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Using an algorithm based on score and chest X-ray when appropriate, the overall sensitivity for the detection of aortic dissection was 96%.
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This randomized study of low-tidal-volume ventilation during and after cardiac surgery, in comparison to ventilation with tidal volumes of 10 mL/kg predicted body weight, showed no differences in median ventilation time but higher rates of extubation by 6 and 8 hours postoperatively and fewer reintubations in the low-tidal-volume group.
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Standard therapy for bacterial meningitis in children is probably overkill but it is risky to cut back in resource-rich countries.
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Most (83%) patients/surrogates stated they preferred full code status but only 4% could identify the components of CPR; 16% stated preferences that differed with the medical record.
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The benefits of cardiac rehabilitation following myocardial infarction (MI) are well known. However, whether these benefits are also seen in ambulant community-based patients who undergo percutaneous coronary intervention (PCI) is not known.
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A $1.3 million cut in an annual budget is no easy feat, but management at Horizon Home Care & Hospice in Brown Deer, WI, was able to make the cut without affecting quality or requiring across the board staff layoffs.
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When the money is flowing you don't always look closely at what you spend," admits Mary Haynor, president and chief executive officer of Horizon Home Care & Hospice in Brown Deer, WI, an agency that cut $1.3 million out of the annual budget in early 2010. "It is hard, time-consuming work to evaluate all of your costs but when you do, you see how the little things add up," she admits.
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For patients with severe heart failure, an implanted mechanical pump known as a Left Ventricular Assist Device (LVAD) can be a life-sustaining treatment.
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The goal of hospice care is to help terminally ill beneficiaries continue life with minimal disruption and to support beneficiaries' families and caregivers throughout the entire process.
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Researchers say there need to be more clinical trials examining the safety and effectiveness of pain medications used with children, which are too often administered based on information from adult trials.
