Critical Care Alert – October 1, 2018

October 1, 2018

• A Novel Prediction Tool for Hypoxemia During ICU Intubation

  The authors of this retrospective analysis of data from two prospective randomized trials of tracheal intubation created a new risk score calculator to identify patients who may develop severe hypoxemia during this procedure.

  Read more about A Novel Prediction Tool for Hypoxemia During ICU Intubation - Critical Care Alert – October 1, 2018

• Should We Use Early Physical Therapy for Respiratory Muscles?

  Mechanically ventilated patients undergoing inspiratory muscle training demonstrated significant increases in both maximum inspiratory and expiratory muscle pressures; the training was associated with reduced weaning duration of 2.3 days.

  Read more about Should We Use Early Physical Therapy for Respiratory Muscles? - Critical Care Alert – October 1, 2018

• Severe Sepsis and Septic Shock Early Management Bundle

  When the Severe Sepsis and Septic Shock Early Management Bundle was used to identify patients with severe sepsis or patients in septic shock, delays in lactate measurements for patients with abnormal lactate levels were associated with delayed initiation of antibiotic therapy and increased mortality.

  Read more about Severe Sepsis and Septic Shock Early Management Bundle - Critical Care Alert – October 1, 2018

• Metabolic Acidosis in the ICU

  Sodium bicarbonate therapy for severe metabolic acidemia did not affect a primary composite outcome of all-cause mortality at 28 days and at least one organ failure at day 7. However, in an a priori-defined stratum of patients with acute kidney injury, sodium bicarbonate therapy decreased 28-day mortality and the primary outcome.

  Read more about Metabolic Acidosis in the ICU - Critical Care Alert – October 1, 2018