Deborah J. Cook

TL;DR: Nutritional interventions in critically ill patients appear to have a modest and inconsistent effect on nosocomial pneumonia, and this body of evidence neither supports nor refutes the gastropulmonary route of infection.

TL;DR: In this article, the authors examine the structure of allocative reasoning found in clinical guidelines, identify the ethical principles implied and compare how guidelines enact these principles with how explicit systems-level rationing exercises and health policy analyses have approached them, and offer some preliminary suggestions for how these ethical issues might be addressed in the process of guideline development.

TL;DR: The Seventh American College of Chest Physicians (ACCP) Conference on Antithrombotic and Thrombolytic Therapy: Evidence-Based Guidelines as mentioned in this paper is the most widely used evidence-based guideline.

TL;DR: A survey of ICU nurses identified a perceived need for improvement in sedation and analgesia practices and believed that the use of a nursing-directed sedation protocol in combination with a sedation scoring system would provide greater practice consistency among nurses and physicians and thus improve the care of critically ill patients.

TL;DR: To assess tolerance of intragastric enteral nutrition started within 24 hours of admission to an intensive care unit (ICU), a prospective cohort study evaluated 73 consecutive eligible patients with an expected length of stay and anticipated intolerance to oral nutrition of more than three days.