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Published in JAMA Intern Med 2014 Dec 1; 174:1982 Authors: Lindenauer PK et al. Compared with invasive ventilation for chronic obstructive pulmonary disease exacerbations, noninvasive positive pressure ventilation was associated with lower in-hospital mortality, length of stay, and cost. Based on meta-analysis of randomized, controlled trials, noninvasive positive pressure ventilation (NPPV) is the only intervention […]
Read MoreHalf of provider payments in five years will be tied to quality of care The U.S. Department of Health and Human Services (HHS) on Monday said it would fundamentally reform how it pays providers for treating Medicare patients in the coming years. The intent, according to HHS officials, is to cut down on the volume […]
Read MoreThis is another article I thought was interesting so I wanted to share it with our readers. At issue: who has authority to hire, fire, and discipline staff physicians. The Minnesota Supreme Court has ruled that a medical staff has standing to sue its hospital board and that the medical staff bylaws constitute “an enforceable […]
Read MorePublished in Am J Emerg Med 2015 Jan 33:50 Authors: Gao Y-B et al. In a meta-analysis, ultrasound guidance led to more successfully placed radial artery lines than palpation alone. Radial artery catheters are frequently placed in the emergency department (ED) and intensive care unit (ICU) for hemodynamic monitoring and arterial blood gas analysis. A […]
Read MorePublished in JAMA 2015 Jan 20 Authors: Noto MJ et al. A new study challenges the benefits of daily chlorhexidine bathing in reducing hospital-acquired infections. One recently developed strategy to prevent hospital-acquired infections (HAIs) in intensive care units (ICUs) has been unit-wide patient bathing with chlorhexidine gluconate (CHG) to broadly decrease skin colonization with microbial […]
Read MoreI thought this was interesting so I wanted to share with our readers. Hip and knee replacements, two of the fastest-growing U.S. medical procedures, are subject to huge – and apparently random – price variations within the same geographical areas, a new insurance industry study showed. The study by Blue Cross Blue Shield [BCBSFL.UL] health […]
Read MoreCompassion tops the list by former Society of Critical Care Medicine president. When R. Phillip Dellinger, MD, looked back over the distinguished career that earned him a lifetime achievement award in critical care, he urged the field forward in 10 directions. Despite the drop in severe sepsis mortality he helped drive, the biggest advance needed […]
Read MoreWRITTEN BY EDWARD R. MARIANO, MD Our health care system needs more physician leaders. Physician-led accountable care organizations have been shown to improve the quality of patient care while reducing overall costs. Physicians, by their nature, tend to be goal-oriented, have the ability to gather and assimilate evidence, and make difficult decisions, but these traits […]
Read MorePublished in Blood 2015 Jan 8; 125:229 Authors: Cannegieter SC et al. Risks were higher for subsequent deep venous thrombosis, pulmonary embolism, acute myocardial infarction, ischemic stroke, and death. A recent study showed that 9.4% of patients with superficial venous thrombosis (SVT) had extension of the thrombus to the deep veins (NEJM JW Oncol Hematol Sep […]
Read MorePublished in The Journal of the American Society of Anesthesiologists 2 2015, Vol.122, 407-413. doi:10.1097/ALN.0000000000000539 Authors: James C. Eisenach, M.D et al Background: Preclinical data suggest that oxytocin reduces hypersensitivity by actions in the spinal cord, but whether it produces antinociception to acute stimuli is unclear. In this article, the authors examined the safety of intrathecal oxytocin […]
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