Issue #232 - Past Critical Care Newsletter issues
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Top Critical Care News This Week
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RECENT COVID-19 NEWS
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Use of procalcitonin to guide antibiotic treatment in patients with acute respiratory infections reduces antibiotic exposure and side-effects, and improves survival. Widespread implementation of procalcitonin protocols in... read more
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A world-renowned critical care doctor offers hope for ICU patients and their families in this timely, urgent, and compassionate narrative. Over the next ten years, 40 to 60 million people in this country will be admitted... read more
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Administration of levetiracetam doses up to 2000 mg via IVP is a safe method of administration that results in a reduction of time to medication administration and a reduction of benzodiazepine use. Of the 2,055 hospital-wide... read more
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This book describes the issues and challenges that clinicians encountered in the management of older critically ill patients during the COVID-19 pandemic, and offers practical information on how to manage them. Older adults... read more
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Critically ill patients are not found just in intensive care units, but throughout the hospital: emergency departments, post-anaesthesia care units, operating rooms, and many other environments now care for the critically... read more
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This comprehensive book provides an in-depth examination of a broad range of procedures that benefit from ultrasound guidance in the point-of-care setting. It covers common procedures such as ultrasound-guided central and... read more
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Recent trials involving steroids and other immunomodulators have shown benefits and contributed to improved care. Given the emerging nature of the virus, several repurposed agents were also considered as potential antiviral... read more
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Among patients in the ICU requiring intubation, video laryngoscopy compared with direct laryngoscopy did not improve first-pass orotracheal intubation rates and was associated with higher rates of severe life-threatening... read more
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Among patients with severe COVID-19, use of high-flow oxygen through a nasal cannula significantly decreased need for mechanical ventilation support and time to clinical recovery compared with conventional low-flow oxygen... read more
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Pulmonary embolism is a reason for admission to the Intensive Care Unit and this complication in hospitalised patients is associated with high morbidity and mortality. The identification and management of pulmonary embolism... read more
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Almost half of patients with a suspected infection experience a change in the score of qSOFA, SIRS, MEWS and/or NEWS during ED stay. Approximately half of alterations were from a normal to an abnormal score and half vice... read more
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The incidence of postoperative atelectasis was lower in patients undergoing either laparoscopic colectomy or robot-assisted prostatectomy who received pressure support ventilation during emergence from general anesthesia... read more
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This book focuses on endovascular methods for resuscitation and trauma management. Written by highly qualified and clinically active physicians from around the world, it shares information gathered over the past decade, providing... read more
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The use of low tidal volume (4-8 ml/kg of predicted body weight) has been considered the default way to ventilate patients with acute respiratory distress syndrome (ARDS) to minimize ventilator-induced lung injury (VILI).... read more
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Organophosphorus (OP) pesticides and nerve agents still pose a threat to the population. Treatment of OP poisoning is an ongoing challenge and burden for medical services. Standard drug treatment consists of atropine and... read more
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Similar to computed tomography measurements of psoas muscle area, preoperative ultrasound measurements of quadriceps depth shows promise in discriminating between frail and not-frail patients before surgery. It was also associated... read more
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Percutaneous tracheostomy was safely and effectively performed by an experienced surgical team both with and without bronchoscopic guidance with no difference in the complication rates. This study suggests that the use of... read more
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Among critically ill adults undergoing tracheal intubation, use of a bougie did not significantly increase the incidence of successful intubation on the first attempt compared with use of an endotracheal tube with stylet.... read more
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LATEST CRITICAL CARE PODCASTS
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Every week we scour the web to bring you the latest podcast episodes related to ICU and Critical Care Medicine.
Bacterial Superinfection in Patients Mechanically Ventilated for COVID-19 Pneumonia
In this “Breathe Easy Critical Perspective” podcast, Dr. Dominique Pepper interviews Dr. Richard Wunderink They discuss Dr. Wunderink’s recent publication in the Blue Journal about bacterial superinfection in patients intubated and mechanically ventilated for COVID-19 pneumonia.
Sedated Because She’s Intubated and Intubated Because She’s Sedated
Kali Dayton, ACNP-BC, is a nurse practitioner in a medical surgical intensive care unit (ICU). She hands the microphone to ICU survivors and bedside caregivers to reveal the realities of ICU experience and patients’ journeys after discharge.
When can we use oral ketamine for procedural sedation?
This week, we talk about how to use oral ketamine for (minor) procedural sedation in the agitated/ combative patient.
Critically ill cancer patient’s resuscitation
In this episode, powered by the ICM Journal and ESICM NEXT, Rahul Costa-Pinto discusses with Anne-Pascale Meert the results of a Belgian/French societies’ consensus conference based on a systematic review of the literature and experts opinions assessing the management of cancer patients in the ICU.
Updates From the Awake and Walking COVID ICU
Why is the mortality rate for COVID ICU patients in the Awake and Walking ICU less than half of the other COVID ICUs in the same hospital system in the same community? How have sedation and mobility practices impacted rates of central lines, vasopressor use, paralysis, tracheostomies, and LTACH admissions?
When can we use oral ketamine for procedural sedation?
This week, we talk about how to use oral ketamine for (minor) procedural sedation in the agitated/combative patient.
Glycemic Control in ICU
Uncontrolled hyperglycemia may adversely impact critically ill patients through diverse mechanisms. High glucose levels may impair the innate immune response, with abnormal glycosylation of immunoglobulins.
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CRITICAL CARE UPCOMING EVENTS
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Cardiac Intensivist NocturnistHollywood, Florida Memorial Healthcare System is seeking a critical care physician, dedicated to night shifts, to join the critical care team. Successful candidates will have excellent clinical skills, a broad knowledge base in critical care, and be dedicated to providing high quality, evidence-based care.Intensive Care Unit Nurse PractitionerLowell, Massachusetts The Intensive Care Unit at the Lowell General Campus Main Campus is seeking an experienced Nurse Practitioner or Physician Assistant to join our team caring for patients of all ages in Lowell, MA.Trauma Critical Care PhysicianWest Islip, New York Good Samaritan Hospital, a member of Catholic Health, is a 435-bed teaching hospital that specializes in critical care. With over 950 physicians on staff, a 16-bed Surgical ICU staffed with six full-time Critical Surgeons and six Physician Assistants plus additional units.Full Time IntensivistWarrenton, Virginia An excellent opportunity for a full-time intensivist to join our Critical Care team at Fauquier Health. Critical care/pulmonary training is strongly preferred. Fauquier Health is a 97 bed hospital with a 10-bed ICU.Daytime Only Intensivist OpportunityTennessee Daytime Only Intensivist Opportunity - 100% Critical Care. Full Time & Part-Time Options Available - No Admissions and No Nights! Live and work in this vibrant Southeast Metro nestled at the foothills of the Appalachian Mountains.
See More Jobs...
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FEATURED CRITICAL CARE BOOKS
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Dottoressa: An American Doctor in Rome
After completing her medical training in New York, Susan Levenstein set off for a one year adventure in Rome. Forty years later, she is still practicing medicine in the Eternal City. In Dottoressa: An American Doctor in Rome... read more
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