April 2018 Journal Club

Hi everyone Have a look at April’s paper (https://www.ncbi.nlm.nih.gov/pubmed/29261565)  something to think about when you are setting your ventilator targets on ICU…. Cheers Rob “Thanks Rob….I love papers about ‘over treating’ patients.   This is a good retrospective analysis and as the authors acknowledge it only proves an association between excessive oxygen therapy and mortality. This … More April 2018 Journal Club

Extubation

This month’s question concerns extubation of the critical care patient. What strategies (if any) do people put in place to try and minimise extubation failure? What do people feel is an acceptable failure rate for extubation attempts on ICU? This month’s paper is a nice FOAM summary of the issues  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2760915/​ A – Many thanks for this question, Rather … More Extubation

Families on ICU

Dear all, This months’s questions have been inspired by  the ‘Mastering Intensive Care’ podcast series, they focus on aspects of the non-technical skills in providing care for patients and their families… (1) Should family or NOK be present for the daily ICU ward round? (2) Is it time to put an end to restricted visiting times on the ICU?   … More Families on ICU

Contrast Induced Nephropathy

This month’s question concerns patients with an acute kidney injury requiring a contrast CT scan. How do you judge the risk-benefit ratio? Are there any pre or post scan interventions that should be performed?This month’s paper is a start to the question above. A large meta-analysis of CIN. Does it even exist?http://www.annemergmed.com/article/S0196-0644(17)30881-8/fulltextBig numbers but all … More Contrast Induced Nephropathy

February 2018 Journal Club

Hi all > Have a look at this month’s paper (https://nam01.safelinks.protection.outlook.com/?url=http%3A%2F%2Fwww.nejm.org%2Fdoi%2Ffull%2F10.1056%2FNEJMoa1705835&data=02%7C01%7C%7C756911e9384a4f9803d708d5721dda41%7C84df9e7fe9f640afb435aaaaaaaaaaaa%7C1%7C0%7C636540394902093537&sdata=3xTFesIwISny6%2FjtduQCC7FeU6SitxTs5piaaTpuZ1c%3D&reserved=0) > It follows on from the discussion at last weeks audit meeting…. > Cheers > Rob “Hi all I have to be honest I do love a good paper on steroids…… In all honesty I suspect this paper (which is a testament to the … More February 2018 Journal Club