Critical Care Alert – July 1, 2019

July 1, 2019

• Timing of Initiation of Renal Replacement Therapy in the ICU

  Acute kidney injury is common in patients admitted to the ICU and is associated with high mortality. The decision to initiate renal replacement therapy (RRT) for these patients is complicated. Not only is the optimal time for starting therapy unclear, decisions to transfer patients to higher levels of care often are driven by the perceived need to initiate hemodialysis or continuous RRT.

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• Medication Errors When Patients Transition Out of ICU

  Three factors associated with decreased odds of an error occurring were daily patient care rounds in the ICU, discontinuing and rewriting medication orders during the transition of care from the ICU to a non-ICU setting, and 16-20 ICU beds in the transferring ICU.

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• Efficacy of Preoxygenation Methods Prior to Endotracheal Intubation

  A post-hoc analysis of data from the MACMAN trial revealed noninvasive ventilation may be the preferred preoxygenation approach for intubation, especially in the setting of severe hypoxemia.

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• Reader Survey Available

  We'd love to hear from you how we can do better!

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