Useful series from the Pacific North West, main questions:
-Why four patients who had a do-not-resuscitate order on admission were included in the dead and, ultimately, why been admitted in an ITU/ICU setting?
-How come no sputum samples from nine fatalities were ever sent for bacterial culture in an ITU/ICU setting?
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Ventilator
March 25, 2020
A thoughtful commentary about the need for a triage committee to determine the optimal allocation of ventilators in a time of competing needs, and how these determinations are best communicated to caregivers and families.
March 24, 2020
A succinct comment with a wealth of up-to-date references vis-a-vis the SARS-CoV-2 pandemic.
March 20, 2020
Interesting input from a Stanford expert on the hottest topic on the planet at the moment.
March 18, 2020
The authors describe a thoughtful process for resource utilization in the setting of competing needs that optimizes survival for a popultion. Examples of existing guidelines are provided.
December 4, 2019
Cohort study from the UK, fuelling the escalating debate on blood management in perioperative cardiovascular care.
October 30, 2019
A balanced appraisal of last year's manuscript from the Lancet Group on a relatively novel portable Organ Care System for donor lungs. The analysis of the technical complications, especially organ damage from overenthusiastic revving of the pump, is particularly sobering.
October 14, 2019
A narrative review offering an intensivists' viewpoint on specific cardiovascular sequela of double-lumen anaesthesia for pulmonary resections (and by extension, implantation of donor lungs) and other cardiothoracic and vascular operations.
August 21, 2019
An interesting discussion in this manuscript of a case-control study of 666 subjects.
February 20, 2019
Flynn and colleagues evaluated their center’s implementation of a protocol for extubation within six hours after cardiac surgery, focusing on the rate of adverse events before and after protocol implementation particularly for those patients at highest surgical risk.