Research and Reviews in the Fastlane 139

This study is a reanalysis of the data, attempting to identify the threshold where the benefit in functionality is produced, using ranges of <160, 160–169, 170–179, 180–189, and ≥190 mm Hg. The outcome was Rankin Scale at 90 days. Although the ranges proposed by the authors only include a <160 as the lowest, the linear analysis of SBP and Rankin Score shows a direct correlation going as low as 130-139mmHg, therefore the authors conclude that 130-139mmHg for SBP is the optimal range for management of patients with ICH. The study is a post-hoc analysis of a previous large study (open and unblinded) making no claims about mortality but showing a consistent effect of better functional outcomes if the pressure is managed closer to SBP of 130-139mmHg. Recommended by Daniel Cabrera The Best of the Rest Pediatrics Green SM et al. Sick Kids Look Sick. Ann Emerg Med 2014. PMID 25536869 Nice editorial on missing the sick child. – take home message: sick kids look sick and the authors reassures us that careful examination and trust in ones clinical judgment is still the best approach. Recommended by Soren Rudolph Surgery, Critical Care, respiratory Tyson AF et al. The Effect of Incentive Spirometry on Postoperative Pulmonary Function Following Laparotomy: A Randomized Clinical Trial. JAMA Surg 2015. PMID 25607594 A single centre randomised clinical trial from Malawi with 150 patients randomised in total. As suspected incentive spirometry for unmonitored...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Clinical Research Education Emergency Medicine R&R in the FASTLANE Resuscitation Trauma Clinical Case critical care research and reviews Source Type: blogs