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PulmCrit Wee – Loading infusion auto-titration (LIAT) for infused medications with intermediate half-lives
Let’s talk about starting patients on milrinone. Milrinone is part of a group of medications that I would regard as quasi-titratable. They have an awkward half-life of roughly ~0.5-3 hours. Other medications in this group might include diltiazem, labetalol, and perhaps nicardipine. These drugs can be given as a continuous infusion, but they’re not easy […]
EMCrit 397 – Philosophy of Arterial Lines in the ED – A Debate in Absentia
A discussion of some arterial line philosophy, accuracy, and ease of placement.
PulmCrit Wee: Michelin Chest Syndrome
I’ve seen the following sequence of events several times. I can’t prove the exact causality, but I have a strong suspicion about what is going on here. You can be the judge. clinical presentation A patient presents for management of a pleural effusion. A pigtail chest drain is inserted without difficulty or complication. The drain […]
EMCrit Wee – Some Philosophy of Surgical Airways (Crics) and What to Do When the Doom is Lower Down (Central Airway Obstruction)
Cric Thoughts, a Cric Case, and Central Airway Obstruction with @airwaycam
EMCrit 395 – Stellate Ganglion Block – Not Whether, but When?
The Stellate Ganglion Block for Electrical Storm
EMCrit 394 – CV-EMCrit – Inotrope Basics Part 2 – Specific Scenarios
Part 2 of Inotropes with Trina – we discuss specific scenarios…
EMCrit Wee (392.5) – Naughty or Nice? Bad Behavior in Healthcare with Liz Crowe, PhD
More amazing discussion with Liz Crowe
EMCrit 392 – All Things Defibrillation with Sheldon Cheskes
Nitty Gritty of All Things Defibrillation
EMCrit 391 – Pericardiocentesis and Tamponade Temporization
All things stabilizing tamponade and performing pericardiocentesis
PulmCrit: ADAPT and SCREEN trials are full of sound and fury, signifying little
I think ICU docs may have developed a bit of an RCT problem; not an addiction, but perhaps a dependency. It all started off fine at first. RCTs are the apex trial design, the only trial capable of proving causality. But we’ve taken it too far. Currently, a cluster-randomized trial is underway to study whether […]
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