The Latest in Critical Care, 12/4/23 (Issue #21)
Sighs: do they help? (SiVent trial); Delaying intubation in intoxicated patients (NICO trial).
Delaying intubation in comatose intoxicated patients (NICO trial)
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“For GCS of 8, intubate.” It’s an age-old adage of emergency medicine, and it’s so catchy, it feels like it has to be true. Is its status as dogma justified? The American College of Surgery and Eastern Association for the Surgery of Trauma both recommend intubation for trauma patients with GCS of 8 or less
Induced sighs in mechanically ventilated patients (SiVent trial)
In the 1960s, anesthesiologists noticed that if they gave a large breath (a “sigh”) to anesthetized patients every so often, their oxygenation improved. More seemed better, and soon all ventilated patients were getting lung-straining tidal volumes of 10-15 ml/kg. Those with persistent hypox…
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