SCCM Pod-457 CCM: Increased incidence of ventilator-acquired pneumonia in COVID-19 patients
While little is known about the epidemiology of ventilator-acquired pneumonia among COVID-19 patients, some studies suggest a higher risk of ventilator-associated pneumonia in this specific population. Ashish K. Khanna, MD, FCCP, FCCM, is joined by Charles-Hervé Vacheron, MD, to discuss the Cohort exposed/nonexposed study among the REA-REZO surveillance network.
SCCM Pod-456 PCCM: Effects of Excessive Oxygen Supplementation
This podcast will examine a retrospective, observational cohort study that found an association between excessive oxygen supplementation in the first day of mechanical ventilation with multiple organ dysfunction syndrome on day 7 of admission and in-hospital mortality in critically ill children. Host Elizabeth H. Mack, MD, MS, FCCM, is joined by L. Nelson Sanchez-Pinto, MD, MBI, to discuss the study’s findings.
Critical Care,
Hospital Mortality,
Hyperoxia,
Mechanical Ventilation,
Organ Dysfunction,
Pediatrics
CMS Rule Changes for Critical Care Services in 2022
This article was first published in the Winter 2022 issue of Critical Connections. The Centers for Medicare and Medicaid Services 2022 Medicare Physician Fee Schedule has been released, with many changes. One important change involves guidelines for critical care services and split/shared visits in the facility setting.
Optimizing Smart Infusion Pumps
This article was first published in the Winter 2022 issue of Critical Connections. Errors associated with administration of IV medications are a primary safety concern for hospitals. Many medication errors can be prevented via safe medication practices, including the use of smart infusion pumps.
Leading by Example
Profiling leaders and organizations working to combat health disparities and establish trust in the communities they serve.This article was first published in the Winter 2022 issue of Critical Connections. In populations hardest hit by COVID-19, innovative healthcare and community professionals created paradigm shifts to battle healthcare access limitations, distrust of the healthcare system, and healthcare literacy disparities in the new age of physical distancing. Here we identify some best practices and examples of organizations and healthcare leaders working to mitigate barriers to quality care for racial and ethnic minorities.
Healthcare Delivery
Choosing Wisely® For Critical Care Daily Care Rounding Checklist
The goal of the Society of Critical Care Medicine’s (SCCM) Choosing Wisely® daily care rounding checklist is to provide a structured approach to maximize integration of evidence-based practices, avoid waste, and deliver safe, high-value critical care. Consideration should be given to the patient’s clinical status and acuity level when considering each recommendation for implementation that day. Other interventions based on local protocols and ICU type can be added to this list.
Administration,
Choosing Wisely,
Quality Measures
SCCM Pod-454 PCCM: PANDEM Guidelines
The PANDEM guidelines evaluate current practices and provide recommendations for management of pain, agitation, iatrogenic withdrawal, neuromuscular blockade, delirium, ICU environment, and early mobility in critically ill infants and children. Host Margaret M. Parker, MD, MCCM, is joined by Heidi A. B. Smith, MD, MSCI, FAAP, to discuss the guidelines.
Agitation,
Analgesia,
Coma,
Critical Care,
Delirium,
Guidelines,
Intensive Care,
Neuromuscular Blockade,
Outcomes,
Pain,
Pediatric Critical Care Medicine,
Pediatrics,
Protocols,
Sedation
PADIS Guidelines Teaching Slides: Pain
These teaching slides address implementing the 2018 Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU, known as the PADIS Guidelines. This presentation addresses implementing the portion of the guidelines related to pain.
ICU Liberation Bundle (A-F),
PADIS Guidelines
PADIS Guidelines Teaching Slides: Sedation
These teaching slides address implementing the 2018 Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU, known as the PADIS Guidelines. This presentation addresses implementing the portion of the guidelines related to sedation.
ICU Liberation Bundle (A-F),
PADIS Guidelines
PADIS Guidelines Teaching Slides: Delirium
These teaching slides address implementing the 2018 Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU, known as the PADIS Guidelines. This presentation addresses implementing the portion of the guidelines related to delirium.
ICU Liberation Bundle (A-F),
PADIS Guidelines
PADIS Guidelines Teaching Slides: Sleep
These teaching slides address implementing the 2018 Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU, known as the PADIS Guidelines. This presentation addresses implementing the portion of the guidelines related to sleep.
ICU Liberation Bundle (A-F),
PADIS Guidelines
SCCM Pod-368 Achieving Fluid Balance
Kyle Enfield, MD, speaks with Colin K. Grissom, MD, FCCM, and Matthew W. Semler, MD, about fluid management in the critically ill. Dr. Grissom presented his talk, entitled “Achieving Fluid Balance,” at the 47th Critical Care Congress in San Antonio, Texas.
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