Designed specifically for critical care physicians, Critical Care SmartBrief is a complimentary twice weekly e-mail newsletter. Compiled from thousands of sources including news sites and blogs, it provides the latest litigation, research and policy news in the critical care community. Visit the archives to access previous issues. Mobile device versions are also available. Read the top stories shared by Critical Care SmartBrief readers.

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 Critical Care SmartBrief

Study evaluates parental decision-making preferences in NICU
Parents of children in hospital NICUs preferred parent-centered decision-making, compared with medical team-centered decision-making, when decisions involved big-picture goals and had a potential to harm infants, researchers reported in JAMA Pediatrics. For technical decisions, along with those that had a higher potential benefit, required medical expertise or were urgent, parents preferred a medical-team decision approach. Physician's Briefing/HealthDay News (3/20)

Quiet times in ICUs benefit patients, work environment
A study review found ICU quiet time interventions may improve sleep quality and have beneficial physiological effects for patients, researchers reported in the journal Nursing Standard. Nurses also said the interventions led to a more satisfying work environment. Becker's Hospital Review (3/22)

Study evaluates mortality risk with compensated hypercapnia
MedPage Today (free registration) (3/20)

AIDS researcher tapped to lead CDC
Physician Robert Redfield has been appointed to lead the CDC. A longtime AIDS researcher, Redfield is also a professor at the University of Maryland's School of Medicine and worked at the Walter Reed Army Institute of Research for two decades. The Washington Post (tiered subscription model) (3/21)

Congress approves $1.3T spending bill without ACA fixes
House and Senate lawmakers have voted to approve a $1.3 trillion omnibus spending bill that would keep the federal government open through September, sending the legislation to President Donald Trump for his signature. The bill did not include provisions to fund cost-sharing reduction payments and state reinsurance programs. CNN (3/23)

"Right-to-try" legislation gains House approval
The Hill (3/21)

Adding ambient intelligence to EHRs cuts chart review times
Mayo Clinic clinicians spend three to five minutes less reviewing a patient's chart since an ambient intelligence application was added to the electronic health records system, according to a report in Harvard Business Review. The Ambient Warning and Response Evaluation program, which is in use at all Mayo campuses, covers all ICUs and tracks detailed information on each patient. Becker's Hospital Review (3/23)

POCUS will become part of standard surgical care, physician says
Point-of-care ultrasound is an effective tool for diagnosing abdominal, thoracic, cardiac and vascular diseases in emergency and critical care departments, and it will eventually become part of standard care for resuscitating surgical patients, according to a paper published in JAMA Surgery. However, standards vary for the use of POCUS and storage of scans for review, and optimal training must be defined, writes Dr. Albert Lowenfels, a professor emeritus in the Department of Surgery at New York Medical College. Medscape (free registration) (3/15)

It is a true saying, that what you fear you find.
Jeanette Winterson, writer