Research and Reviews in the Fastlane 114

This article reviews techniques, indications, contraindications and complications of VV and VA ECMO. A literature review of ECMO in poisoned patients is also included. Recommended by: Meghan Spyres Critical CareMadhuri S. Kurdi et al. Ketamine: Current applications in anesthesia, pain, and critical care. Anesth Essays Res 2014; 8(3): 283–290.  PMID: 25886322 A nice review article on the use of ketamine in the field of anesthesia, pain, palliative care, intensive care and procedural sedation. Based on at quite extensive literature search this paper highlights Ketamine’s current evidence based use as well as newer clinical applications. For instance a ketamine gargle attenuates postoperative sore throat! Recommended by: Søren Rudolph Resuscitation Schmittinger CA et al. Adverse cardiac events during catecholamine vasopressor therapy: a prospective observational study. Intensive Care Med 2012; 38:950-8. PMID: 22527060 What’s old is new again. There was a long of discussion around papers showing that patients who got more vigorous fluid resuscitations were more likely to die. Particularly in light of the ARISE / ProMISe/ ProCESS trilogy, this could be interpreted as showing that fluid resuscitation is bad, and we should instead use pressors. So I was fascinated when I came across this slightly old article. They looked 112 patients in a SICU on pressors. They carefully counted adverse events. Using exactly the same sort of analyses that have been purpor...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Education Neurosurgery Respiratory Resuscitation Trauma Emergency Medicine Intensive Care R&R in the FASTLANE critical care examination LITFL R/V research and reviews recommendations Source Type: blogs