The Doctor's Channel - Critical Care

Blood Glucose Monitoring in the Peri-Operative Period in Heart Surgery

2008-05-13T18:32:44-04:00

John Kratz, MD, Professor, Department of Surgery, Medical University of South Carolina, discusses blood glucose monitoring in the peri-operative period in heart surgery.

References and Resources
Hovorka R, Kremen J, Blaha J, et al. Blood glucose control by a model predictive control algorithm with variable sampling rate versus a routine glucose management protocol in cardiac surgery patients: a randomized controlled trial. J Clin Endocrinol Metab. 2007 Aug;92(8):2960-4.

Kersten JR, Warltier DC, Pagel PS. Aggressive control of intraoperative blood glucose concentration: a shifting paradigm? Anesthesiology. 2005 Oct;103(4):677-8.

Pennell L, Smith-Snyder CM, Hudson LR, Hamar GB, Westerfield J. Practice changes in glycemic management and outcomes in coronary artery bypass surgery patients. J Cardiovasc Nurs. 2005 Jan-Feb;20(1):26-34.

For more information on this physician visit:
John M. Kratz, M.D.

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Increased Mortality In Patients With Stent Graft Implant

2008-03-28T13:45:30-04:00

According to the FDA, mortality was substantially higher in patients who had an AneuRx Stent Graft implanted to prevent abdominal aortic aneurysm rupture than in patients who had a surgical repair.

References and Resources
Updated Data on Mortality Associated with the Medtronic AneuRx® Stent Graft System

Views: 2075
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Low-Dose Vasopressin Does Not Reduce Septic Shock Mortality

2008-03-06T14:14:27-05:00

Septic shock mortality was not reduced with low-dose vasopressin when used as an adjunct to conventional catecholamine vasopressors, according to a randomized controlled trial.

References and Resources
Parrillo JE. Septic shock -- vasopressin, norepinephrine, and urgency. N Engl J Med 2008; 358: 954-56.

Views: 1169
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Recall of Heparin Sodium Injection and Heparin Lock Flush Solution

2008-02-29T16:14:52-05:00

The FDA has issued an update to inform the public that Baxter Healthcare Corporation has extended its recall of multi-dose vials of heparin sodium for injection to also include single-dose vials of heparin sodium for injection.

References and Resources
FDA Public Health Update
Recall of Heparin Sodium Injection and Heparin Lock Flush Solution (Baxter)

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Emergency Response System Aboard CUNARD - Queen Mary 2

2008-02-29T16:05:36-05:00

Farouk Parker, MD, Chief Medical Officer, CUNARD, Queen Mary 2, discusses the Emergency Response System aboard the Queen Mary 2.

CUNARD-Queen Mary 2

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Management of Closed Head Injuries

2008-02-22T16:27:06-05:00

James P. Moises, MD, Assistant Clinical Professor of Surgery, Department of Emergency Medicine, Clerkship Director of Emergency Medicine, Tulane University Hospital and Clinic, discusses the management for closed head injuries.

References and Resources
Heegaard W, Biros M. Traumatic brain injury. Emerg Med Clin North Am. 2007 Aug;25(3):655-78, viii. Review.

De Souza M, Moncure M, Lansford T, et al. Nonoperative management of epidural hematomas and subdural hematomas: is it safe in lesions measuring one centimeter or less? J Trauma. 2007 Aug;63(2):370-2.

Schnadower D, Vazquez H, Lee J, Dayan P, Roskind CG. Controversies in the evaluation and management of minor blunt head trauma in children. Curr Opin Pediatr. 2007 Jun;19(3):258-64. Review.

James Moises Videos on The Doctor’s Channel:
Tales From the ER
Status of Current Pediatric Emergency Care
Agitated Patients in the ER

Views: 1376
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Heparin Prophylaxis Using Low-molecular-weight heparin

2008-02-14T11:28:32-05:00

Gilbert E. D'Alonzo, MD, Professor of Medicine, Temple University School of Medicine, discusses heparin prophylaxis.

References and Resources
Chibbaro S, Tacconi L. Safety of deep venous thrombosis prophylaxis with low-molecular-weight heparin in brain surgery. Prospective study on 746 patients. 2008 Feb. Surg Neurol.

Bani-Hani M, Al-Khaffaf H, Titi M, Jaradat I. Interventions for preventing venous thromboembolism following abdominal aortic surgery. Cochrane Database Syst Rev. 2008 Jan 23;(1):CD005509.

Kanaan AO, Silva MA, Donovan JL, Roy T, Al-Homsi AS. Meta-analysis of venous thromboembolism prophylaxis in medically Ill patients. Clin Ther. 2007 Nov; 29(11):2395-405.

Gilbert D'Alonzo Videos on The Doctor’s Channel:
DVT/PE Prophylaxis

Views: 4621
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Status of Current Pediatric Emergency Care

2008-02-12T17:10:53-05:00

James P. Moises, MD, Assistant Clinical Professor of Surgery, Department of Emergency Medicine, Clerkship Director of Emergency Medicine, Tulane University Hospital and Clinic, discusses pediatric emergency care.

References and Resources
Emergency Medical Services for Children

James Moises Videos on The Doctor’s Channel:
Tales From the ER
Agitated Patients in the ER
Management of Closed Head Injuries

Views: 3600
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Tales From the Emergency Room

2008-02-12T16:57:31-05:00

James P. Moises, MD, Assistant Clinical Professor of Surgery, Department of Emergency Medicine, Clerkship Director of Emergency Medicine, Tulane University Hospital and Clinic, discusses his experiences working in the ER.

James Moises Videos on The Doctor’s Channel:
Agitated Patients in the ER
Pediatric Emergency Care
Management of Closed Head Injuries

Views: 1209
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Idraparinux and Excess Bleeding

2008-01-30T15:33:29-05:00

This video discusses how significant excess bleeding halted a trial of idraparinux for stroke prevention in patients with atrial fibrillation.

References and Resources
The Amadeus Investigators. Comparison of idraparinux with vitamin K antagonists for prevention of thromboembolism in patients with atrial fibrillation: a randomised, open-label, non-inferiority trial. The Lancet 2008; 371:315-321.

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