Podcast 575:  Light on the Sedation

Podcast 575: Light on the Sedation

Contributor: Aaron Lessen, MD

Educational Pearls:

  • Studies have shown that patients who are under deeper sedation in the ICU have worse outcomes.
  • Recent study compared lighter vs heavier sedation of patients in the emergency department receiving mechanical ventilation
  • Patients receiving lighter sedation in the ED were often continued in the ICU
  • Patients who had lighter sedation also tended to do better, meaning less days on the ventilator, less days in the ICU, and lower mortality supporting prior observations.
  • Though purely observational, interesting suggestion that lighter sedation starting in the emergency department could have significant impact on important clinical outcomes

References

Fuller BM, Roberts BW, Mohr NM, et al. The ED-SED Study: A Multicenter, Prospective Cohort Study of Practice Patterns and Clinical Outcomes Associated With Emergency Department SEDation for Mechanically Ventilated Patients. Crit Care Med. 2019;47(11):1539‐1548. doi:10.1097/CCM.0000000000003928

Summarized by Jackson Roos, MS4 | Edited by Erik Verzemnieks, MD



Denne episoden er hentet fra en åpen RSS-feed og er ikke publisert av Podme. Den kan derfor inneholde annonser.

Episoder(1172)

Podcast 1017: CPR Hand Placement

Podcast 1017: CPR Hand Placement

Contributor: Taylor Lynch, MD Educational Pearls:  CPR is an important life-saving measure designed for anyone to perform. Chest compressions works by two mechanisms:  Cardiac pump: Direct squ...

17 Aug 2min

Podcast 1016: Hypokalemia

Podcast 1016: Hypokalemia

Contributor: Meghan Hurley, MD Educational Pearls: What is hypokalemia? Hypokalemia is when the measured blood level of potassium falls below 3.5 mEq/L (normal 3.5 - 5.2 mEq/L).  Can generally be ...

10 Aug 6min

Podcast 1015: Calcium in Hyperkalemia

Podcast 1015: Calcium in Hyperkalemia

Contributor: Meghan Hurley, MD Educational Pearls: What is hyperkalemia? Hyperkalemia is when the measured blood level of potassium reaches above 5.2 - 5.5 mEq/L (normal 3.5 - 5.2 mEq/L).  What ar...

3 Aug 7min

Podcast 1014: Eating and Drinking on Shift

Podcast 1014: Eating and Drinking on Shift

Contributor; Aaron Lessen, MD Educational Pearls: A 2026 survey asked Canadian emergency medicine (EM) physicians about their eating and drinking habits while on shift. Among 527 respondents, 35%...

27 Jul 2min

Podcast 1013: Thoracotomy Indications

Podcast 1013: Thoracotomy Indications

Contributor; Taylor Lynch, MD Educational Pearls: Thoracotomy  Thoracotomy is used in traumatic cardiac arrest to replace conventional CPR with direct access to the chest. Goals include identif...

20 Jul 3min

Podcast 1012: Meth Sedation

Podcast 1012: Meth Sedation

Contributor: Aaron Lessen, MD Educational Pearls:    Agitated patients who are intoxicated with methamphetamine pose a unique challenge when selecting a sedative to counter their symptoms. Is there ...

13 Jul 1min

Podcast 1011: Creepy Crawlies

Podcast 1011: Creepy Crawlies

Contributor: Meghan Hurley, MD Educational Pearls: What animal is the most lethal to humans?  Depending on how we define lethal, and animal, this answer is actually not straight forward.  Globall...

6 Jul 7min

Podcast 1010: First Pass Intubation Success

Podcast 1010: First Pass Intubation Success

Contributor: Travis Barlock, MD Educational Pearls:   First-pass success is critical to limit complications from apnea, hypoxia, and airway trauma.  Complication rate for patients intubated on the f...

29 Jun 3min

Populært innen Vitenskap

fastlegen
tingenes-tilstand
rss-nysgjerrige-norge
romkapsel
liberal-halvtime
jss
rekommandert
rss-paradigmepodden
tomprat-med-gunnar-tjomlid
sinnsyn
villmarksliv
fjellsportpodden
smart-forklart
vett-og-vitenskap-med-gaute-einevoll
dekodet-2
rss-rekommandert
diagnose
rss-overskuddsliv
abels-tarn
kvinnehelsepodden