Critical Issues

Using Impulse Oscillometry in Clinical Practice When spirometry isn't enough, impulse oscillometry can be a powerful tool for diagnosis and treatment of pulmonary disease.
Experts And Viewpoints, April 27, 2016
Resident Work Hours Do Not Affect Surgical Outcomes Although resident work hours do not appear to have a negative impact on surgical outcomes, the debate about the utility of work-hour restrictions continues.
Experts And Viewpoints, April 21, 2016
A Dose of Reality in Low-Dose CT Lung Cancer Screening Some controversy remains regarding the adoption of wide-scale LDCT screening for lung cancer.
Experts And Viewpoints, April 07, 2016
The Pros and Cons of Oxygen in the ICU: Part 2 Do new data put to rest questions about partial pressure of oxygen for ARDS?
Experts And Viewpoints, April 01, 2016
Does Using an e-Reader Before Bed Ruin Your Sleep? New data suggest that e-readers are harmful to sleep, but are the findings overstated?
Experts And Viewpoints, March 29, 2016
Asthma vs COPD: What's the Difference? Does it matter whether patients have COPD, asthma, or features of both? Dr Aaron Holley comments on the CHAIN study.
Experts And Viewpoints, February 18, 2016
Respiratory Failure in Immunocompromised Patients With uninspiring results using noninvasive ventilation, why not try high-flow oxygen to manage respiratory failure in immunocompromised patients?
Experts And Viewpoints, January 27, 2016
How Well Does the STOPBANG Score Predict OSA? Dr Aaron Holley examines the usefulness of the STOPBANG score for obstructive sleep apnea.
Experts And Viewpoints, January 05, 2016
Treating Community-Acquired Pneumonia With Steroids A recent meta-analysis seeks to reduce uncertainty with respect to the efficacy of corticosteroids for treating community-acquired pneumonia.
Experts And Viewpoints, November 06, 2015
The Evaluation and Management of Fatigue Fatigue is a common complaint from sleep patients. What are the best ways to evaluate and manage this condition, and to rule out ME/CFS as a cause?
Experts And Viewpoints, October 14, 2015
Propensity Scores--Here, There, and Everywhere Are the popular new propensity scores useful or just another 'weapon of mass destruction'?
Experts And Viewpoints, October 01, 2015
AF in Sepsis: Choosing the Right Therapy Why do clinicians choose the less effective of two drug classes to treat atrial fibrillation in patients with sepsis?
Experts And Viewpoints, September 21, 2015
Do Your Patients Consume Enough Caffeine? A major evidence review concludes that recommending caffeine/coffee for its health benefits is largely premature.
Experts And Viewpoints, August 19, 2015
Driving Pressure, Mediation Analysis, and Spontaneous Breathing Will you be measuring driving pressures on your mechanically ventilated patients?
Experts And Viewpoints, July 29, 2015
A New Guideline to Address the Nation's Sleep Problems A new guideline that seeks to answer the question of who does and doesn't have obstructive sleep apnea syndrome also raises a lot of questions.
Experts And Viewpoints, June 12, 2015
Confessions of a High-Flow Addict Dr Aaron Holley talks about why he prefers to give his ICU patients high-flow, nasal-cannula oxygen.
Experts And Viewpoints, June 11, 2015
Pressure or Volume for Respiratory Failure Support? Has this ventilation strategy question been settled once and for all?
Experts And Viewpoints, May 29, 2015
Early Goal-Directed Therapy Takes Another Hit? Once the standard of care in sepsis therapy, early goal-directed therapy (EGDT) is once again under fire.
Experts And Viewpoints, May 04, 2015
Do You Use Levetiracetam to Treat Status Epilepticus? Is levetiracetam (Keppra®) a useful option when treating status epilepticus in the ICU?
Experts And Viewpoints, April 08, 2015
Six Hours of Sleep: Is It Enough for Some Patients? Dr Aaron Holley reviews the science of health outcomes as they relate to sleep, and finds that some patients may require just 6 hours each night.
Experts And Viewpoints, April 02, 2015

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