Here are what the editors at HealthDay consider to be the most important developments in Critical Care for May 2018. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.
ASHP: SVP, Injectable Opioid Shortages Threaten Patient Care
THURSDAY, May 31, 2018 (HealthDay News) — The widespread shortages of injectable opioids and small-volume parenteral (SVP) solutions are jeopardizing patient care and placing a strain on hospital operations, according to a report published by the American Society of Health-System Pharmacists (ASHP).
Severe Hyponatremia Described After Drinking Horsetail Juice
TUESDAY, May 29, 2018 (HealthDay News) — Severe hyponatremia has been described after drinking horsetail (Equisetum) juice in a case report published online May 29 in the Annals of Internal Medicine.
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Most Premature Infants Receive Early Antibiotics
TUESDAY, May 29, 2018 (HealthDay News) — Most premature infants receive empirical antibiotic therapy, according to a study published online May 25 in JAMA Network Open.
ICU Mortality Similar for Patients With Hematologic CA ± Chemo
FRIDAY, May 25, 2018 (HealthDay News) — Short-term mortality is similar among patients with hematologic cancer who receive chemotherapy while in the intensive care unit (ICU) versus those who do not, according to a study published online May 4 in Cancer.
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Mortality Still High After Surgery for Congenital Heart Defects
FRIDAY, May 25, 2018 (HealthDay News) — Long-term mortality after congenital heart surgery is higher than that of the general population for all forms of congenital heart defects (CHDs), according to a study published in the May 29 issue of the Journal of the American College of Cardiology.
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60-Day Mortality Not Significantly Lower With ECMO in ARDS
FRIDAY, May 25, 2018 (HealthDay News) — For patients with very severe acute respiratory distress syndrome (ARDS), 60-day mortality is not significantly lower with venovenous extracorporeal membrane oxygenation (ECMO) than with continued conventional treatment, according to a study published online in the May 24 issue of the New England Journal of Medicine.
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Congress Approves Bill Expanding Private Care for VA Patients
THURSDAY, May 24, 2018 (HealthDay News) — Patients served by the beleaguered Veterans Affairs health system may have wider access to private care, thanks to a bill approved Wednesday by the Senate. President Donald Trump is known to support the bill, which now awaits his signature.
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Delay of Lactate Draws in Sepsis Ups Risk of In-Hospital Death
THURSDAY, May 24, 2018 (HealthDay News) — Each hour of delay in detecting abnormal lactates in patients with sepsis increases the odds of in-hospital death, according to a study published online May 24 in CHEST.
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Global Variation in Personal Health Care Access and Quality
THURSDAY, May 24, 2018 (HealthDay News) — There is considerable global variation in personal health care access and quality, according to a study published online May 23 in The Lancet.
CDC: No Change in Level of Uninsured in U.S. in 2017
TUESDAY, May 22, 2018 (HealthDay News) — Overall, 9.1 percent of individuals in the United States were uninsured in 2017, which was not significantly different from the level in 2016, according to a report published online May 22 by the U.S. Centers for Disease Control and Prevention’s National Centers for Health Statistics.
Rivaroxaban Linked to Low VTE Recurrence in Active Cancer
MONDAY, May 21, 2018 (HealthDay News) — For patients with active cancer and venous thromboembolism (VTE), rivaroxaban is associated with lower VTE recurrence compared with dalteparin, but with elevated clinically relevant non-major bleeding (CRNMB), according to a study published online May 10 in the Journal of Clinical Oncology.
Language Used in Medical Record Can Affect Patient Care
FRIDAY, May 18, 2018 (HealthDay News) — Stigmatizing language used in medical records to describe patients can influence medical students and residents in terms of their attitudes towards the patient and their clinical decision-making, according to a study published in the May issue of the Journal of General Internal Medicine.
Nonprofit Manufacturer Could Keep Generic Drug Costs Down
WEDNESDAY, May 16, 2018 (HealthDay News) — A nonprofit manufacturer could help keep generic drug prices down and maintain their supply, according to a perspective piece published in the May 17 issue of the New England Journal of Medicine.
Hemorrhage Control Training Is Beneficial for Laypersons
FRIDAY, May 11, 2018 (HealthDay News) — Hemorrhage control training for laypersons is the most efficacious method for controlling hemorrhaging, according to a study published online May 9 in JAMA Surgery.
Regulatory Requirements Drive Dissatisfaction With EHRs
TUESDAY, May 8, 2018 (HealthDay News) — Regulatory requirements are likely to be an important aspect of physician dissatisfaction with electronic health records (EHRs) that is driving burnout, according to an Ideas and Opinions piece published online May 8 in the Annals of Internal Medicine.
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Evidence Lacking for Impact of PDMPs on Drug Overdoses
TUESDAY, May 8, 2018 (HealthDay News) — There is insufficient evidence available for examining the correlation between prescription drug monitoring programs (PDMPs) and non-fatal or fatal overdoses, according to a review published online May 8 in the Annals of Internal Medicine.
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Many Organizations Not Meeting Trial Reporting Requirements
FRIDAY, May 4, 2018 (HealthDay News) — Many organizations are not meeting the trial registration and results reporting requirements clarified by “The Final Rule,” which had a compliance date of April 18, 2017, according to a study published online May 1 in BMC Medicine.
High Incidence of Sudden and/or Arrhythmic Death in CHD
FRIDAY, May 4, 2018 (HealthDay News) — Among patients with coronary heart disease without severe systolic dysfunction, sudden and/or arrhythmic deaths (SAD) account for a considerable proportion of deaths, according to a study published online May 2 in JAMA Cardiology.
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In Heart Failure, Initial ICU Care by Cardiologist Differs by Race
WEDNESDAY, May 2, 2018 (HealthDay News) — Among heart failure patients admitted to the intensive care unit (ICU), African-Americans are less likely than Caucasians to receive primary care by a cardiologist, according to a study published in the May 1 issue of JACC: Heart Failure.
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Palliative Care Consult Can Cut Hospital Costs in Seriously Ill
WEDNESDAY, May 2, 2018 (HealthDay News) — For hospitalized adults with serious illness, receiving a palliative care consultation (PCC) is associated with a reduction in hospital costs, according to a review published online April 30 in JAMA Internal Medicine.
Practices Should Be Aware of Correct Way to Fire Employees
TUESDAY, May 1, 2018 (HealthDay News) — Physicians should be aware of the correct protocol for, as well as the laws involved in, firing employees, according to a report published in Medical Economics.
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