Evidence-Based Review (EBR) is the journal club feature in the American Journal of Critical Care. In a journal club, attend ees review and critique published research articles: an important first step toward integrating evidence-based practice into patient care. General and specific questions such as those outlined in the "Discussion Points" box aid journal club participants in probing the quality of the research study, the appropriateness of the study design and methods, the validity of the conclusions, and the implications of the article for clinical practice. When critically appraising this issue's EBR article, found on pp 216-224, consider the questions and discussion points outlined in the "Discussion Points" box. Visit www.ajcconline.org to discuss the article online.