April 2013 critical care journal club

• Main Author: Raschke RA
• Format: Article
• Language: English
• Published: Arizona Thoracic Society 2013-04-01
• Series: Southwest Journal of Pulmonary and Critical Care
• Subjects: low tidal volume; hydroxylethyl starch; colloid; crystalloid; DRG billing; administrative data; critical illness myopathy; glucose transporter 4; IVC filter; Greenfield filter
• Online Access: http://www.swjpcc.com/critical-care-journal-club/2013/4/26/april-2013-critical-care-journal-club.html

No abstract available. Article truncated at 150 words. We welcomed intensivists from Banner Health to video-conference with us as we discussed several articles, and evaluated the ACP Journal Club – another good resource for keeping up to date.Hill NS. Review: Lower rather than higher tidal volume benefits ventilated patients without ARDS. Ann Intern Med. 2013;158:JC4. AbstractLauzier F. Hydroxyethyl starch 130/0.4 and saline did not differ for mortality at 90 days in ICU patients. Ann Intern Med. 2013;158:JC5. AbstractThe April ACP Journal Club reviewed two critical care articles – a meta-analysis that concluded that low tidal volume ventilation reduced mortality in patients without ARDS, and a large RCT that showed no mortality difference between critically-ill patients resuscitated with hydroxyethyl starch versus saline. Both articles were awarded 6/7 stars for “clinical impact”, yet neither article had any impact on our clinical practice. This troubled us.We could think of 4 necessary criteria in order for research to have legitimate …