vasopressin methylprednisolone

Vasopressin & Methylprednisolone: Time to Add Them to ACLS Protocols?

My love for ACLS goes back far in my career. I fondly recall taking an ACLS/BLS course after completing medical school and prior to starting residency. It was a small class, just a couple students. The instructor was a charismatic firefighter (who I remain friends with to this day) who noted that I was particularly …

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atorvastatin covid

Atorvastatin for ICU COVID Patients: Not Ready for Prime Time

It bears repeating that I am quite the fan of inexpensive, readily available therapies to help save the lives of our patients. When I received this article from Caroline Welch, Pharm D. I was excited because I was hoping it would be a positive study. Unfortunately, it did not pan out and based on these …

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Recovering CABG & Cardiac/Heart Surgery Patients in the CVICU

So there's little to no formal documentation from the perspective of an Intensivist on how to manage a CABG patient who is coming out of the CVOR to the CVICU. I'm sure some brilliant anesthesiologist or other intensivist has done this before but I just haven't found it. Let's start. By the way, this is …

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hobt intensivists

Hyperbaric Oxygen Therapy (HBOT) for Intensivists- by Kurt Laipple

For over 100 years, hyperbaric chambers have been used as an evidenced based treatment for diving emergencies. However, hyperbaric indications are typically not common knowledge outside of diving and outpatient wound care fields. This primer is intended to help intensivists understand hyperbaric oxygen therapy (HBOT) indications and challenges relevant to critical care. Cite this post …

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paxlovid

Paxlovid (PF-07321332/ritonavir) for Outpatient COVID: EPIC-HR Trial

I have mentioned that I am not a fan of medicine by press release, most recently when covering molnupiravir. Earlier today, 11/5/21, Pfizer put out a press release with the headline in all caps "PFIZER’S NOVEL COVID-19 ORAL ANTIVIRAL TREATMENT CANDIDATE REDUCED RISK OF HOSPITALIZATION OR DEATH BY 89% IN INTERIM ANALYSIS OF PHASE 2/3 …

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fluid bolus 2

Fluid Bolus in Resuscitation: Pressure Bag vs. 999ml/hr on the IV Pump

A common scenario that occurs daily, heck even perhaps hourly, in most emergency departments or intensive care units around the world including providing patient with IV fluids rapidly to resuscitate hypotensive patients or those who are in shock. In order to mitigate said hypotension/shock, the most common response by clinicians is to administer IV fluids. …

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icu delirium

Delirium in the ICU & Critically Ill Patients

Unfortunately, delirium in ICU and critically ill patients is a quite common problem that we are having trouble making progress on controlling. It is quite frustrating when I am caring for a patient who has recovered from their main life-threatening insult to be left encephalopathic and the family constantly asking "what's wrong". The most common …

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