November 2019
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Nov 15 2019
ICU-ROX – Conservative Oxygenation vs Usual Care
There was no difference in ventilator-free days in mechanically ventilated ICU patients when the SpO2 range was 90 to 97% vs 90% to no upper limit.
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Nov 14 2019
What’s the Ideal SpO2 Range in Critically Ill Patients?
The ideal range of SpO2 associated with the lowest mortality in critically ill patients in this large, retrospective study was 94-98%.
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Nov 13 2019
PrePARE – Fluid Bolus Before Intubation and Cardiovascular Collapse
A 500mL fluid bolus prior to intubation of critically ill ICU patients did not reduce the rate of cardiovascular collapse.
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Nov 12 2019
New 2019 IDSA-ATS Community Acquired Pneumonia Guidelines – Spoon Feed
Reduce blood cultures, ditch procalcitonin, reduce anaerobic coverage for aspiration, no more empiric corticosteroids, no more HCAP and knee jerk broad spectrum antibiotics - these are some of the updates since 2007. Read more.
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Nov 11 2019
Is 5 Days of Penicillin For Strep Pharyngitis Enough?
A 5-day course of penicillin was non-inferior to a 10-day course for group A streptococcal pharyngitis.
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Nov 08 2019
Is the 1-Hour Sepsis Mandate Doable?
Despite a QI initiative for an ED-wide sepsis screening protocol and individual clinician feedback, this center was not able to meet the new Surviving Sepsis 1-hour antibiotic metric most of the time.
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Nov 07 2019
Difficult Airway – Learn From Closed Malpractice Claims
Learn from mistakes. These are closed anesthesia malpractice claims in patients with difficult airways. Read on to avoid the same errors.
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Nov 06 2019
Cerebellar Bleed – Does Neurosurgery Help?
Surgical decompression of a cerebellar intracerebral hemorrhage may improve survival, but it does not seem to improve survival with favorable neurological outcome.
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Nov 05 2019
CITRIS-ALI – Vitamin C for Sepsis-ARDS?
High-dose vitamin C made no impact on short-term SOFA score or in lowering inflammatory markers in patients with sepsis and ARDS. There may have been a 28-day mortality reduction in the vitamin C group.
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Nov 04 2019
VL vs. DL for Pediatric Intubation
Video laryngoscopy was associated with greater odds of first-pass success than direct laryngoscopy in pediatric patients.