Category: Literature Survey

“Did You See This?”
by C. Patrick Henson, DO

Adult acute respiratory distress syndrome (ARDS) remains a serious problem, accounting for or complicating close to 10% of all ICU admissions, and with an associated mortality in the 35-45% range. Robust clinical evidence for ventilatory management has helped to create established and accepted guidelines for parameters such as ideal tidal volume of 4-8 cc/kg predicted body weight, optimal PEEP to avoid hypoxemia and de-recruitment while minimizing barotrauma, and this has resulted in improved survival outcomes in patients with ARDS.

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“Did You See This?”
by John Antony Vullo, MD

Corticosteroids in Sepsis: An Updated Systematic Review and Meta-Analysis. Rochwerg B, Oczkowski SJ, Siemieniuk RAC, et al. Crit Care Med. 2018;46(9):1411-1420. This review and meta-analysis sought to further elucidate the efficacy and safety of steroids in sepsis given newly published randomized controlled trials in this arena. The authors searched published and unpublished sources for randomized […]

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“Did You See This?”
by Zdravka Zafirova, M.D.

The European Society of Intensive Care Medicine (ESICM) recently published a consensus statement and clinical recommendations regarding the fluid management of neuro-intensive care patients (NIC), including comatose (GCS < 9) patients with severe traumatic brain injury (TBI), high-grade aneurysmal subarachnoid hemorrhage (SAH), severe arterial ischemic stroke (AIS) or intracerebral hemorrhage (ICH).

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