NephMadness 2015: Critical Care • First Round Results
See the Current Standings! | For more on NephMadness 2015 | #NephMadness or #CCRegion on Twitter Critical care was a hotbed of controversy with no knock outs, all of the [...]
EarlyGoalDirectedTherapy
Early goal directed therapy (EGDT) is an early and aggressive treatment strategy for sepsis. There are 3 goals of therapy. 1. Increase the central venous pressure to 8-12 mm Hg with fluids. 2. Increase the MAP between 65-90 mm Hg with pressors or vasodilators. 3. Push the mixed venous oxygen saturation to over 70% with pRBC transfusion and inotropes. The landmark publication by Rivers et al in the NEJM in 2001 reported a ~35% reduction in mortality in sepsis. However, recent RCTs are beginning to question the effectiveness of EGDT in sepsis.
NephMadness 2015: ProCESS ARISE ProMISe and the promise of Early Goal Directed Therapy
Kamran Boka, (@Boka_MD ) MD MS is a third-year pulmonary and critical care medicine fellow at Henry Ford Hospital, the cradle of EGDT. He is a board-certified internist, [...]
NephMadness 2015: Critical Care Nephrology Region
Submit your picks! | For more on NephMadness 2015 | #NephMadness or #CCRegion on Twitter The critical care region is packed with interesting story lines, SLED was a bubble [...]