Saphenous vein graft patency after coronary artery bypass grafting failure rates are as high as 40% at 18 months. How many of these failures are due to the discontinuation of clopidogrel is the subject of this observational study done at a regional heart center in the Southern California Kaiser system that includes detailed pharmacy records.
I started my emergency medicine practice prior to the widespread availability of pediatric-sized fiberoptic endoscopes. At that time, esophagoscopy using rigid endoscopes was a therapeutic option, but the availability of trained practitioners was limited in many communities.
While burnout occurs in any occupation, this paper will focus on ICU nurses and physicians.
This single-center, prospective, observational study examined the effects of clinician adjustments in ventilator settings or sedation/analgesic dosing on breath stacking (an inspiratory effort that causes the ventilator to deliver two consecutive breaths without an intervening expiratory phase).
