Editor:
Kathleen S. Stone, PhD, RN, FAAN
Columbus, OH

Editorial Assistant:
Ardis O'Meara
Towson, MD

Publisher:
Jami Walker
Elsevier Inc.
1600 JFK Blvd, Suite 1800
Philadelphia, PA 19103-2899
Tel: (678)364-0905

Issue Manager
Michelle D'Agostino
Elsevier Inc.
1600 JFK Blvd, Suite 1800
Philadelphia, PA 19103-2899
Tel: (215)239-3402
fax: (215)239-3388

Heart & Lung^® invites original articles describing investigations, advances, or observations regarding the care of critically ill patients or the chronically critically ill. Manuscripts should be submitted online at http://ees.elsevier.com/hl. All articles are subject to expert review and are accepted for publication with the understanding they are contributed solely to Heart & Lung^® .

Statements and opinions expressed in the articles and communications herein are those of the author(s) and not necessarily those of the Editor or publisher, and the Editor and publisher disclaim any responsibility or liability for such material. Neither the Editor nor the publisher guarantees, warrants, or endorses any product or service advertised in this publication, nor do they guarantee any claim made by the manufacturer of such product or service. The Editor assumes that articles emanating from a particular institution are submitted with the approval of the requisite authority, including all matters pertaining to human studies.

Most of the provisions of the Copyright Act of 1976 became effective on Jan. 1, 1978. Therefore, all manuscripts must be accompanied by the following written statement, signed by all authors "The undersigned authors transfer all copyright ownership of the manuscript (title of article) to Mosby, Inc., in the event the work is published. The undersigned authors warrant that the article is original, does not infringe upon any copyright or other proprietary right of any third party, is not under consideration by another journal, and has not been previously published. The final manuscript has been read, and each author's contribution has been approved by the appropriate author." Authors will be consulted, when possible, regarding republication of their material.



Manuscripts must be typewritten on one side of the paper only, with double spacing and liberal margins. The abstract should not exceed 150 words typed double spaced on a separate sheet of paper. If unusual abbreviations cannot be avoided, use the expanded form when first mentioned and abbreviate thereafter. Standard chemical or nonproprietary pharmaceutical nomenclature should be used. Metric units and the centigrade scale are preferred. Manuscripts should be limited to 12 to 15 pages. Each page must be numbered.



Original drawings or graphs must be drawn in black India ink. Typewritten or freehand lettering is not acceptable. All lettering must be done professionally and should be in proportion to the drawing, graph, or photograph. Do not send original artwork, x-ray films, or ECG tracings. Glossy print photographs, 3 x 4 inches (minimum) to 5 x 7 inches (maximum), with good black-and-white contrast or color balance are preferred. Consistency in size within the article is strongly preferred. Any special instructions regarding sizing should be clearly noted. Electrocardiograms are notoriously difficult to reproduce adequately, ECG paper smudges easily, so great care must be exercised in the preparation of a glossy print. Unless a dysrhythmia is to be illustrated, one or two complexes should be photographed showing only those leads necessary to document the conclusions. A longer strip of a particularly illustrative lead may be used for dysrhythmias. All illustrations must be numbered and cited in the text. Typed legends must accompany each illustration and be listed on a separate page. Each illustration should have the following information only lightly penciled on the back or typed on a gummed label affixed to the back of the figure: figure number, title of manuscript, and an arrow indicating the top of the figure. Do not use paper clips to secure illustrations because they can damage the surface. Place illustrations in a separate envelope and mail with the text. A letter of permission must accompany all photographs of persons when there is a possibility of identification. Illustrations will be returned only if requested by the author. Special arrangements must be made with the Editors for color plates, elaborate tables, or extra illustrations.

Electronic illustration submission
Figures may be submitted in electronic format. All images should be at least 5" wide. Images should be provided in EPS or TIF format on Zip disk, CD, floppy, Jaz, or 3.5 MO. Macintosh or PC is acceptable. Graphics software such as Photoshop and Illustrator, not presentation software such as PowerPoint, CorelDraw, or Harvard Graphics, should be used in the creation of the art. Gray scale images should be at least 300 DPI with a proof. Combination of gray scale and line art should be at least 1200 DPI with a proof. Line art should be at least 1200 DPI with a proof. Please include hardware and software information, in addition to the file names, with the disk.



Tables should be self-explanatory and should supplement, not duplicate, the text. Tables must be numbered consecutively and mentioned in the text, and each must have a title. Each table must be typed with double spacing on a separate sheet.



References must be cited consecutively in the text as superscript numerals. If the same reference is cited more than once, the original numeral is used. References should be typed, double spaced, on a separate sheet in numeric order. References to journal articles must contain, in order, the following information: authors' names (last names, ititials); title of article (initial capital and lower case, no quotation marks); journal name abbreviated as in Cumulated Index Medicus; and year of publication, volume number, and inclusive page numbers. If six or fewer authors, list all; if seven or more, list first six and et al. An example follows:

• Batstone GF, Hinks L, Whitefoot R, Farral M, James LA, Lai LY, et al. Hormonal changes after thermal injury. J Endocrinol 1976;68:38-9.

References to books must include names of authors, book title (not italicized), volume number (if any), edition number (if any), city of publication, and, if applicable, pages cited. Examples follow:

• Johanson BC, Dungca CU, Hoffmeister D, Wells SJ. Standards of critical care. 2nd ed. St Louis: CV Mosby; 1985. p. 10, 12, 484-6.

For books with editors listed, cite as follows:

• Banyai AL, Gordon BL, editors. Advances in cardiopulmonary disease. Chicago: Year Book Medical Publishers; 1989.

• Luisada AA. Bedside diagnosis of dysrhythmias. In: Banyai AL, Gordon BL, editors. Advances in cardiopulmonary disease. Chicago: Year Book Medical Publishers; 1989. p. 37-92.

Note: Personal communications should not be included in the list of references but may be cited in the text in parentheses.



Manuscripts become the permanent property of Heart & Lung^® and may be be published elsewhere without written permission from the author and Journal publisher. All accepted manuscripts are subject to manuscript editing.



Animal experimentation must observe the "Guiding Principles in the Care and Use of Animals" published in the Guide to Authors of the American Physiological Society, and be approved by the appropriate Animal Care Committee.



Letters to the Editor raising some point of current interest or commenting on an article that appeared in the Journal will be considered for publication. The Editor reserves the right to accept, reject, or excerpt letters without changing the views expressed by the writer. The author of an original article will have an opportunity to reply to published comments. All such letters should be sent to Dr. Stone.



Meeting announcements must be received by Mosby at least 2 months before publication (see Educational Directory). Such announcements should concern major meetings and other significant activities.

• Letter of submission

• Title page

• Title or article

• Full name(s) (on title page only), academic degrees(s), affiliation(s) and title(s) of author(s)

• Author to whom correspondence and reprint requests are to be sent, including address, E-mail address if available, and telephone number

• Abstract

• Article proper

• References

• Tables

• Legends

• Illustrations, properly labeled

• Permission to reproduce previously published material or identifiable subjects in photos