2021
Should healthcare workers be prioritised during the COVID-19 pandemic? A view from Madrid and New York
de Asua D, Fins J. Should healthcare workers be prioritised during the COVID-19 pandemic? A view from Madrid and New York. Journal Of Medical Ethics 2021, 48: medethics-2020-107050. PMID: 33910974, PMCID: PMC8103555, DOI: 10.1136/medethics-2020-107050.Peer-Reviewed Original Research
2020
Personalized Connectome Mapping to Guide Targeted Therapy and Promote Recovery of Consciousness in the Intensive Care Unit
Edlow B, Barra M, Zhou D, Foulkes A, Snider S, Threlkeld Z, Chakravarty S, Kirsch J, Chan S, Meisler S, Bleck T, Fins J, Giacino J, Hochberg L, Solt K, Brown E, Bodien Y. Personalized Connectome Mapping to Guide Targeted Therapy and Promote Recovery of Consciousness in the Intensive Care Unit. Neurocritical Care 2020, 33: 364-375. PMID: 32794142, PMCID: PMC8336723, DOI: 10.1007/s12028-020-01062-7.Peer-Reviewed Original ResearchConceptsIntensive care unitPromote recovery of consciousnessRecovery of consciousnessIntravenous methylphenidateEarly recovery of consciousnessPromote early recoveryPhase 2aDrug-related adverse eventsCare unitAscending arousal networkEscalating daily dosesHighest tolerated doseAcute severe traumatic brain injuryDose-finding studyOutcome measuresBrain injurySerum half-lifeMaximal serum concentrationPrimary outcome measureWithdrawal of life-sustaining therapyDrug’s pharmacodynamic propertiesSecondary outcome measuresMagnetic resonance imagingOpen-labelPharmacodynamic criteria
2019
North of Home: Obligations to Families of Undocumented Patients
Fins J, Real de Asúa D. North of Home: Obligations to Families of Undocumented Patients. The Hastings Center Report 2019, 49: 12-14. PMID: 30790302, DOI: 10.1002/hast.972.Peer-Reviewed Original ResearchConceptsLife-sustaining therapyWithdrawal of life-sustaining therapyIncapacitated patientsEthical concernsSocial workersDoctors' desireFurther careFamily inputState lawsUndocumented patientsIntensive care unitDoctorsCare unitMultisystem organ failureObligationsDecision-United StatesOrgan failureDesireFamily
2018
Assessment of Covert Consciousness in the Intensive Care Unit
Edlow B, Fins J. Assessment of Covert Consciousness in the Intensive Care Unit. Journal Of Head Trauma Rehabilitation 2018, 33: 424-434. PMID: 30395042, PMCID: PMC6317885, DOI: 10.1097/htr.0000000000000448.Peer-Reviewed Original ResearchConceptsFunctional magnetic resonance imagingTraumatic brain injuryAcute severe traumatic brain injurySevere traumatic brain injuryIntensive care unitCovert consciousnessEthical challengesIntensive care unit patientsTask-based functional magnetic resonance imagingTask-based fMRILife-sustaining therapyWithdrawal of life-sustaining therapyCare unitEthical frameworkBehavioral assessmentCritically ill patientsEvaluation normsMagnetic resonance imagingConsciousnessBrain injuryGoals of careClinical scenariosIll patientsRecovered consciousnessTreatment decisions
2008
Prospective Analysis of Life-Sustaining Therapy Discussions in the Surgical Intensive Care Unit: A Housestaff Perspective
Pieracci F, Ullery B, Eachempati S, Nilson E, Hydo L, Barie P, Fins J. Prospective Analysis of Life-Sustaining Therapy Discussions in the Surgical Intensive Care Unit: A Housestaff Perspective. Journal Of The American College Of Surgeons 2008, 207: 468-476. PMID: 18926447, DOI: 10.1016/j.jamcollsurg.2008.05.001.Peer-Reviewed Original ResearchConceptsEnd-of-life care planningEnd-of-lifeLack of decision-making capacityCare planningDecision-making capacityEnd-of-life careLikelihood of enactmentSurgical ICUPatient surrogatesHousestaffStandardized questionnaireSurgical intensive care unitClinical deteriorationIntensive care unitProspective dataCare unitProspective analysisPatientsICUAgeCareAcuityDisparitiesQuestionnairePlanning
2001
14 Research in the Intensive Care Unit Ethical and Methodological Issues
Barie P, Bacchetta M, Fins J, Eachempati S. 14 Research in the Intensive Care Unit Ethical and Methodological Issues. 2001, 137-154. DOI: 10.1016/b978-012655330-7/50016-2.Peer-Reviewed Original ResearchIntensive care unitAffecting quality of careQuality of careOrganizational characteristics of ICUsInterpretation of research studiesIll patientsCritically ill patientsMethodological issuesQuality management programCharacteristics of intensive care unitVariability of outcomesOutcomes of critically ill patientsManagement programsCare unitOrganizational characteristicsPatient/research subjectClinical researchAffecting qualitySample sizeOutcomesResearch studiesClinical managementCareTranslational researchPatients
1999
Incorporating palliative care into critical care education: Principles, challenges, and opportunities
Danis M, Federman D, Fins J, Fox E, Kastenbaum B, Lanken P, Long K, Lowenstein E, Lynn J, Rouse F, Tulsky J. Incorporating palliative care into critical care education: Principles, challenges, and opportunities. Critical Care Medicine 1999, 27: 2005-2013. PMID: 10507632, DOI: 10.1097/00003246-199909000-00047.Peer-Reviewed Original ResearchConceptsEnd-of-life carePalliative careEnd-of-lifeIntensive care unitCare educationModified nominal group processCritical careExcellent palliative carePalliative care educationCompassionate palliative careDiscontinuity of careGoals of careCritical care educationNominal group processTrust relationshipsCapacity of patientsDying patientsGood careTeaching careConsumer advocacyMedical educationCareEffective communicationLife support technologyCare unit