under the first four areas of its National Priorities for Research and Research Agenda. The Society of Critical Care Medicine congratulates the following members for their award-winning projects related to critical care: Christopher Ethan Cox, MD, MPH - Improving Psychological Distress Among Critical Illness Survivors and Their Informal Caregivers J. Randall Curtis, MD, MPH - Health System Intervention to Improve Communic...
Source: SCCM RSS News - May 16, 2013 Category: Intensive Care Source Type: news

Critical Connections Focuses on Sepsis Management
The April/May issue of Critical Connections focuses on managing sepsis in the intensive care unit, highlighting various strategies, from the use of early goal-directed therapy to implementing the Surviving Sepsis Campaign (SSC) guideline recommendations and bundles. Find the following articles: Surviving Sepsis Campaign Enters Second Decade with Dynamic Plans Rapid Identification of Sepsis: The Value of Screening Tools Early Goal-Directed Therapy: Contemporary Care and Controversies Ongoing Clinical Trials in Sepsis Challenges in Pediatric Sepsis (Source: SCCM RSS News)
Source: SCCM RSS News - May 16, 2013 Category: Intensive Care Source Type: news

Apply for ANZICS New Fellowship Program
The Australian and New Zealand Intensive Care Society (ANZICS) has instituted a fellowship program, Intensive Care Global Rising Star Programme, in support of innovative and productive research. ANZICS will be awarding three travel fellowships for attending their 38th Annual Scientific Meeting, to be held October 25 to 27, 2013, in Hobart, Tasmania, Australia. One fellowship will be awarded to a clinician/scientist from each of the following regions: America (USA, Canada and South America), Europe (including United Kingdom and Ireland) and Asia. Award recipients will have the opportunity to present an overview of their ...
Source: SCCM RSS News - May 16, 2013 Category: Intensive Care Source Type: news

Webcast Highlights Third Edition of SSC Guidelines
Severe sepsis and septic shock are major healthcare problems, affecting millions of people around the world each year, killing one in four (and often more), and increasing in incidence. Similar to polytrauma, acute myocardial infarction, or stroke, the speed and appropriateness of therapy administered in the initial hours after severe sepsis develops are likely to influence outcome. During the Society of Critical Care Medicine’s (SCCM) webcast, What's New in the Third Edition of the SSC Guidelines?, R. Phillip Dellinger, MD, MCCM, and Christa A. Schorr, RN, MSN, FCCM, will discuss the additions to the latest update of t...
Source: SCCM RSS News - May 16, 2013 Category: Intensive Care Source Type: news

ICU Admissions From Emergency Departments Nearly Double
A study released by George Washington University School of Public Health and Health Services (SPHHS) researchers offers an in-depth look at hospitals nationwide and admissions to intensive care units (ICU). The study, published in the journal Academic Emergency Medicine, finds a sharp increase - nearly 50 percent - in ICU admissions coming from U.S. emergency departments. "These findings suggest that emergency physicians are sending more patients on to the ICU," said SPHHS researcher and lead author Peter Mullins... (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - May 16, 2013 Category: Consumer Health News Tags: Public Health Source Type: news

Preterm Infants Benefit From Massage Therapy
It seems that even for the smallest of people, a gentle massage may be beneficial. Newborn intensive care units (NICUs) are stressful environments for preterm infants; mechanical ventilation, medical procedures, caregiving activities and maternal separation create these stressful conditions. Born under-developed, preemies have an immature autonomic nervous system (ANS), which controls stress response and recovery. For a preemie, even a diaper change is stressful and the immature ANS over reacts to these stressors... (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - May 16, 2013 Category: Consumer Health News Tags: Pediatrics / Children's Health Source Type: news

The development of Pediatric Critical Care Medicine at The Children's Hospital of Philadelphia: an interview with Dr. John J. ‘Jack’ Downes
Summary Dr. John J. ‘Jack’ Downes (1930–), the anesthesiologist‐in‐chief at The Children's Hospital of Philadelphia (1972–1996), has made numerous contributions to pediatric anesthesia and critical care medicine through a broad spectrum of research on chronic respiratory failure, status asthmaticus, postoperative risks of apnea in premature infants, and home‐assisted mechanical ventilation. However, his defining moment was in January 1967, when The Children's Hospital of Philadelphia inaugurated its pediatric intensive care unit—the first of its kind in North America. During his tenure, he and his colleague...
Source: Pediatric Anesthesia - May 16, 2013 Category: Anesthesiology Authors: Christine L. Mai, Mark S. Schreiner, Paul G. Firth, Myron Yaster Tags: History of Pediatric Anesthesia Timeline Source Type: research

Prognostic Importance of Myocardial Injury in Critically Ill Dogs with Systemic Inflammation
Conclusions and Clinical ImportanceMarkers of myocardial injury predict short‐term death in dogs with systemic inflammation and cTnI significantly contributes to the APPLE score. (Source: Journal of Veterinary Internal Medicine)
Source: Journal of Veterinary Internal Medicine - May 16, 2013 Category: Veterinary Research Authors: R. Langhorn, M.A. Oyama, L.G. King, M.C. Machen, D.J. Trafny, V. Thawley, J.L. Willesen, I. Tarnow, M. Kjelgaard‐Hansen Tags: Original Article Source Type: research

