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Category: Resuscitation

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Concise Critical Appraisal: Effect of a Resuscitation Strategy Targeting Peripheral Perfusion Status

Hernández et al (JAMA. 2019;321:654-664) set out to address that question with a multicenter randomized trial in which they compared two resuscitative targets: the normalization of blood lactate and the normalization of peripheral perfusion as quantified by capillary refill time.

SCCM Pod-387 Targeted Temperature Management

Kyle B. Enfield, MD, and Sheila A. Alexander, BSN, PhD, RN, FCCM, review targeted temperature management, especially its use in treating intracerebral hemorrhage.

Dr. Alexander presented on this topic at the Society's 48th Critical Care Congress. Dr. Alexander is associate professor of nursing and critical care medicine at the University of Pittsburgh in Pittsburgh, Pennsylvania, USA.

This podcast is sponsored by Philips and Masimo.

SCCM Pod-174: Damage Control Resuscitation

Bryan A. Cotton, MD, MPH, discusses damage control resuscitation with new iCritical Care Podcast editor Jeffrey Guy, MD, MSc, MMHC. Cotton, who presented on this topic during the 41st Critical Care Congress, is an associate professor of surgery at The University of Texas Health Sciences Center in Houston, Texas, USA.

Concise Critical Appraisal: Ultra-Low Tidal Volume Ventilation During CPR

Ruemmler et al (Resuscitation. 2018;132:56-62) set out to compare intermittent positive pressure ventilation to passive oxygenation (continuous positive airway pressure) and a novel ultra-low tidal volume ventilation (ULTVV) regimen.

Concise Critical Appraisal: Epinephrine in Out-of-Hospital Cardiac Arrest

Perkins et al (N Engl J Med. 2018;379:711-721) set out to examine the effects of epinephrine during OHCA.

Concise Critical Appraisal: Moderate Therapeutic Hypothermia in Patients with Nonshockable Rhythms

Lascarrou et al (N Engl J Med. 2019. Epub ahead of print) set out to test the effectiveness of moderate therapeutic hypothermia (MTH) in patients with nonshockable rhythms.

Concise Critical Appraisal: Is CPR Futile for COVID-19 Patients?

Is cardiopulmonary resuscitation (CPR) futile in hospitalized patients with COVID-19 experiencing cardiac arrest? A study recently published in Critical Care Medicine sought to answer this question and provide more data around outcomes of in-hospital cardiac arrest in patients with COVID-19.

SCCM Pod-364 Characterization of Pediatric In-Hospital CPR Quality Metrics

Margaret Parker, MD, MCCM, speaks with Dana E. Niles, MS, about the article “Characterization of Pediatric In-Hospital Cardiopulmonary Resuscitation Quality Metrics Across an International Resuscitation Collaborative,” published in the May 2018 issue of Pediatric Critical Care Medicine. Dr. Niles discusses study findings regarding American Heart Association guidelines compliance and the landscape of pediatric in-hospital cardiac arrest chest compression quality metrics across an international pediatric resuscitation collaborative. Dr. Niles is the Research Program Manager at the Center for Simulation, Advanced Education and Innovation at the Children’s Hospital of Philadelphia in Philadelphia, Pennsylvania, and the Program Director for the Pediatric Resuscitation Quality Collaborative. Ped Crit Care Med. 2018; 19(5):421-432. Released: 7/5/18

Presence of Spontaneous Echo Contrast on Point-of-Care Vascular Ultrasound and the Development of Major Clotting Events in Coronavirus Disease 2019 Patients

From Critical Care Explorations. In this study, the authors assessed for the prevalence and consequences of spontaneous echo contrast on point-of-care vascular ultrasound in coronavirus disease 2019.

An 18-Year-Old Survivor With a Body Mass Index of 73.9 kg/m2 on Venovenous Extracorporeal Membrane Oxygenation for Coronavirus Disease 2019: A Collaborative Multidisciplinary Effort

From Critical Care Explorations. In this case report, the authors describe a case of acute respiratory distress syndrome secondary to coronavirus disease 2019 infection in setting of super morbid obesity (body mass index 73.9 kg/m2) with the successful use of extracorporeal membrane oxygenation.

In COVID-19 Patients Who Suffer In-Hospital Cardiac Arrest, Cardiopulmonary Resuscitation Outcomes May Be Impacted by Arrest Etiology and Local Pandemic Conditions

From Critical Care Explorations The authors describe outcomes after cardiopulmonary resuscitation for in-hospital cardiac arrest in two COVID-19 patient cohorts.

2024 ICU Heroes Award Winners

Independence Day is supposed to be a day of celebration, but for Cooper Roberts and Ian Azeredo, it was life changing. If it were not for their respective critical care teams, it would have been life ending. Today, both Cooper and Ian are alive and doing well with the help of their care teams, family, and fighting spirit. They are all the recipients of the Society of Critical Care Medicine’s (SCCM) ICU Heroes Award, which recognizes an ICU patient and family and the multidisciplinary team that delivered the care.

Extracorporeal Cardiopulmonary Resuscitation for Cardiac Arrest

Does extracorporeal cardiopulmonary resuscitation (eCPR) improve survival rates? This Concise Critical Appraisal reviews a study that sought to determine whether patients who received eCPR after out-of-hospital cardiac arrest had a favorable neurologic outcome at 30 days compared to those who received conventional CPR.

SCCM Pod-267 Short and Long-Term Outcome in Elderly Patients After Out-of-Hospital Cardiac Arrest: A Cohort Study

Todd Fraser, MD, speaks with David Grimaldi, MD, PhD, about the article, "Short- and Long-term Outcome in Elderly Patients After Out-of-Hospital Cardiac Arrest: A Cohort Study," published in Critical Care Medicine. Dr. Grimaldi is a Senior ICU Physician at the Hospital of Versailles in France. In this article, Dr. Grimaldi and coauthors discuss their retrospective cohort study which focused on identifying factors associated with short and long-term neurological outcome in elderly patients successfully resuscitated after out-of-hospital cardiac arrest.

Mechanical Circulatory Support With ECPR

Does adding mechanical circulatory support to extracorporeal membrane oxygenation (ECMO) lead to better outcomes than ECMO alone? This Concise Critical Appraisal reviews a recent meta-analysis that compares ECMO with mechanical circulatory support to ECMO alone to determine whether one group had decreased mortality and increased likelihood of good neurologic outcomes.

SCCM Pod-516: Bedside Practices in Hemodynamic Management

While advanced monitoring technology can provide valuable information, the importance of clinical judgment and examination should not be minimized. Host Ludwig H. Lin, MD, is joined by Maurizio Cecconi, MD, to discuss the integration of clinical judgment with technology when assessing hemodynamic instability and shock. They emphasize the importance of fluid challenges tailored to individual patient characteristics, along with standardized approaches. Dr. Cecconi explores the role of big data and artificial intelligence (AI) in treatment refinement and advocates for global access to care. He highlights fluid responsiveness dynamics and the interaction between fluids and vasopressors, urging a cautious approach to fluid administration due to its drug-like effects. 

Dr. Cecconi is an anesthesiologist and intensive care specialist and chair of the Department of Anesthesia and Intensive Care at Humanitas Research Hospital and University in Milan, Italy. This podcast is sponsored by Baxter Healthcare.