Authors: Eun-Hee Kim, M.D. et al Anesthesiology 5 2019, Vol.130, 719-727. What We Already Know about This Topic: Several ultrasound parameters for assessing fluid responsiveness have been described Transfontanelle ultrasound can be easily used in small children undergoing surgery, and the anterior fontanelle is an optimal site for Doppler examination of the internal carotid artery Previous […]
Read MoreAuthors: Lorenzo Del Sorbo, M.D. et al Anesthesiology 5 2019, Vol.130, 680-682. “[Would] lung injury induced by high tidal volume ventilation [in ARDS]… be less if that high tidal volume was reached by gradually increasing tidal volume over time[?]” Acute respiratory distress syndrome (ARDS), characterized by the acute onset of hypoxemia (PaO2/FiO2less than or […]
Read MoreAuthor: 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 More