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Category: Resuscitation

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SCCM Pod-387 Targeted Temperature Management

Kyle B. Enfield, MD, and Sheila A. Alexander, BSN, PhD, RN, FCCM, review targeted temperature management, especially its use in treating intracerebral hemorrhage.

Dr. Alexander presented on this topic at the Society's 48th Critical Care Congress. Dr. Alexander is associate professor of nursing and critical care medicine at the University of Pittsburgh in Pittsburgh, Pennsylvania, USA.

This podcast is sponsored by Philips and Masimo.

SCCM Pod-174: Damage Control Resuscitation

Bryan A. Cotton, MD, MPH, discusses damage control resuscitation with new iCritical Care Podcast editor Jeffrey Guy, MD, MSc, MMHC. Cotton, who presented on this topic during the 41st Critical Care Congress, is an associate professor of surgery at The University of Texas Health Sciences Center in Houston, Texas, USA.

Concise Critical Appraisal: Effect of a Resuscitation Strategy Targeting Peripheral Perfusion Status

Hernández et al (JAMA. 2019;321:654-664) set out to address that question with a multicenter randomized trial in which they compared two resuscitative targets: the normalization of blood lactate and the normalization of peripheral perfusion as quantified by capillary refill time.

SCCM Pod-364 Characterization of Pediatric In-Hospital CPR Quality Metrics

Margaret Parker, MD, MCCM, speaks with Dana E. Niles, MS, about the article “Characterization of Pediatric In-Hospital Cardiopulmonary Resuscitation Quality Metrics Across an International Resuscitation Collaborative,” published in the May 2018 issue of Pediatric Critical Care Medicine. Dr. Niles discusses study findings regarding American Heart Association guidelines compliance and the landscape of pediatric in-hospital cardiac arrest chest compression quality metrics across an international pediatric resuscitation collaborative. Dr. Niles is the Research Program Manager at the Center for Simulation, Advanced Education and Innovation at the Children’s Hospital of Philadelphia in Philadelphia, Pennsylvania, and the Program Director for the Pediatric Resuscitation Quality Collaborative. Ped Crit Care Med. 2018; 19(5):421-432. Released: 7/5/18

Concise Critical Appraisal: Ultra-Low Tidal Volume Ventilation During CPR

Ruemmler et al (Resuscitation. 2018;132:56-62) set out to compare intermittent positive pressure ventilation to passive oxygenation (continuous positive airway pressure) and a novel ultra-low tidal volume ventilation (ULTVV) regimen.

Concise Critical Appraisal: Epinephrine in Out-of-Hospital Cardiac Arrest

Perkins et al (N Engl J Med. 2018;379:711-721) set out to examine the effects of epinephrine during OHCA.

Concise Critical Appraisal: Moderate Therapeutic Hypothermia in Patients with Nonshockable Rhythms

Lascarrou et al (N Engl J Med. 2019. Epub ahead of print) set out to test the effectiveness of moderate therapeutic hypothermia (MTH) in patients with nonshockable rhythms.

Concise Critical Appraisal: Is CPR Futile for COVID-19 Patients?

Is cardiopulmonary resuscitation (CPR) futile in hospitalized patients with COVID-19 experiencing cardiac arrest? A study recently published in Critical Care Medicine sought to answer this question and provide more data around outcomes of in-hospital cardiac arrest in patients with COVID-19.

Presence of Spontaneous Echo Contrast on Point-of-Care Vascular Ultrasound and the Development of Major Clotting Events in Coronavirus Disease 2019 Patients

From Critical Care Explorations. In this study, the authors assessed for the prevalence and consequences of spontaneous echo contrast on point-of-care vascular ultrasound in coronavirus disease 2019.

An 18-Year-Old Survivor With a Body Mass Index of 73.9 kg/m2 on Venovenous Extracorporeal Membrane Oxygenation for Coronavirus Disease 2019: A Collaborative Multidisciplinary Effort

From Critical Care Explorations. In this case report, the authors describe a case of acute respiratory distress syndrome secondary to coronavirus disease 2019 infection in setting of super morbid obesity (body mass index 73.9 kg/m2) with the successful use of extracorporeal membrane oxygenation.

In COVID-19 Patients Who Suffer In-Hospital Cardiac Arrest, Cardiopulmonary Resuscitation Outcomes May Be Impacted by Arrest Etiology and Local Pandemic Conditions

From Critical Care Explorations The authors describe outcomes after cardiopulmonary resuscitation for in-hospital cardiac arrest in two COVID-19 patient cohorts.