Saturday, April 30, 2016

Non cardiac surgery in patients with aortic stenosis

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Advances in perioperative management and the availability of transcutaneous techniques have improved the outlook for patients...
Friday, April 29, 2016

Arrhythmic versus asphyxial cardiac arrest

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We are comfortable thinking of cardiac arrest as one entity. That thinking is simplistic and flawed.  A recent review arti...
Tuesday, April 26, 2016

Advances in the treatment of acute liver failure

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From a review : Recent findings: As the treatment of ALF has evolved, there is an increasing recognition regarding t...
Monday, April 25, 2016

Spironolactone superior as an add on drug for resistant hypertension

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From a recently published study : Background Optimal drug treatment for patients with resistant hypertension...
Sunday, April 24, 2016

Fitness level and a fib risk: finding the sweet spot

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From a recent study : Methods CRF, as assessed by maximal oxygen uptake (VO2max) during exercise testing, wa...
Saturday, April 23, 2016

Augmented renal clearance of antibiotics in critically ill patients

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From a recent review : Highlights Augmented renal clearance (ARC) is a prevalent condition in t...
Friday, April 22, 2016

Ca-125 levels may indicate perforation in acute appendicitis

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From a recent report : Results Sixty patients with acute appendicitis were recruited prospectively in this s...
Thursday, April 21, 2016

Should you screen your patient for alpha 1?

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A recent paper, linked here , outlines the indications for screening and the reasons why. This has been a bit controversial,...
Wednesday, April 20, 2016

Joseph Alpert on graduate medical education

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Dr. Alpert, Editor-in-Chief of the American Journal of Medicine, has written two articles [ 1 ] [ 2 ] about books he feels a...
Tuesday, April 19, 2016

A protocol for expedited rhythm control of atrial fibrillation in the ER

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From a recent paper : Methods We enrolled consecutive patients presenting to our community hospital with recent on...
Monday, April 18, 2016

Morphine in acute pulmonary edema: time for some healthy skepticism

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Morphine has long been considered part of the standard treatment for pulmonary edema. However, it has never been supported b...
Sunday, April 10, 2016

Should you hold the ACEI or ARB before cardiac catheterization to decrease the risk of renal injury?

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Probably so according to this study .
Saturday, April 09, 2016

High flow nasal cannula in patients with hypercapnia

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From a recent study : Introduction A high-flow nasal cannula (HFNC) has been used to treat patient...
2 comments:
Friday, April 08, 2016

ECMO: evidence based?

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Strictly speaking, no , although the large body of accumulated experience since the 2009 flu pandemic suggests life saving po...
Thursday, April 07, 2016

Just what is sepsis?

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It's what those in authority say it is.  Though appeal to authority is sometimes considered a logical fallacy it can be legitimate if t...

Let doctors be doctors

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Back when the EMR dogma was being shoved down our throats we were intimidated against speaking out (it sort of reminds me of ...
Wednesday, April 06, 2016

Biomarker guidance for antibiotic therapy in critical care

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Here is the latest from a review on this topic: Several randomized controlled trials (RCTs) have shown the safety a...
Tuesday, April 05, 2016

Has EBM been hijacked? Yes but not in the way John Ioannidis says it has.

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Dr. David Gorski is a surgical oncologist who writes for Science Based Medicine .  I am an enthusiastic follower of his posts there and on h...

Perioperative anticoagulant bridging in atrial fibrillation patients for procedures

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Here are some findings from a recent study in Circulation: Methods and Results—The ORBIT-AF registry is a prospecti...
Monday, April 04, 2016

Are pre-4 hour APAP levels helpful in acute overdose?

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They may be of some help, and allow for certain predictions, but do not supplant the need for a 4 hour post-ingestion level a...