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Authors: Beaudoin FL et al., Acad Emerg Med 2014 Nov 21:1193 Patients receiving ketamine (at either 0.3 mg/kg or 0.15mg/kg) in addition to morphine reported better pain relief, but the higher ketamine dose was associated with more side effects. Although the use of ketamine as an adjunct to opioid treatment for pain has been previously […]
Read MoreAuthors: McAuley DF et al., N Engl J Med 2014 Sep 30; Another randomized study showed no benefit for ventilator-free days or 28-day mortality in patients with acute respiratory distress syndrome. Despite promising findings in observational studies, results of a large randomized, controlled trial recently demonstrated no benefit of statins in patients with acute respiratory […]
Read MoreThis 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 […]
Read MoreAuthors: 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, […]
Read MoreAuthors: 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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