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Sleep like a baby? | Critical Insight
https://criticalinsight.wordpress.com/2014/09/26/sleep-like-a-baby
A 24/7 journal club from intensivists in the East Midlands. Sleep like a baby? Posted September 26, 2014. The effect of a multicomponent multidisciplinary bundle of interventions on sleep and delirium in medical and surgical intensive care patients. Patel J, Baldwin J, Bunting P, Laha S. Anaesthesia. 2014 Jun;69(6):540-9. STUDY APPRAISER: Dr Paul James. Link to abstract: http:/ www.ncbi.nlm.nih.gov/pubmed/24813132. Light, high Theta wave activity. And a lack of slow wave or REM sleep. Single Centred, Coh...
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Trop tops? | Critical Insight
https://criticalinsight.wordpress.com/2014/09/21/trop-tops
A 24/7 journal club from intensivists in the East Midlands. Posted September 21, 2014. Role of troponin in patients with chronic kidney disease and suspected acute coronary syndrome: a systematic review. Sylvie R. Stacy, et al. Ann Intern Med. Published online 12 August 2014 doi:10.7326/M14-0746. Http:/ annals.org/article.aspx? Reviewed by Dr Helen Prescott CT1. Timely diagnosis of cardiac injury is crucial. Troponins found almost exclusively in myocardium. Troponin measurement is widespread. Sample size...
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Beginner’s Guide | Critical Insight
https://criticalinsight.wordpress.com/beginners-guide
A 24/7 journal club from intensivists in the East Midlands. Welcome to Critical Insight. Here’s a very quick introduction to the site. The “Blog” is where new posts can be found, the most recent 5 will be displayed. Clicking on the green post titles will take you to each post, and enable you to read the discussion below. There’s now no need to be signed in to comment, so please let us know your thoughts. If you’d like to add a new paper for discussion please see “How to Post”. New p...TBL 153: VANISH - v...
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Tips | Critical Insight
https://criticalinsight.wordpress.com/tips
A 24/7 journal club from intensivists in the East Midlands. Reading posts and papers is better than nothing, but just like a traditional journal club real learning can result from discussion, so join in! You don’t have to keep checking the site for new additions – subscribe! Use the RSS service either with your browser or use a dedicated reader such as Google Reader (recommended). You can subscribe to new posts, comments or both. See the link on the right. Https 2 weeks ago. We are addressing this via ou...
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Procalcitonin – D Dimer for sepsis? | Critical Insight
https://criticalinsight.wordpress.com/2015/02/23/procalcitonin-d-dimer-for-sepsis
A 24/7 journal club from intensivists in the East Midlands. Procalcitonin – D Dimer for sepsis? Posted February 23, 2015. The following discussion is taken from a presentation given at JC by Dr Dave Hewson, ST5 Anaesthetics, in which he explores the utility of PROCALCITONIN:. Does our antibiotic use matter? Antibiotic consumption and acquired resistance is associated with increased mortality, morbidity, length of hospitalization, and health care costs [2]. How to limit antibiotic use? Fails to rise to sa...
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Proning – Is it worth the hassle? | Critical Insight
https://criticalinsight.wordpress.com/2015/01/03/proning-is-it-worth-the-hassle
A 24/7 journal club from intensivists in the East Midlands. Proning – Is it worth the hassle? Posted January 3, 2015. Effect of prone positioning during mechanical ventilation on mortality among patients with acute respiratory distress syndrome: a systematic review and meta-analysis. Appraiser: Dr Andrew Langton. Http:/ www.cmaj.ca/content/186/10/E381and/or. Http:/ www.nejm.org/doi/pdf/10.1056/nejmoa1214103. Standards reviewed against;. Systematic Review Appraisal Sheet. 8216;Portion of day’. Were the cr...
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Early NA in sepsis | Critical Insight
https://criticalinsight.wordpress.com/2015/02/28/early-na-in-sepsis
A 24/7 journal club from intensivists in the East Midlands. Early NA in sepsis. Posted February 28, 2015. Early vs delayed administration of norepinephrine in patients with septic shock. Critical Care 2014, 18:532. Appraisal by Dr. Peter Tsim. Study investigating delayed NA use following onset of septic shock on mortality. End-point was 28 days mortality (target in sepsis). Timing of vasopressors more important than choice of agent. Based on Surviving Sepsis guidelines:. Continuous variables, non-normal ...
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How to Post | Critical Insight
https://criticalinsight.wordpress.com/how-to-post
A 24/7 journal club from intensivists in the East Midlands. You can join in the discussion in 2 ways, either post a new paper, or comment on an existing one. There’s no need to be a member of WordPress anymore, so please feel free to comment. To post an origial paper critical appraisal you will need to be a member. Please email danjrharvey@gmail.com for info. Posting a new paper. Log in and click “new post”. The post should begin with a full citation. Tags – please tag your post! Comment on a paper.
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Objectives | Critical Insight
https://criticalinsight.wordpress.com/objectives
A 24/7 journal club from intensivists in the East Midlands. Critical Insight should…. Be interesting, intellectually challenging and fun. Build into a library of current evidence in critical care. It will be searchable, and unlike other resources will include a history of peer group opinion and analysis. Encourage critical analysis of evidence. Enable busy clinicians to keep up to date, and discuss new evidence with their colleagues. Foster the critical care community in the region. Https 2 weeks ago.
