Meta-analysis of Glucose Control

FromICU Rounds

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Meta-analysis of Glucose Control

FromICU Rounds

ratings:

Length:

22 minutes

Released:

Nov 17, 2008

Format:

Podcast episode

Description

Tight glucose control has been widely introduced into critical care.
This meta-analysis, recently published in JAMA, critically evaluates
the effects of these trials in reduction of sepsis as well as
mortality. The results might surprise you.

Released:

Nov 17, 2008

Format:

Podcast episode

Titles in the series (97)

also available for free download on iTunes. (http://itunes.apple.com/us/podcast/icu-rounds/id254707344)

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Intraosseous Vascular Access: not just for the kids anymore: Intraosseous vascular access was was developed for use in adult trauma patients over 80 years ago. Only recently has this technique regained popularity for rapid and safe access to the vascular space in patients in extremis. by ICU Rounds
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Sepsis - Part 2: In this episode we discuss that ICU care of the patient with sepsis. This includes an introduction to various vasopressors. by ICU Rounds
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Lightning Injuries: Lightning injuries are rare, but when you do treat a patient they can have facinating presentations. This lecture follows a patient we treated at Vanderbilt. The patient present to a local ED with stroke like symptoms... by ICU Rounds
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Bomb and Blast Injuries: Bomb and blast injuries: In the past blast injuries were limited to the battlefield of a rare industrial accident. The events of the past week are a reminder that civilian population centers are targets for bombing attacks. ... by ICU Rounds
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Smoke Inhalation Injury: CO and Cyanide Toxicity: The onset of cold weather will bring with it an increase in structure fires. The leading cause of deaths in fires is complications from the inhalation of smoke-- not burns. Learn why smoke is so deadly as well as what are the appropriate... by ICU Rounds
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Early Surgery Improves Outcomes Following Critical Burns: Early surgical excision is likely to be the most significant individual variable to imporve the outcome of a patient (adult or child) with a critical burn. Nevertheless, many nonburn physicians still want to apply to 1970 treatment paradigms to... by ICU Rounds
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Glutamine In Critical Illness: what's all the fuss about?: All surgical residents know that glutamine is the amino acid known as the fuel for the gut. But what is all the fuss about? The episode will look at the data on glutamine. Does glutamine improve outcomes, and if so and in... by ICU Rounds
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Antibiotic Considerations in the ICU: Why do we choose the antibiotics that we do? How long do we continue the course of therapy? Should we use some antibiotics together? These topics are covered in the episode. by ICU Rounds
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HIT: Heparin Induced Thrombocytopenia: Large numbers of patients in ICUs are on heparin and what is this complication of heparin induced thrombocytopenia? by ICU Rounds
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Airway Pressure Release Ventilation (APRV) or BiVent: What the heck is this?: Airway pressure release ventilation (APRV) is not a new mode of mechanical ventilation, but it seems to be gaining a great deal of popularity lately. Many people find this mode very complicated and thick that it is reserved only for the very... by ICU Rounds
23 min listen
Pediatric Burns: Pediatric burns: all burns are serious, both big and small. This episode reviews the objectives of burn care to result in the best functional outcome. Also, burn is a very common method of child abuse and we detail how these children... by ICU Rounds
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Blood Conservation in the ICU: When should a patient receive a transfuse of blood? What is an acceptable hemoglobin concentration in an ICU patient and should we use EPO? Summer is a time when the blood banks often have a single day's worth of blood. Perhaps with... by ICU Rounds
28 min listen
Extremity Compartment Syndrome: A limb-threatening complication that might be overlooked by the inexperienced provider. by ICU Rounds
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Metabolism: Starvation versus Stress: Not feeding an injured or ill patient is not that same as a normal individual who is fasting. A pound of weight loss in the stress patient is significantly different than a pound of weight loss in someone on a diet. A basic... by ICU Rounds
29 min listen
PAIN: a four letter word: The management of pain is a key element of the care of all patients-- ICU or not. Often providers have little understanding of the concepts and medications of pain management. This episode serves as an introduction. by ICU Rounds
40 min listen
Control of hyperglycemia improves outcomes: A great deal is being presented and published on control of blood sugar in the ICU as well as the postoperative period. How much control is enough and what is the data? by ICU Rounds
34 min listen
Atrial Fibrillation: Atrial fibrillation is a common problem in ICU patients, but it is a problem with many potential causes, and not always a well defined treatment. by ICU Rounds
39 min listen
Ventilator Update: avoiding shear trauma: In regards to ventilator care, all the focus has been on low tidal volume and level of peak inspiratory pressure. What level of PEEP shoud we be using to avoid shear trauma and ventilatory induced lung injury. by ICU Rounds
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Acute RenalFailure: Acute renal failure is a dreaded complication in the ICU. This podcast will review the various types of acute renal failure, the etiology, as well as acute management. by ICU Rounds
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Sepsis - Part 1: Sepsis is a common cause of death in the intensive care unit. In this episode I present some of the statistics on septic deaths, introduce the definitions, and present the basic science. Part 2 will cover fluid and drug therapy for septic... by ICU Rounds
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Renal Replacement Therapy: SCUF, SLED, CVVH, CVVHD, IHD--what does it all mean: Renal replacement therapy (RRT) is rather a confusing topic. What do all those initials mean and why use one therapy over another? This podcast will explain the difference between intermittent and continous. What are the... by ICU Rounds
32 min listen
Metabolic Acidosis in the ICU: A common problem in the ill or injured patient is a metabolic acidosis. In this episode we will review the common etiology of a metabolic acidosis as well as some lesser known causes. by ICU Rounds
37 min listen

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Discover this podcast and so much more

Meta-analysis of Glucose Control

Meta-analysis of Glucose Control

Description

Titles in the series (97)

More Episodes from ICU Rounds