The benefits from investments in biomedical science in the United States are awe inspiring
and life saving. Yet these advances are overshadowed by an estimated 200,000 deaths …

Dear Editor, We read with interest the article by Barbariol et al. regarding the implementation
of a recycling program in an intensive care unit (ICU)[1]. The themes they address echo the …

Fade out. How often does this scene, or one like it, play out in ICUs across the country?
Critical care specialists take pride in their ability to provide high-quality care to high-acuity …

ICUs did not spring into existence suddenly or simultaneously but evolved as medical
knowledge and technology improved following World War II (WWII). Antibiotics, protocols for …

Optimizing care in the ICU is an important goal. The heightened severity of illness in patients
who are critically ill combined with the tremendous costs of critical care make the ICU an …

The recent editorial by Drs. Fowler and Annane (1) raises a number of unresolved questions
about clinical science. How much evidence should be required to change physicians' …

Although mortality and morbidity remain excessive among critically ill patients, the modern
ICU epitomizes perhaps more than any other single environment the technologic and …

In the 1980s, when healthcare ex-penditures climbed to 8% of the gross domestic product
and policy analysts were predicting that our healthcare system would implode in a financial …

Over the last few decades, we have witnessed numerous research findings and new
technologies that help us provide better care to our patients. Unfortunately, the quality of …

Critical care comprises only one part of the continuum of medical care, which itself is only
one determinant of population health. US expenditures on health care were $2.1 trillion in …