Omega Fatty Acids and Antioxidants for ALI: Helpful or Harmful?

20 Oct

Posted by SCCM as Concise Critical Appraisal

A number of previous studies, including three randomized controlled trials, demonstrated an association with improved outcomes in patients with acute lung injury (ALI) or sepsis-induced respiratory failure when fatty acid supplements were administered. In the October issue of the Journal of the American Medical Association, Todd Rice, MD, MS, and investigators from the National Heart, [...]

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Do Ventilation Protocols Detract from Trainee Knowledge?

06 Oct

Posted by SCCM as Concise Critical Appraisal

Unintended consequences, such as limited ability to think beyond algorithms, may exist when protocols are used extensively. In the September issue of the Journal of American Medical Association, Prasad et al studied the relationship between critical care training under high- and low-intensity institutional mechanical ventilation protocols and subsequent knowledge about ventilator management.