Archive for the ‘Emergency & Critical Care’ Category
Use of Procalcitonin to Reduce Patients’ Exposure to Antibiotics in Intensive Care Units (PRORATA trial): A Multicenter Randomized Controlled Trial
Posted by: admin on: October 14, 2011
Background. Inappropriate use of antibiotics in the intensive care unit (ICU) is associated with antimicrobial resistance, which can affect patient outcomes. Procalcitonin, a calcitonin precursor hormone, is a specific marker for bacterial infection in patients with sepsis. The objective of the study was to determine whether an algorithm derived from the biomarker procalcitonin is effective […]
No Sedation for Critically Ill, Mechanically Ventilated Patients
Posted by: admin on: October 11, 2011
A Protocol of No Sedation for Critically Ill Patients Receiving Mechanical Ventilation: A Randomised Trial Continuous sedation is common in mechanically ventilated patients; however, studies have shown that continuous sedation is associated with increased duration of mechanical ventilation when compared with bolus dosing of sedatives. The objective of this study was to determine whether no […]
Neuromuscular Blockers in Early ARDS
Posted by: admin on: October 11, 2011
Background. Neuromuscular blocking agents are occasionally used in mechanically ventilated patients with severe ventilation and oxygenation impairment when sedatives are not effective.[5] Papazian and associates sought to determine whether treatment with a neuromuscular blocker improved clinical outcomes in patients with early severe acute respiratory distress syndrome (ARDS)
Do Not Resuscitate and the need for a central line.
Posted by: admin on: July 27, 2011
Just the other day I was called to see a patient coming up to the Intensive Care Unit with a diagnosis of pneumonia. Upon my arrival the patient is “hanging in there” with the blood pressure in the 60’ and 70’s systolic. The patient is in sepsis and septic shock. Early intravenous antibiotics and aggressive […]
A-B-C is for babies; now it’s C-A-B!
Posted by: admin on: July 27, 2011
It used to be following your ABC’s: airway, breathing and chest compressions. Now, Compressions come first, only then do you focus on Airway and Breathing. The only exception to the rule will be newborn babies, but everyone else whether it’s infant CPR, child CPR or adult CPR will get chest compressions before you worry about […]
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