Looking at the new (and old) Choosing Wisely recommendations for critical care patients who are in the Intensive Care Unit (ICU).
Show Notes: https://eddyjoemd.com/choosing-wisely/
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Choosing Wisely in Critical Care: 10 Recommendations, 5 New Ones (Journal Club-ish)

Saving Lives Podcast: Critical Care w/eddyjoemd is a podcast that reviews evidence-based strategies to care for the critically ill patient in the Intensive Care Unit and other topics in Medicine. It is hosted by Eddy Joe Gutierrez, MD, a board-certified critical care physician.

In each episode, Dr. Gutierrez discusses the latest research and best practices in Intensive Care Medicine. He also shares his own insights and experiences as an Intensivist/Critical Care physician.

The podcast is designed for healthcare professionals who want to stay up-to-date with evidence-based medicine. Support this podcast: https://podcasters.spotify.com/pod/show/eddyjoemd/support

Medicine

Science & Medicine

Health & Fitness

In this episode, we explore a groundbreaking study on the cost-effectiveness of artificial intelligence (AI) in managing mechanically ventilated ICU patients. Discover how AI can improve patient outcomes, reduce hospital stays, and enhance decision-making in critical care settings. Tune in to learn about AI's potential to revolutionize ICU care and its practical implications for healthcare professionals.

Citation: Zwerwer LR, van der Pol S, Zacharowski K, Postma MJ, Kloka J, Friedrichson B, van Asselt ADI. The value of artificial intelligence for the treatment of mechanically ventilated intensive care unit patients: An early health technology assessment. J Crit Care. 2024 Apr 6;82:154802. doi: 10.1016/j.jcrc.2024.154802. Epub ahead of print. PMID: 38583302.

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Artificial Intelligence and Mechanical Ventilation


In this episode of The Saving Lives Podcast, we delve into the intricate subject of advance directives in the intensive care setting. Titled "Deciphering the Complex World of Advance Directives in ICU Care: Challenges and Solutions," the episode explores the historical background, implementation challenges, and the impact of advance directives on patient care within ICUs. Let's highlight the practical difficulties healthcare professionals face in honoring patients' wishes and the varied effectiveness of advance directives across different regions. This episode aims to shed light on the importance of advance directives in ensuring patient autonomy and improving the quality of end-of-life care in critical settings.
The Vasopressor & Inotrope Handbook: ⁠⁠⁠⁠⁠Amazon Affiliate Link⁠⁠⁠⁠⁠ (I will earn an extra small commission) and ⁠⁠⁠⁠⁠Signed/Personalized Copies⁠⁠⁠⁠⁠.
Citation: Baumann SM, Kruse NJ, Kliem PSC, Amacher SA, Hunziker S, Dittrich TD, Renetseder F, Grzonka P, Sutter R. Translation of patients' advance directives in intensive care units: are we there yet? J Intensive Care. 2023 Nov 15;11(1):53. doi: 10.1186/s40560-023-00705-z. PMID: 37968692; PMCID: PMC10648602.

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Advance Directives in the ICU: Challenges and Challenges

In this episode of The Saving Lives Podcast, we explore the innovative MitraClip system, a less invasive treatment for mitral regurgitation. The discussion covers the device's evolution, its impact on patient outcomes, and the challenges and complications associated with its use. 


The Vasopressor & Inotrope Handbook: ⁠⁠⁠⁠⁠Amazon Affiliate Link⁠⁠⁠⁠⁠ (I will earn an extra small commission) and ⁠⁠⁠⁠⁠Signed/Personalized Copies⁠⁠⁠⁠⁠.


Citation: Schnitzler K, Hell M, Geyer M, Kreidel F, Münzel T, von Bardeleben RS. Complications Following MitraClip Implantation. Curr Cardiol Rep. 2021 Aug 13;23(9):131. doi: 10.1007/s11886-021-01553-9. PMID: 34387748; PMCID: PMC8363549.





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Mitraclip Complications to Watch Out For

In this episode of The Saving Lives Podcast, we delve into the compelling findings of a recent review on the adverse effects of physical restraint use in ICUs. We discuss the paradoxical nature of restraints, designed for patient safety but linked to significant complications, including skin injuries, delirium, PTSD, and more. Understanding the limitations of our current system, we explore how this research urges a shift towards more compassionate, patient-centered care and the critical need for alternative practices. 


The Vasopressor & Inotrope Handbook: ⁠⁠⁠⁠⁠Amazon Affiliate Link⁠⁠⁠⁠⁠ (I will earn an extra small commission) and ⁠⁠⁠⁠⁠Signed/Personalized Copies⁠⁠⁠⁠⁠.


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Citation: Sebastian Berger, Pascale Grzonka, Simon A. Amacher, Sabina Hunziker, Anja I. Frei, Raoul Sutter, Adverse events related to physical restraint use in intensive care units: A review of the literature, Journal of Intensive Medicine, 2023,ISSN 2667-100X,

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Rethinking Physical Restraints: Unveiling ICU Practices and Patient Care

In this episode of The Saving Lives Podcast, we dive into a compelling study from the Annals of Intensive Care, exploring the prevalence and impact of hyperdynamic left ventricular systolic function in septic patients. Unpacking the findings, we discuss how this condition influences mortality rates and what it means for clinical practice in intensive care units.
The Vasopressor & Inotrope Handbook: ⁠⁠⁠⁠⁠Amazon Affiliate Link⁠⁠⁠⁠⁠ (I will earn an extra small commission) and ⁠⁠⁠⁠⁠Signed/Personalized Copies⁠⁠⁠⁠⁠.
Citation: Sato R, Sanfilippo F, Hasegawa D, Prasitlumkum N, Duggal A, Dugar S. Prevalence and prognosis of hyperdynamic left ventricular systolic function in septic patients: a systematic review and meta-analysis. Ann Intensive Care. 2024 Feb 3;14(1):22. doi: 10.1186/s13613-024-01255-9. PMID: 38308701.

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Choosing Wisely in Critical Care: 10 Recommendations, 5 New Ones (Journal Club-ish)

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