Tagged ‘Critical Care’

Journal Review

Balanced Solutions vs 0.9% Saline in Critical Care (SMART)

Filed Under: Tags: , , , , , May 24th, 2018 Leave a Comment

Although 0.9% sodium chloride (“normal” saline) is traditionally the most commonly used intravenous fluid, it is unclear if “normal” saline is the best fluid. Data from prior studies suggests 0.9% saline use may result in hyperchloremic acidosis.
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Journal Review

ADRENAL – Corticosteroids in Septic Shock

Filed Under: Tags: , , , May 3rd, 2018 Leave a Comment

During physiological stress, hypotension, or severe infection, the hypothalamic-pituitary-adrenal (HPA) axis is activated. The hypothalamus secretes corticotrophin-releasing hormone (CRH) stimulating the release of adrenocorticotrophin hormone (ACTH) from the anterior pituitary.
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Core

Petition to Retire the Surviving Sepsis Campaign Guidelines

Filed Under: Tags: , , , , One Comment

This post is a multi-physician, multi-specialty petition detailing significant concerns with the surviving sepsis campaign guidelines.
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Journal Review

Apneic Oxygenation in the ICU

Filed Under: Tags: , , , March 15th, 2018 Leave a Comment

Hypoxemia is the most common complication of endotracheal intubation in the critically ill and the strongest risk factor for periprocedural cardiac arrest and death. The traditional approach to avoiding desaturation during intubation is preoxygenation.
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Core

Acute Pancreatitis

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This post explores the diagnosis and critical steps in the management of pancreatitis.
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Journal Review

Angiotensin II for the Treatment of Vasodilatory Shock

Filed Under: Tags: , , March 1st, 2018 Leave a Comment

ICU patients with vasodilatory shock continue to have a high mortality despite advancements in treatment. Maintaining blood pressure, and thus organ perfusion, is one key in management. Decreases in mean arterial pressure (MAP) can have serious complications including damage to the kidneys,
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Core

Upper GI Bleeding

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This post is an overview of upper GI bleeding with a focus on treatment
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