Issue #180   -   Past Critical Care Newsletter issues

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RECENT COVID-19 NEWS

 
Clinical Communication with Families in the Age of COVID-19

 

Clinical Communication with Families in the Age of COVID-19

The admission of a critically ill patient to an intensive care unit (ICU) is a distressing event for the patient, their family and friends, which has been amplified by the impact of the covid-19 pandemic. Many hospitals now... read more

 
 
Seven Signs of Life: Stories from an Intensive Care Doctor

 

Seven Signs of Life: Stories from an Intensive Care Doctor

Seven Signs of Life encompasses intensive care stories centered around patients and as a means to explain the ICU to the non-clinician. However, Aoife Abbey organises her book by emotion, not by body system. This clever structure... read more

 
 
Which One is Better? Chlorhexidine-impregnated Sponge or Chlorhexidine Gel Dressing

 

Which One is Better? Chlorhexidine-impregnated Sponge or Chlorhexidine Gel Dressing

A similar infection risk for gel-dress and sponge-dress. Gel-dress showed fewer dressing disruptions. Concomitant use of CHG for skin disinfection and CHG-impregnated dressing may significantly increase contact dermatitis.... read more

 
 
Monitoring of the Adult Patient on VA ECMO

 

Monitoring of the Adult Patient on VA ECMO

Venoarterial extracorporeal membrane oxygenation (VA ECMO), a form of mechanical circulatory support, had its origins in the operating room as cardiopulmonary bypass and has evolved for use in the intensive care unit and... read more

 

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Fit-testing of N95/P2-masks to Protect Healthcare Workers

 

Fit-testing of N95/P2-masks to Protect Healthcare Workers

In the context of COVID-19, well fitted respirators e.g. N95/P2-masks are recommended as part of personal protective equipment when performing aerosol generating procedures. Fit-checking is recommended prior to donning a... read more

 
 
ECMO-Extracorporeal Life Support in Adults

 

ECMO-Extracorporeal Life Support in Adults

Extracorporeal membrane oxygenation (ECMO) has been in clinical use for some 40 years, but it is only in the past decade that its application in the treatment of life-threatening circulatory and respiratory failure has truly... read more

 
 
Philips Launches COVID-19 Rapid Equipment Deployment Kit for ICUs

 

Philips Launches COVID-19 Rapid Equipment Deployment Kit for ICUs

Royal Philips introduced its Rapid Equipment Deployment Kit for ICU ramp-ups, allowing doctors, nurses, technicians and hospital staff to quickly support critical care patient monitoring capabilities during the COVID-19 pandemic.... read more

 
 
The Night in the ICU

 

The Night in the ICU

They say that in the world of the intensive care unit (ICU), there is no night. It can be qualified as a lesser day, but not really as a night. The hustle and bustle may be slower, patient flow and activity may be less, conversations... read more

 
 
Fishman’s Pulmonary Diseases and Disorders

 

Fishman’s Pulmonary Diseases and Disorders

Since 1980, Fishman’s Pulmonary Diseases and Disorders has delivered unparalleled coverage of pulmonary medicine and the underlying basic and applied science upon which clinical practice is based. The Fifth Edition,... read more

 
 
A Randomised Trial of High-flow Nasal Cannula in Infants with Moderate Bronchiolitis

 

A Randomised Trial of High-flow Nasal Cannula in Infants with Moderate Bronchiolitis

In patients with moderate bronchiolitis, there was no evidence of lower rate of escalating respiratory support among those receiving HFNC therapy. The analyses included 268 patients among the 2621 infants assessed for inclusion... read more

 
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Pragmatic Approach to Inpatient Diabetes Management During COVID-19

 

Pragmatic Approach to Inpatient Diabetes Management During COVID-19

The pandemic of COVID-19 has presented new challenges to hospital personnel providing care for infected patients with diabetes who represent more than 20% of critically ill patients in ICUs. Appropriate glycemic management... read more

 
 
Hepatic Critical Care

 

