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Uncategorized Published - 12 March, 2015    By - Dr Clemens
How to Feed Critically Ill Patients: A Randomized Trial

This is for our providers who practice in the critical care unit. Authors: Harvey SE et al., N Engl J Med 2014 Oct 1; Patients in the intensive care unit had similar outcomes, whether they were fed enterally or parenterally. Debate is ongoing over the appropriate way to deliver early nutritional support to critically ill […]

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Uncategorized Published - 12 March, 2015    By - Dr Clemens
Both Manual and Mechanical CPR Commonly Cause Traumatic Injuries

Authors: Smekal D et al., Resuscitation 2014 Sep 29; Autopsies revealed chest-compression–related injuries, mostly rib fractures, in more than 75% of patients. To compare injuries from manual versus mechanical chest compressions, researchers in Sweden conducted a prospective multicenter study of 222 adults who had autopsies after unsuccessful cardiopulmonary resuscitation (CPR) following nontraumatic cardiac arrest. Overall, […]

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Uncategorized Published - 11 March, 2015    By - Dr Clemens
Sepsis Bundle Compliance Is Associated with Improved Survival

Authors: Levy MM et al., Crit Care Med 2014 Oct 1; An analysis of a large database shows a 25% relative mortality risk reduction in institutions with high versus low compliance with sepsis performance bundles. The Surviving Sepsis Campaign (SSC) has led to early identification and treatment of patients with sepsis. Using the SSC’s database, […]

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Uncategorized Published - 11 March, 2015    By - Dr Clemens
Patients in Cardiac Arrest Report Conscious Awareness

Authors: Parnia S et al., Resuscitation 2014 Oct 6; Nearly 40% of 140 cardiac arrest survivors claimed memories from when they were in cardiac arrest. Awareness during anesthesia has been well described, but what about during cardiac arrest? Researchers performed a 4-year multicenter observational study involving a qualitative and quantitative interview of 140 post-cardiac arrest […]

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Uncategorized Published - 11 March, 2015    By - Dr Clemens
Intraocular Pressure Increases Are Trivial in Children During Ketamine Sedation

Authors: Wadia S et al., Ann Emerg Med 2014 Oct 64:385 In a study of 60 children undergoing procedural sedation with ketamine, intraocular pressure increased only by a median of 3 mm Hg. Investigators evaluated ketamine’s effect on intraocular pressure in a prospective observational study of children aged 8–18 years undergoing procedural sedation at a […]

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