Critical Care Minutes

List of Useful Resources:

American Society of Anesthesiology:

• Continuum of Depth of Sedation: Definition of General Anesthesia and Levels of Sedation/Analgesia – 2004
• Practice Guidelines for Sedation and Analgesia by Non-Anesthesiologists, 2002
• Granting Privileges for Administration of Moderate Sedation to Practitioners Who Are Not Anesthesia Professionals – 2006
• Granting Privileges to Non-Anesthesiologist Practitioners for Personally Administering Deep Sedation or Supervising Deep Sedation by Individuals Who Are Not Anesthesia Professionals, Statement on — 2006

Ohio Board of Nursing

• State of Ohio Board of Nursing: Guidelines for Administration of Medications, and Monitoring of Patients Receiving Intravenous Moderate Sedation for Medical/Surgical Procedures, July 20, 2007

ACG (American College of Gastroenterology) Practice Guidelines

• ACG Practice Guidelines

ASGE (American Society for Gastrointestinal Endoscopy) Practice Guidelines

• ASGE Practice Guidelines

Her is a presentation that goes over what my vision is for the “FUTURE ICU.” I originally presented this about a year ago during my fellowship. Enjoy!

Dr. Douglas Naylor presented an excellent focused review of the basic management of Burn and Trauma patients. Even though this may not address the “run of the mill” ICU patients, it is extremely important for critical care practitioners to understand the basics of acute trauma management. Always remember the BASICS!!! A irway, B reathing, C irculation !!!

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.