Speaker: Aarti Sarwal, MD, FAAN, FNCS, FCCM
Aarti Sarwal, MD, FAAN, FNCS, FCCM: Hello, I'm Aarti Sarwal, the Social Media Editor of Critical Care Medicine. Here are my top reads from the July issue of CCM. In the first article by Dr. Urner and group, nine ICUs in the University of Toronto affiliated hospitals emulated a pragmatic clinical trial using retrospective data from 12,000 plus adult patients ventilated for more than 24 hours from the Toronto Intensive Care Observational Registry. They evaluated the impact of limiting ∆P daily dynamic driving pressures. In addition to traditional lung protective ventilation, they report associations of outcomes with timing, early vs. late and the sustainability of keeping driving pressures below 15 centimeters of water. Does this trial come close to establishing causality of ∆P with ventilator induced lung injury? Read the editorial by Drs Millar, McAuley and Marini. The second article by the PALISI Network brings a prospective multicenter QI study that reports on implementation of video laryngoscopy coaching in reducing intubation related complications. The editorial to this article led by Dr. Peyton and the recently published DEVICE trial ignites some interesting discussion points on the laryngoscopy skills in intensive care physicians in both adult and pediatrics. Need ideas for a journal club? (hint, hint). For more articles, please follow us on Twitter and Facebook. Happy July 4th. Please be safe and well.
