Given the development of ED-ICUs and the ever increasing boarding of critically ill patients in the ED, extubation in the ED has become a more common practice. Selecting the appropriate patient and following a practical, organized approach is paramount to safely and successfully performing this procedure. In this podcast, we discuss the pearls and pitfalls of ED Extubation. Simply an outstanding discussion that you can’t miss!
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Etomidate and ketamine are frequently used for RSI in critically ill patients. Recent articles have raised concern about an increased incidence of post-intubation hypotension in patients who receive ketamine for RSI. Notwithstanding, is either agent superior for RSI in the critically ill? In this podcast we discuss the recently published EvK trial, which evaluated etomidate and ketamine for RSI in emergency endotracheal intubations. Download Companion HandoutDownload You can get CME credit for this episode hereClick here for CME Account Creation Instructions ...
Untreated pain, anxiety, and agitation have both short- and long-term consequences for our critically ill patients. More importantly, it is well-known that patients remember the pain experienced during their critical illness. New guidelines for the assessment and management of pain, agitation, delirium, immobility, and sleep were just published. In this podcast, we review the latest guideline and discuss pearls and pitfalls of analgesia and sedation in the critically ill. Companion Handout MaterialDownload You can get CME credit for this episode here! Click here for CME Account Creation Instructions ...
Current guidelines for many critical illnesses recommend targeting a MAP of 65 mm Hg, with consideration of higher MAPs in older patients with chronic HTN. Recent literature, however, suggests increased mortality in older patients who are exposed to larger quantities of vasopressor medications. In this podcast, we do a deep dive into the recently published 65 Trial, which sought to evaluate the effect of permissive hypotension in older patients with vasodilatory hypotension. Download Companion HandoutDownload You can get CME credit for this episode here!Click here for CME Account Creation Instructions ...