Hepatic Critical Care

This book focuses on the critical care of the patient with acute, acute on chronic and chronic liver failure as well as the peri-operative care of the patient with liver transplantation. Each of these disease processes is... read more

 
 
ICU Trends for Patients with COVID-19 in England, Wales and Northern Ireland

 

ICU Trends for Patients with COVID-19 in England, Wales and Northern Ireland

Observed trends suggest opposing effects of ICU strain and clinical learning. Further investigation is needed to identify modifiable system factors that could alleviate strain in future epidemics and changes in clinical practice... read more

 
 
Right Heart Thrombus in Transit Diagnosed With Focused Cardiac Ultrasound

 

Right Heart Thrombus in Transit Diagnosed With Focused Cardiac Ultrasound

Pulmonary embolism (PE) is a potentially fatal entity that is frequently diagnosed in the emergency department (ED). Emergency physicians (EPs) routinely perform focused cardiac ultrasound (FOCUS) to support a prompt ED diagnosis... read more

 
 
Laboratory Features of Severe vs. Non-severe COVID-19 Patients in Asian Populations

 

Laboratory Features of Severe vs. Non-severe COVID-19 Patients in Asian Populations

This meta-analysis provides evidence for the differentiation of severe cases of COVID-19 based on laboratory test results at the time of ICU admission. Future well-methodologically designed studies from other populations... read more

 
 
Acute on Chronic Liver Failure in the ICU

 

Acute on Chronic Liver Failure in the ICU

Liver Failure may constitute one of the least favorite disease processes for anyone routinely taking care of critically ill patients. Intensivist and hepatology circles have begun to describe a specific population known as... read more

 
 
Management of Post-acute COVID-19 in Primary Care

 

Management of Post-acute COVID-19 in Primary Care

Post-acute COVID-19 (“long covid”) seems to be a multisystem disease, sometimes occurring after a relatively mild acute illness. Clinical management requires a whole-patient perspective. This article, intended... read more

 
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LATEST CRITICAL CARE PODCASTS
 

Every week we scour the web to bring you the latest podcast episodes related to critical care.

Guidelines for the Use of Bronchoscopy During the COVID-19 Pandemic
Momen M. Wahidi, MD, MBA, joins CHEST Podcast Moderator, Dominique Pepper, MD, to discuss the CHEST/AABIP Guideline for the use of bronchoscopy during the COVID-19 Pandemic.

Palliative care during the pandemic
We are health care workers. We are doctors, advanced care practitioners, nurses, pharmacists, social workers, and so much more. We are on the frontlines. We are our parents’ children, and we are parents to our young children. For the first time, we are at an extremely high risk of being quarantined by the same beast we are trying to conquer.

Association of Guideline-Recommended COPD Inhaler Regimens With Mortality, Respiratory Exacerbations, and Quality of Life
Thomas Keller, MD, and Mihaela S. Stefan, MD, PhD, join CHEST Podcast Moderator, Dominique J. Pepper, MD, to discuss a secondary analysis of the Long-term Oxygen Treatment Trial.

The Decision to use Ketamine – Disruptive and Dangerous
I frequently see both residents and attendings inappropriately using ketamine for agitated patients. Inappropriately both by giving it when it is unecessary and giving it in poor fashion when it is indicated.

Digital Advertising to Children, Limiting Antibiotic Prescriptions
Hosts David Hill, MD FAAP, and Joanna Parga-Belinkie, MD, FAAP, examine the AAP’s updated policy statement on digital advertising.

 
CRITICAL CARE UPCOMING EVENTS
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Fluid, Electrolyte and Acid-Base Physiology
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Electronic Health Records & Preventing Healthcare-Associated Infection
Severe Sepsis Care in the Emergency Department
Severe Sepsis Care in the Emergency Department
Miracle Cure: The Creation of Antibiotics and the Birth of Modern Medicine
Miracle Cure: The Creation of Antibiotics and the Birth of Modern Medicine
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Mechanical Ventilation in Emergency Medicine
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