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Prone positioning has been advocated as a management strategy for patients with acute respiratory distress syndrome (ARDS), but despite evidence of improved oxygenation with the technique, numerous studies have yet to establish a mortality benefit from the practice.
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Prior studies have demonstrated that delayed transfer of critically ill patients from the emergency department (ED) to the ICU (> 6 hours) prolongs ICU and hospital stay.
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Every intensivist recognizes that families play a prominent role in ICU decision making.
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The nation's leading infection prevention groups are urging President Barack Obama to halt federal enforcement of a mandate that health care workers wear N95 respirators to treat H1N1 pandemic patients.
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Talk about peer review. Rarely do medical researchers have their specific papers described to the president of the United States, but that is the case for two studies playing a central role in the national furor over surgical masks vs. respirators for H1N1 protection.
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The American Industrial Hygiene Association (AIHA) has issued a position statement on H1N1 pandemic influenza A that endorses and reiterates the key findings of an Institute of Medicine panel that recommended N95 respirators for health care workers. Key points stressed by AIHA include:
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Infection prevention is a top priority of an ambitious new quality improvement effort that could lead to new accreditation standards for the nation's hospitals, says Mark R. Chassin, MD, MPP, MPH, president of The Joint Commission.
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A misguided federal mandate that health care workers don N95 respirators to treat known or suspect H1N1 influenza A patients is critically undermining the medical response to the first pandemic in four decades, clinicians tell Hospital Infection Control & Prevention.
