Expert consensus recommendations for CCB overdose
Expert consensus recommendations were published in CCM journal on Oct 3, 2016. RS
Journal club : Empiricus trial
Empirical Micafungin Treatment and Survival Without Invasive Fungal Infection in Adults With ICU-Acquired Sepsis, Candida Colonization, and Multiple Organ Failure The EMPIRICUS Randomized Clinical a multicenter, randomized, double-blind, and parallel-group study Background Few randomized trials compared antifungals (fluconazole and capsofungin) to placebo empirically in critically ill septic patients. They failed to provide any benefit, however, empirical antifungal therapy is recommended … Read more
Your job is safe : For now
In first of its kind study, Mehrotra et el, compared 234 physicians (mostly residents and fellows) to Human Dx (a web and app based program to generate diagnosis). Overall, they compared diagnoses for 45 clinical vignettes( 15 high, 15 medium, and 15 low-acuity condition vignettes and 26 common and 19 uncommon condition vignettes). No physical exam details … Read more
Blood transfusion: Less is more
In the current issue of JAMA, published October 12, Carson et el have updated red blood cell (RBC) transfusion guidelines by AABB (American Association of Blood Banks). Based on review of 31 randomized clinical trials (RCTs) performed in a variety of different clinical settings involving more than 12 587 patients. Main recommendations Transfusion not indicated … Read more
Time to say good bye to routine stress ulcer prophylaxis in ICU
Accepting that the world is full of uncertainty and ambiguity does not and should not stop people from being pretty sure about a lot of things. Julian Baggini WHATS NEW Pantoprazole or Placebo for Stress Ulcer Prophylaxis (POP-UP Study) In this randomized Double-Blind Exploratory Study by Selvanderan et el 214 patients were randomized to pantoprazole … Read more
Don’t cool for in hospital cardiac arrest
Targeted temperature management (TTM, therapeutic hypothermia) after cardiac arrest first came to use in clinical setting since the publication of two landmark articles in 2002. Evidence was mainly for out of hsopital cardiac arrest patients. Recently, it was noted that there was no difference in outcome between temperatures of 33 and 36 Celsius. However, based … Read more
Faster is better ? : Chest compressions in CPR
Latest AHA guidelines about adult CPR emphasize on high quality chest compression, currently at the rate of 100 to 120 per minute. In a prospective observational study, Kilgannon JH et al demonstrated that chest compression rate of 121–140 compressions/min had the highest odds ratio of ROSC. What they did 222 consecutive patients were enrolled in study, found … Read more