This consensus effort provides a new definition for septic shock, which affects a subset of patients with sepsis. The definition requires the presence of circulatory disturbances (BP unresponsive to fluids and requiring pressors), cellular and metabolic abnormalities (serum lactate level >2 mmol/L). The presence of these criteria is associated
ALERT!
This site is not optimized for Internet Explorer 8 (or older).
Please upgrade to a newer version of Internet Explorer or use an alternate browser such as Chrome or Firefox.
Critical Care
February 18, 2016
The authors studied the rate of publication of completed clinical trials performed in academic medical centers in the US. Among over 4,300 such trials, only 36% were published within 2 years of completion, and only 66% were ultimately published at any time. There was considerable variation in publication rates among institutions.
February 18, 2016
The authors studied the relationship of outcomes after non-cardiac surgery to blood transfusion among over 7,300 patients. Patients with significant bleeding were excluded. Patients were stratified according to the occurence of postoperative MI and the nadir hematocrit value (20-24%, 24-27%, 27-30%). The outcome was 30-day mortality. In the no-
February 1, 2016
A retrospective analysis of patients suffering blunt cardiac injury was performed to identify factors associated with mortality. Death was not associated with abnormal ECG or the site or number of bone fractures. Mortality was related to hypotension, elevated lactate, and elevated troponins.
January 13, 2016
Comprehensive review article on the role of periperative statin therapy in patients undergoing coronary revascularization.
November 16, 2015
Data from a large multicenter registry were evaluated to determine whether there is a sex difference in susceptibility to acute kidney injury after CBP related to nadir hematocrit levels. Based on a 21% hematocrit threshold, 9.5% of men and 31.9% of women were affected. Rates of AKI were similar between the sexes. There was a strong interaction be
November 5, 2015
The investigators report a novel technology to predict VAD thrombosis. This approach records and measures acustic signature characteristics. Using annalysis of spectral tracings the investigators suggest their exists an acoustic patern associated with thrombosis.
October 21, 2015
Aung Oo of the Liverpool Heart and Chest Hospital delivers a talk on decision-making in thoracoabdominal aortic aneurysm repair.
September 9, 2015
In this recent interview, Leanne Harling talks to Sir Ara Darzi, former Parliamentary Under-Secretary of the Department of Health, United Kingdom.
September 4, 2015
This study from the Michigan Society of Thoracic and Cardiovascular Surgeons Quality Collaborative evaluated outcomes of CABG in 33 hospitals 2011-2013, assessing the association of blood transfusion (39.9% of pts) and the incidence of postoperative pneumonia (3.6% of pts). Blood transfusion was associated with an increased risk of pneumonia (OR 3.