Whats the single most important thing intensive care units can do to avoid the disasters that can happen when patients are transported to and from hospital departments? The most important factor is having a critical care doctor or head ICU nurse present to quarterback the move, says pediatrician Robert F. Patterson, MD, FAAP, critical care intensivist at Nemours Childrens Clinic in Pensacola, Fla.
A team of 10 detroit-area hospitals, led by physicians from the University of Michigan Health System in Ann Arbor, has reported significant success in improving the odds that heart attack patients will get the medicines, tests, procedures, counseling, and follow-ups that have been shown to improve the chances of surviving and returning to a full life.
The ISAT trial enrolled 2143 patients, primarily in Britain, with ruptured intracranial aneurysms and randomly assigned them to neurosurgical clipping or GDC coils. The results add another nail into the coffin of neurosurgical clipping.
Diabetic painful sensory neuropathy remains difficult to treat. In this randomized, double-blind, placebo-controlled trial, sodium valproate was administered to 30 patients with efficacy and safety compared to 30 placebo-control patients.
