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In this issue: Statins and liver function; dosing timing for thyroxine; rivaroxaban for VTE, DVT, and stroke; echinacea and the common cold; and FDA actions.
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The Choosing Wisely Campaign was introduced in 2011 by the American Board of Internal Medicine to identify practices and procedures physicians and patients should question. The critical care top 5 list was developed through a collaborative effort of several critical care societies.
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Gershengorn and colleagues used prospectively collected data from the Project IMPACT database (a nationwide, voluntary, proprietary database for assessing performance of U.S. ICUs with respect to patient outcomes and numerous other variables) to examine the question of whether the use of arterial catheters (ACs) in critically ill, mechanically ventilated patients was associated with improved survival or other documentable benefits.
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Pain defined as an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage1 is a common symptom experienced by critically ill patients.
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This observational cohort study found that reduced ICU bed availability is associated with increased rates of ICU readmission as well as ward cardiac arrest if medical ICU beds were on shortage.
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The authors present an updated review of the use of tissue plasminogen activator in patients with acute ischemic stroke.
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Interactive questioning, defined as how communication occurs during handovers, differed in ways that influenced message clarity when comparisons were made between those with more training (attending physicians, nurse practitioners) and less training (residents, staff nurses).
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Managing COPD with noninvasive ventilation following early extubation resulted in significant improvements in several patient-centered outcomes compared to current weaning practices.
