Commentary: Pleurography: We can, but should we?

We Can, but Should We?

We can, but should we? After recently reflecting upon our profession as pediatric critical care physicians , I concluded that this one complex question gets asked many times throughout the day – or at least it should. A recent report discussed an emerging paradigm in pediatric critical care medicine (1). With more and more chronic patients filling our pediatric intensive care unit (PICU), perha...

Yes, We Can! (Should We?).

Commentary: we can tell where it hurts, but can we tell where the pain is coming from or where we should manipulate?

The shared decision making process has become increasingly important in the management of spinal disorders where there remains a variety of treatment options. Spinal manipulative therapy (SMT) is often recommended as a conservative option by evidence based clinical practice guidelines and a treatment modality frequently utilized by chiropractors and other clinicians who offer SMT to their patie...

Yes we can, but do we?

In recent decades, a curious demographic phenomenon has emerged in US science. A high and increasing proportion of PhD students and postdocs, especially in the life sciences, are drawn from beyond the shores of North America. The reasons for this are undoubtedly complex. One factor is the widespread perception in the USA that a career in academic science is marked by low salaries, poor job secu...

COMMENTARY Should we breathe quiet or noisy ?

External noise is introduced by computer-generated random levels of pressure assistance during noisy pressure support ventilation (PSV). In patients, noisy PSV was associated with higher tidal volume variability but not improved cardio-pulmonary function compared with conventional PSV. The potential role of noisy PSV in the management of critically ill patients requiring ventilatory support has...