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Author: Michael O’Riordan tctMD Failing organs portend a grim prognosis in cardiogenic shock. What proportion of deaths are preventable with earlier intervention remains unknown. Nearly two-thirds of patients with acute MI complicated by cardiogenic shock have some form of noncardiac organ failure and this complication is on the rise, according to the results of a […]
Read MoreBY CHRISTOPHER CHENEY HealthLeaders The adoption of an EMR-based screening tool and a sepsis treatment bundle drove down mortality rates markedly over four years. KEY TAKEAWAYS Sepsis is a leading cause of death in the United States. Early detection of sepsis in hospitals is crucial to reducing mortality rates. Initiatives to transform a hospital’s approach to […]
Read MoreAuthors: Timothy E. Miller, M.B.,Ch.B., F.R.C.A. et al Anesthesiology 5 2019, Vol.130, 825-832. The goal of IV fluid administration is to restore and maintain tissue fluid and electrolyte homeostasis and central euvolemia, while avoiding salt and water excess. This will in turn facilitate tissue oxygen delivery without causing harm. Achieving optimal IV fluid therapy should […]
Read MoreAuthors: Jacopo Fumagalli, M.D. et al Anesthesiology 5 2019, Vol.130, 791-803. What We Already Know about This Topic: Obesity increases the propensity to atelectasis in acute respiratory distress syndrome, but the optimal approach to reversing this atelectasis is uncertain What This Article Tells Us That Is New: A clinical crossover study comparing three approaches to titrate […]
Read MoreAuthors: Elliot Long, B.M.B.S., F.R.A.C.P. et al Anesthesiology 5 2019, Vol.130, 674-676. “Transfontanelle measurement of respiratory variation in internal carotid artery blood flow peak velocity is a novel method for predicting fluid responsiveness [in infants].” Image: TranscranialUS. Resuscitation with IV fluid is a ubiquitous first-line form of acute circulatory support in emergency medicine, critical care, […]
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