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Nutrition Service Lecture on Wed Aug 1st, 2007 July 30, 2007

Posted by Dr. Birdi in : Basic Management Conference, CCF, Resources , 1 comment so far

Please attend the lecture on Nutrition to be given on Wednesday, Aug 1 in the G5’s KIVA conference room at 12 noon. This will be an excellent overview of the TPN service and an introduction to writing TPN orders in the ICU. Metabolic and caloric requirements along with daily electrolyte and mineral supplementation will be discussed. Even if you have heard it before, this should be nice way to refresh your memory. This conference is mandatory for the interns and residents rotating through the SICU rotation. However, all are welcome to attend. Please arrive early as space is limited.

SICU Journal Club Minutes (Part 3) - July 25th July 28, 2007

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Dr. Christofer Utz did an excellent review of the Critical Care Safety Study published in 2005 Critical Care Medicine. The primary objective of this study was to identify the incidence and rates of adverse events in critical care units per 1000 patient days. Dr. Utz reports the study design, methods as well as resuts and finished the presentation with a nice critique on several limitations of this study. The discussion was very engaging and raised several important questions regarding how should we truly define a medical error. The audience also questioned whether we should be reporting some of these errors at all vs. should we be reporting more than we already do today. This presentation is archived in the section of Journal Club Presentations.

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First Podcast is now LIVE! July 24, 2007

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icon for podpress  Our First Podcast!!!!!: Play Now | Play in Popup | Download (1027)

This first podcast will be an introduction to our website and its features. You will be able to
subscribe to this podcast series very soon using iTunes. The link to subscribe to the podcast
feed is on the right sidebar of the page. Be sure to check out all our future podcasts here and
stay tuned for future updates to the site. ICUniversity is already online and currently being
updated. Get enrolled and stay tuned for more updates coming soon.

SICU Journal Club on July 25th (articles available) July 23, 2007

Posted by Dr. Birdi in : Journal Club, CCF, Resources , 1 comment so far

The articles for the next journal club are linked for download below:

  1. Boyle et al. Disclosing errors and adverse events in the intensive care unit. CCM 2006
  2. Rothschild et al. The Critical Care Safety Study: The incidence and nature of adverse events and serious medical errors in intensive care. CCM 2005

Top Ten Ways to Succeed In SICU rotation!! July 22, 2007

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***Excerpt taken from SICU Handbook available for viewing and download with CCF SICU Resources.

1. Maintain your availability in the SICU

The nurses and other personnel who work in the unit are seasoned, experienced professionals. Unfortunately, as in other aspects of health care, they are being forced to “do more with less,” which means that frequently there is one nurse to two (or three!) patients; so-called one-on-one nursing assignments are extremely rare. This means that the nurses are busier, and the one thing that they shouldn’t have to do is constantly hunt for you. The usual response to this statement is “I have (more…)

Survey of Current Issues in Surgical Anesthesia / Critical Care Medicine July 20, 2007

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November 28 - December 2, 2007 - Naples Florida
Presented by: Cleveland Clinic Division of Anesthesiology (more…)

Summer NEO Critical Care Society Meeting Minutes July 19, 2007

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The summer edition of the North Eastern Ohio Critical Care Society (NEOCCS) was held at Johnny’s Downtown in Cleveland, OH. The event was sponsored by Hospira. The meetings featured Intensivists-Anesthesiologists, Critical Care Fellows, Residents and an ICU Nurse Practitioner.  The discussion was related to sedation in the ICU and specifically addressed the “almost impossible” to sedate post op patient at risk for respiratory collapse. Dr. Ali Jahan (CCF) was the presenter for the evening. He moderated a heated debate upon the use of several different pharmacological agents (such as haldol, propofol, benzodazepines, narcotics, dexemetetomidine) as well as ventilation techniques (NIPPV vs. intubation) in (more…)

SICU Journal Club Minutes (Part 1) July 19, 2007

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Dr. Michael Fernando (CA-2) did an excellent presentation of Acute Renal Failure and Sepsis featured in the July 2004 New England Journal of Medicine. With the significant morbidity and mortality associated with sepsis, septic shock and acute renal failure it is prudent to understand the mechanisms of this disease process as well as evaluate which interventions make therapeutic sense! This review in NEJM gives us some insight and may help intensivists answer some of these questions. This is archived in the collection of Journal Club Presentations.

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It was identified that early sepsis maybe a state in which physiologically the body is depleted of (more…)

SICU Journal Club Minutes (Part 2) July 18, 2007

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Dr. Ricardo Riveros (CA-2) presents a thorough review of Mechanisms of Sepsis-Induced Cardiac Dysfuntion featured in the May 2007 Critical Care Medicine. This was a very difficult review of basic science as well as the mechanistic molecular biology of the cardiac dysfunction that occurs in septic patients with myocardial dysfunction. This article focuses on the intracellular pathways that are disrupted by sepsis hence leading to cell death, apoptosis. Dr. Riveros points out the animal models and patient studies used to study these mechanisms as well as their downfalls. A great resource for basic review of what goes wrong within the cell during sepsis. This is archived in the collection of Journal Club Presentations.

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Basic Management Conferences - Bioethics July 16, 2007

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Dr. Martin L. Smith (Dept. of Bioethics CCF) led a thought provoking discussion on the controversial and sometimes very difficul issues dealing with end of life care and decision making abilities in the ICU. Several of the patients in the ICU are unable to make the decisions for themselves and it is up to the physician, family, friend or DPOA to make the decision on behalf of the patient and in the patient’s best interest. This can turn out to be quite a complicated path because as Dr. Smith reveas in his presentation, sometimes no one can clearly tell what the patient would have wanted if he/she were in their current position. Issues of family wishes, moral, legal and religious obligations can quickly bring us into merky water. Enjoy the presentation and please feel free to comment below.

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