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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.
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.
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.
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.
Perkins et al (N Engl J Med. 2018;379:711-721) set out to examine the effects of epinephrine during OHCA.
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.
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.
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
Does extracorporeal cardiopulmonary resuscitation (eCPR) improve survival rates? This Concise Critical Appraisal reviews a study that sought to determine whether patients who received eCPR after out-of-hospital cardiac arrest had a favorable neurologic outcome at 30 days compared to those who received conventional CPR.
Independence Day is supposed to be a day of celebration, but for Cooper Roberts and Ian Azeredo, it was life changing. If it were not for their respective critical care teams, it would have been life ending. Today, both Cooper and Ian are alive and doing well with the help of their care teams, family, and fighting spirit. They are all the recipients of the Society of Critical Care Medicine’s (SCCM) ICU Heroes Award, which recognizes an ICU patient and family and the multidisciplinary team that delivered the care.
Does adding mechanical circulatory support to extracorporeal membrane oxygenation (ECMO) lead to better outcomes than ECMO alone? This Concise Critical Appraisal reviews a recent meta-analysis that compares ECMO with mechanical circulatory support to ECMO alone to determine whether one group had decreased mortality and increased likelihood of good neurologic outcomes.
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.
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.
From Critical Care Explorations The authors describe outcomes after cardiopulmonary resuscitation for in-hospital cardiac arrest in two COVID-19 patient cohorts.