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By Sandra Gordon for ASA “Delirium shouldn’t be the norm.” Making Delirium Prevention the Standard of Care at VUMC Christopher Hughes, M.D., medical director of the Neuro Intensive Care Unit and program director of the Anesthesia Critical Care Medicine Fellowship at Vanderbilt University Medical Center (VUMC), discusses the pioneering efforts his intensive care unit (ICU) […]
Read MoreAuthor: Ayla Ellison Becker’s Hospital Review A former patient filed a proposed class-action lawsuit April 17 against San Diego-based Sharp HealthCare and one of its hospitals after motion-activated cameras placed in operating rooms filmed more than 1,800 patients during surgeries without their consent. Sharp HealthCare officials said the cameras were installed on anesthesia carts used […]
Read MoreAuthor: VICTOR TANGERMANN FUTURISM In what the Israeli media is calling a “world’s first,” scientists at Tel Aviv University have 3D printed a small heart using human tissue that includes vessels, collagen, and biological molecules – a breakthrough, according to Haaretz, that they hope could one day render organ donation obsolete. The technology is still many years […]
Read MoreBy Tina Reed Fierce Healthcare According to a report from Fitch Solutions, aggregate annual costs of the leading chronic medical conditions are approximately $1.1 trillion due to expenses from hospital care, physician visits, pharmaceuticals, medical devices and home care. The U.S. economic burden of chronic diseases such as Alzheimer’s, diabetes, heart disease, obesity and cancer […]
Read MoreThe Economical Times Hospitals awash with antibiotics can become incubators of drug-resistant bacteria. Hard-to-clean privacy curtains in hospitals and nursing homes worldwide may be contaminated with deadly drug-resistant bugs, according to findings to be presented Saturday at an infectious diseases conference. More than a fifth of 1,500 samples taken from six post-acute care nursing facilities […]
Read MoreAuthors: Barbara Kabon, M.D. et al Anesthesiology 5 2019, Vol.130, 728-744. What We Already Know about This Topic: Crystalloid solutions leave the circulation quickly, whereas colloids remain for hours, thus promoting hemodynamic stability. However, colloids are expensive and promote renal toxicity in critical care patients. Whether goal-directed intraoperative tetrastarch colloid administration reduces complications or promotes renal […]
Read MoreAuthors: Eun-Hee Kim, M.D. et al Anesthesiology 5 2019, Vol.130, 719-727. What We Already Know about This Topic: Several ultrasound parameters for assessing fluid responsiveness have been described Transfontanelle ultrasound can be easily used in small children undergoing surgery, and the anterior fontanelle is an optimal site for Doppler examination of the internal carotid artery Previous […]
Read MoreAuthors: Lorenzo Del Sorbo, M.D. et al Anesthesiology 5 2019, Vol.130, 680-682. “[Would] lung injury induced by high tidal volume ventilation [in ARDS]… be less if that high tidal volume was reached by gradually increasing tidal volume over time[?]” Acute respiratory distress syndrome (ARDS), characterized by the acute onset of hypoxemia (PaO2/FiO2less than or […]
Read MoreAuthor: Michael O’Riordan tctMD Failing organs portend a grim prognosis in cardiogenic shock. What proportion of deaths are preventable with earlier intervention remains unknown. Nearly two-thirds of patients with acute MI complicated by cardiogenic shock have some form of noncardiac organ failure and this complication is on the rise, according to the results of a […]
Read MoreBY CHRISTOPHER CHENEY HealthLeaders The adoption of an EMR-based screening tool and a sepsis treatment bundle drove down mortality rates markedly over four years. KEY TAKEAWAYS Sepsis is a leading cause of death in the United States. Early detection of sepsis in hospitals is crucial to reducing mortality rates. Initiatives to transform a hospital’s approach to […]
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