Browsing Surgery ICU Rounds by Issue Date

Now showing items 21-40 of 86

    • Control of hyperglycemia improves outcomes 
      Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2007-09-24)
      A great deal is being presented and published on control of blood sugar in the ICU as well as the postoperative period. How much control is enough and what is the data?
    • Blood Products 
      Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2007-09-30)
      Blood products: pRBCs, fresh frozen plasma, platelets, cryoprecipitate when and how should we use it? What are the risks? You may order them like IV fluids but do you really know how these potentially deadly products ...
    • Smoke Inhalation Injury: CO and Cyanide Toxicity 
      Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2007-10-14)
      The onset of cold weather will bring with it an increase in structure fires. The leading cause of deaths in fires is complications from the inhalation of smoke-- not burns. Learn why smoke is so deadly as well as what ...
    • HIT: Heparin Induced Thrombocytopenia 
      Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2007-10-27)
      Large numbers of patients in ICUs are on heparin and what is this complication of heparin induced thrombocytopenia? Direct download: HIT.mp3
    • Sepsis - Part 1 
      Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2007-12-10)
      Sepsis is a common cause of death in the intensive care unit. In this episode I present some of the statistics on septic deaths, introduce the definitions, and present the basic science. Part 2 will cover fluid and drug ...
    • Sepsis - Part 2 
      Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2008-02-01)
      In this episode we discuss that ICU care of the patient with sepsis. This includes an introduction to various vasopressors
    • Do Steroids Improve Survivial in Sepsis? CORTICUS Trial 
      Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2008-02-01)
      The results of the CORTICUS trial are discussed.
    • Pharmacology of Shock 
      Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2008-02-07)
      This is a basic introduction of some of the drugs used in various forms of shock
    • Pediatric Burns 
      Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2008-02-13)
      Pediatric burns: all burns are serious, both big and small. This episode reviews the objectives of burn care to result in the best functional outcome. Also, burn is a very common method of child abuse and we detail how ...
    • Atrial Fibrillation 
      Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2008-02-19)
      Atrial fibrillation is a common problem in ICU patients, but it is a problem with many potential causes, and not always a well defined treatment.
    • Drug-induced QT prolongation 
      Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2008-03-09)
      Prolonged QT is the most common reason why medications are restricted or removed from the US market. This episode will explain what it is and why you should look for it in your ICU patients.
    • Polypharmacy in the Elderly 
      Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2008-03-23)
      Patients are often admitted to the ICU with an entire list of home medications. In this episode I talk about the implications and dangers of polypharmacy.
    • Clostridium difficile Colitis 
      Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2008-04-16)
      Clostridium difficile colitis is a problematic complication of antibiotic therapy in hospitalized and critically ill patients. It is increasing in frequency and can be lethal.
    • Glucometers in the ICU: how accurate are they? 
      Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2008-04-24)
      There is a large emphasis on intensive control of blood glucose in the ICU, but how accurate are the monitors we use to follow glucose? This episode reviews someof the limitations of deploying an instrument designed for ...
    • Hemoglobin Based Blood Substitutes: Increased Morbidity and Mortality 
      Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2008-05-04)
      In this week's Journal of the American Medical Association a meta-analysis was published that concluded that use of hemoglobin based blood substitutes result in an increased morbidity and mortality. Included in the same ...
    • Surviving Sepsis Campaign (part 1) 
      Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2008-05-11)
      The Surviving Sepsis Campaign (SSC) is concensus document that attempts to provide the best evidence to assist in the care of the septic patient. All providers who provide care to the septic patient should be aware of the ...
    • Surviving Sepsis Campaign (part 2) 
      Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2008-05-15)
      We continue our discussion of the Surviving Sepsis Campaign (SSC). This includes fluids types, steroids, rhAPC (Xigris), and blood sugar control.
    • Extremity Compartment Syndrome 
      Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2008-05-18)
      A limb-threatening complication that might be overlooked by the inexperienced provider.
    • Abdominal Compartment Syndrome 
      Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2008-06-07)
      A discussion of the physiology and presentation of abdominal compartment syndrome.
    • Ventilator Update: avoiding shear trauma 
      Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2008-08-03)
      In regards to ventilator care, all the focus has been on low tidal volume and level of peak inspiratory pressure. What level of PEEP shoud we be using to avoid shear trauma and ventilatory induced lung injury.