Early lung retrieval from traumatic brain-dead donors does not compromise outcomes following lung transplantation [TRANSPLANTATION AND MECHANICAL CIRCULATORY SUPPORT]
CONCLUSIONS In our experience, early lung retrieval after brain death from traumatic donors does not adversely affect early and long-term outcomes after LT. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - May 16, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Moreno, P., Alvarez, A., Illana, J., Espinosa, D., Baamonde, C., Cerezo, F., Algar, F. J., Salvatierra, A. Tags: TRANSPLANTATION AND MECHANICAL CIRCULATORY SUPPORT Source Type: research

Red cell distribution width and coronary artery bypass surgery [ADULT CARDIAC]
CONCLUSIONS The RDW is a significant factor determining in-hospital mortality and long-term survival in patients undergoing isolated CABG. The mechanism of association requires further study. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - May 16, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Warwick, R., Mediratta, N., Shaw, M., McShane, J., Pullan, M., Chalmers, J., Poullis, M. Tags: ADULT CARDIAC Source Type: research

A new and simple classification for sinus of Valsalva aneurysms and the corresponding surgical procedure [AORTIC SURGERY]
CONCLUSIONS Surgical repair of SVAs exhibited good long-term results. Our classification of SVA could be potentially helpful for surgical practice. For Type I, the right atrium approach is advised; for Type II, the transaortic approach with a right atrium incision is advised; for Type III, the transaortic approach with pulmonary incision is advised while for Type IV, repair according to the respective situation is advisable. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - May 16, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Guo, H.-W., Xiong, H., Xu, J.-P., Wang, X.-Q., Hu, S.-S. Tags: AORTIC SURGERY Source Type: research

An alternative approach to explantation and exchange of the HeartWare left ventricular assist device [SURGICAL TECHNIQUE]
CONCLUSIONS On-pump approach through single thoracotomy incision is safe and equally suitable for device explant, exchange and initial implant. However, structural heart defects requiring surgical correction and the requirement of simultaneous right ventricular assist device are the limitations of this approach. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - May 16, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Sajjad, M., Butt, T., Oezalp, F., Siddique, A., Wrightson, N., Crawford, D., Pillay, T., Schueler, S. Tags: SURGICAL TECHNIQUE Source Type: research

Surgical Repair of Coronary Artery Fistula Combined with Coronary Artery Ectasia in Adults
ConclusionsSurgical repair for CAF combined with CAE is effective with satisfactory results in adults.Objectives: Coronary artery fistula (CAF) is rare in patients undergoing coronary angiography. Coronary artery ectasia (CAE) is found in 1.2% to 4.9% of patients at autopsy or during angiographic studies. CAF combined with CAE is a extremely rare clinical condition. This study aimed to summarize a treatment strategy for this complex disorder. Methods: Ten consecutive patients who underwent surgical repair of CAF combined with CAE between 2000 and 2012 are reported. The main outcome measure was death. Secondary outcome meas...
Source: Journal of Cardiac Surgery - May 16, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Lei Yu, Tianxiang Gu, Enyi Shi, Zongyi Xiu, Qin Fang, Bo Liu Tags: Original Article Source Type: research

U.S. hospital ICU admissions up 50 percent since 2002
WASHINGTON, May 15 (UPI) -- Admissions to U.S. hospital intensive care units jumped 50 percent from 2002 to 2009, but researchers are not sure why. (Source: Health News - UPI.com)
Source: Health News - UPI.com - May 15, 2013 Category: Consumer Health News Source Type: news

Huge Number Of Infections Prevented In Intensive Care Units
New research from the Centers for Disease Control and Prevention (CDC) estimates that as many as 200,000 central line-associated bloodstream infections (CLABSIs) have been prevented among patients in intensive care units (ICUs) since 1990. The study, published in the June issue of Infection Control and Hospital Epidemiology, the journal of the Society for Healthcare Epidemiology of America, suggests that this progress is likely related to prevention strategies now common in hospitals across the United States... (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - May 15, 2013 Category: Consumer Health News Tags: Infectious Diseases / Bacteria / Viruses Source Type: news

Commentary
This study stresses the magnitude of the sleep problem despite interventions such as earplugs and/or eyeshades. Sound disturbance was found to be the most significant but improvable factor. The study highlights the challenge of and the importance of evaluating sleep in the critical care setting and the present need for alternative methods measure it. All that in conjunction can be used to solve an important problem for this patient group. (Source: Critical Care)
Source: Critical Care - May 15, 2013 Category: Intensive Care Authors: folke sjobergEva svanborg Source Type: research

Queen's scientists develop 'magic bullet' nanomedicine for Acute Lung Injury
(Queen's University Belfast) Researchers at Queen's University Belfast have devised a 'magic bullet' nanomedicine which could become the first effective treatment for Acute Lung Injury or ALI, a condition affecting 20 percent of all patients in intensive care. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - May 15, 2013 Category: Global & Universal Source Type: news

Should High Thoracic Epidural Analgesia Be Dismissed in Cardiac Surgery?
We read with interest the recent paper of Nielsen et al, regarding high thoracic epidural analgesia (HTEA) in cardiac surgery. They studied 60 low-risk patients, 65 to 80 years of age, scheduled for elective coronary artery bypass graft surgery with or without aortic valve replacement and found that HTEA did not reduce the time in the intensive care unit or improve the quality of recovery in the intensive care unit. Should HTEA be dismissed in cardiac surgery? (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - May 14, 2013 Category: Anesthesiology Authors: Yong X. Liang, He Dong, Jian F. Song Tags: Letters to the Editor Source Type: research