Critical care
Video laryngoscopy much better than direct laryngoscopy in critically ill
Matthew E. Prekker, M.D., M.P.H., Brian E. Driver, M.D et el published a trial of video vs direct laryngoscope in critically ill patients in NEJM. Video laryngoscope resulted in a higher incidence of successful intubation on the first attempt than the use of a direct laryngoscope.
Guidelines for management of aneurysmal subarachnoid hemorrhage
Summary of guidelines for management of aneurysmal subarachnoid hemorrhage Guidelines for the Neurocritical Care Management of Aneurysmal Subarachnoid Hemorrhage | SpringerLink
Update in cardiac resuscitation
Following table summarizes latest in cardiac resuscitation
Aggressive fluid therapy in Acute Pancreatitis is harmful
Enrique de-Madaria, M.D., Ph.D., James L. Buxbaum, M.D., Patrick Maisonneuve, Dipl.Eng., Ana García García de Paredes, M.D et el published study in NEJM comparing aggressive versus moderate fluid therapy in Acute pancreatitis. BACKGROUND Early aggressive hydration is widely recommended for the management of acute pancreatitis. This is based on animal model observation of regional hypoperfusion … Read more
Restrictive versus Liberal fluids in Septic shock
Tine S. Meyhoff, Peter B. Hjortrup et el(Classic Trial Group-Conservative versus Liberal Approach to Fluid Therapy of Septic Shock in Intensive Care) published study in NEJM comparing restrictive vs standard fluid therapy in septic shock. WHAT This was an international, stratified, parallel-group, open-label, randomized clinical trial in 31 ICUs in Denmark, Norway, Sweden, Switzerland, Italy, … Read more
63 yrs old male with left arm numbness
63 yrs old male with history of renal stones, smoking presented with 6 hours history of left arm numbness and elevated blood pressure. CT chest with contrast images shown What should be done ? Submit answers using contact form on about tab.
Two dialysis catheters
Which one is the problematic ? What do you do next ?
Extremity Threat and Amputation after Vasopressor-Dependent Sepsis
Katherine M Reitz , Jason Kennedy , Caroline Rieser et el published a retrospective cohort study about epidemiology of extremity threat in case of vasopressor dependent sepsis.
Days out of Institution after tracheostomy and gastrostomy
Anica C Law , Jennifer P Stevens et el published a retrospective cohort study of Medicare beneficiaries who underwent tracheostomy and gastrostomy while critically ill in various intensive care units. Here is the summary
Difficult airway algorithm
The American Society of Anesthesiologists (ASA) released their much anticipated difficult airway guidelines. The new guidelines emphasize following- Oxygenation prior to and throughout attempts at airway management. Use of end tidal CO2 after each attempt at airway management, regardless of the airway device or technique used. The role of clinical measures (eg, chest rise and fall, … Read more