Tag: surgery

Upvote Story 12
Early enteral nutrition (EEN), typically started within 48 h after ICU admission, is recommended to be superior over delayed enteral nutrition and parenteral nutrition. The ESICM Working Group on Gastrointestinal Function provided clinical practice guidelines on EEN and suggested to initiate it at a low rate, as beneficial effects regarding infection prevention have been demonstrated in critically ill patients, as well as in patients with... Read More | Comment
Upvote Story 5
Guiding FFICM and EDIC exam candidates through the intensive care medicine curriculum, this book provides 48 case studies mapped to eight key areas of study in the UK and European syllabuses. Cases include clinical vignettes, explanations and a list of key learning points, while also being formatted along the structure of FICM case reports. Key clinical management points are identified and linked to appropriate scientific... Read More | Comment
Upvote Story 14
TRAUMA is Dr. Cole’s harrowing account of his life spent in the ER and on the battlegrounds, fighting to save lives. In addition to his gripping stories of treating victims of gunshot wounds, stabbings, attempted suicides, flesh-eating bacteria, car crashes, industrial accidents, murder, and war, the book also covers the years during Cole’s residency training when he was faced with 120-hour work weeks, excessive sleep... Read More | Comment
Upvote Story 8
In a conversational, easy-to-read style, Avoiding Common Errors in the Emergency Department, 2nd Edition, discusses 365 errors commonly made in the practice of emergency medicine and gives practical, easy-to-remember tips for avoiding these pitfalls. Chapters are brief, approachable, and evidence-based, suitable for reading immediately before the start of a rotation, used for quick reference on call, or read daily over the course of one year... Read More | Comment
Upvote Story 6
Understanding the Essentials of Critical Care Nursing provides novice critical care nurses with a firm foundation so that they are able to understand the complexities of care; deliver safe, effective care; and begin their transition to expert nurses. It identifies concepts and techniques that are unique to critical care nursing and focuses on the essentials of providing care to patients with disorders that are commonly... Read More | Comment
Upvote Story 5
Resuming β blockers in chronic users by the end of the first postoperative day may be associated with lower odds of in-hospital atrial fibrillation. However, there seems to be little advantage to restarting on the day of surgery itself. Of propensity score–matched patients who resumed β blockers by end of postoperative day 1, 4.9% developed atrial fibrillation, compared with 7.0% (68 of 973) of those... Read More | Comment
Upvote Story 6
A 36-year-old man was admitted to the intensive care unit with an acute exacerbation of chronic heart failure. His medical history included heart failure with an ejection fraction of 20%, bioprosthetic aortic-valve replacement for bicuspid aortic stenosis, endovascular stenting of an aortic aneurysm, and placement of a permanent pacemaker for complete heart block. An Impella ventricular assist device was placed for management of acute heart... Read More | Comment
Upvote Story 8
An immediate classic, this groundbreaking text is based on the premise that neurointensivists must be trained to handle not only the brain, but the entire body. The NeuroICU Book, Second Edition does not limit coverage to the brain and spine – it spans all organ insufficiencies and failures – along with neurologic illnesses. Thoroughly updated to keep pace with all the advances in this emerging... Read More | Comment
Upvote Story 3
Medically fragile infants on ventilation support at community or rural hospitals without surgical services sometimes need those services. That poses a challenge for pediatric anesthesiologists who need to assess these babies preoperatively and discuss their anesthesia plan for surgery with their parents without transporting such vulnerable patients. For Joann Hunsberger and Sally Bitzer, anesthesiologists and critical care specialists at Johns Hopkins Children’s Center, the answer... Read More | Comment
Upvote Story 10
Changing Care to Improve Surgical Outcomes. In this mini-series of six podcasts sponsored by Abbott Nutrition, the DCRI’s Paul Wischmeyer, MD, EDIC, welcomes distinguished scientists and clinicians from the U.S. and the U.K. to discuss to discuss the role of nutrition in surgery. Episode One: Host Paul Wischmeyer is joined by Thomas Varghese, MD, section head of General Thoracic Surgery at the University of Utah,... Read More | Comment
Upvote Story 13
Seems like a little thing, but I did this in response to a tweet by the National Rifle Association, asserting that doctors should “stay in our lane” instead of studying or making recommendations when it comes to gun violence. As a trauma surgeon in Newark and an assistant professor of Trauma and Critical Care Surgery at Rutgers New Jersey Medical School, I live in the... Read More | Comment
Upvote Story 5
Urgent and drastic changes to the rules around medical devices, such as pacemakers, are needed to protect patients, according to the Royal College of Surgeons. It wants a register of every device in every patient set up so doctors know if new innovations are causing harm. An investigation by 58 media organisations has uncovered patients being given implants that were unsafe. Medical devices range from... Read More | Comment
Upvote Story 4
Patients with ulcerative colitis who discontinue 5-aminosalicylate therapy once they begin anti-TNF therapy do not appear at great risk for adverse clinical events, according to research published in Gut. Researchers analyzed data from 3,589 patients with UC taken from two national cohorts: the United States Truven MarketScan health claims database and the Danish health registers. They included patients who started taking anti-TNF after having been... Read More | Comment
Upvote Story 6
Studies evaluating exercise and nutrition interventions before elective major surgery in adults are producing encouraging early results, but definitive clinical evidence is currently very limited. Future research should focus on refining interventions, exploring mechanism, and evaluating the interactions between therapies and large-scale clinical effectiveness studies. Read More | Comment
Upvote Story 7
This case report shows that junctional rhythm can cause deterioration of SAM, LVOTO, and MR, and can lead to unstable hemodynamics in a patient with right ventricular failure after MVR. Atrial pacing can resolve SAM, LVOTO, and MR and can improve hemodynamics in a patient with unstable normal sinus rhythm. TEE in the ICU can play a pivotal role in clinical decision-making. Given that there... Read More | Comment