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ICU Rounds

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ICU Rounds

Acute Colonic Pseudoobstruction (Ogilvie's Syndrome) Jeffrey S. Guy, MD, FACS
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Acute Colonic Pseudoobstruction (Ogilvie's Syndrome)

Acute Colonic Pseudoobstruction (ACPO) is commonly called Ogilvies Syndrome.  ACPO presents...

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Hemoglobin Based Oxygen Carriers (a.k.a. Artificial Blood) Jeffrey S. Guy, MD, FACS
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Hemoglobin Based Oxygen Carriers (a.k.a. Artificial Blood)

A brief summary of what are hemoglobin based oxygen carriers (HBOC) and where are they in...

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Some Swan Stuff Jeffrey S. Guy, MD, FACS
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Some Swan Stuff

A brief discussion regarding some of the commonly used values obtained from a pulmonary artery...

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Therapeutic Hypothermia following Cardiac Arrest Jeffrey S. Guy, MD, FACS
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Therapeutic Hypothermia following Cardiac Arrest

Therapeutic Hypothermia following cardiac arrest has been demonstrated to improve outcomes....

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Radiation Injury / Nuclear MCI Jeffrey S. Guy, MD, FACS
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Radiation Injury / Nuclear MCI

The US government last week released a report that the threat of a nuclear device used in an act...

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Cardiovascular Risk Reduction for Surgery Jeffrey S. Guy, MD, FACS
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Cardiovascular Risk Reduction for Surgery

This episode explores what is needed to make surgery safer for the patient with cardiovascular...

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Meta-analysis of Glucose Control Jeffrey S. Guy, MD, FACS
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Meta-analysis of Glucose Control

Tight glucose control has been widely introduced into critical care. This meta-analysis,...

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Myocardial Infarction: PCI and medications Jeffrey S. Guy, MD, FACS
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Myocardial Infarction: PCI and medications

This is the second installment of this topic. In this episode we talk about the role of...

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Disaster Management Jeffrey S. Guy, MD, FACS
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Disaster Management

It is Sunday 8.31.08 and for hurricane Gustav is bearing down on the city of New Orleans.  This...

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Traumatic Rhabdomyolyisis / Crush Syndrome Jeffrey S. Guy, MD, FACS
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Traumatic Rhabdomyolyisis / Crush Syndrome

Crush syndrome is a common cause of death following earth quakes, mine and building collapses....

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Myocardial Infarction: Diagnosis and Thrombolytics Jeffrey S. Guy, MD, FACS
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Myocardial Infarction: Diagnosis and Thrombolytics

Myocardial Infaction (Part 1): This episode will discuss the diagnosis of MI, STEMI, and...

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PAIN: a four letter word Jeffrey S. Guy, MD, FACS
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PAIN: a four letter word

The management of pain is a key element of the care of all patients-- ICU or not.  Often...

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Hypercalcemia Jeffrey S. Guy, MD, FACS
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Hypercalcemia

A potentiallylife-threatening electrolyte problem that commonly finds its way into the ICU as...

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Patient-Ventilator Interactions and ventilator discontinuation Jeffrey S. Guy, MD, FACS
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Patient-Ventilator Interactions and ventilator discontinuation

Getting patients comfortable on the ventilator is not an easy task.  This podcasts focuses on...

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Ventilator Update: avoiding shear trauma Jeffrey S. Guy, MD, FACS
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Ventilator Update: avoiding shear trauma

In regards to ventilator care, all the focus has been on low tidal volume and level of peak...

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Abdominal Compartment Syndrome Jeffrey S. Guy, MD, FACS
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Abdominal Compartment Syndrome

A discussion of the physiology and presentation of abdominal compartment syndrome.

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Extremity Compartment Syndrome Jeffrey S. Guy, MD, FACS
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Extremity Compartment Syndrome

A limb-threatening complication that might be overlooked by the inexperienced provider.

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Surviving Sepsis Campaign (part 2) Jeffrey S. Guy, MD, FACS
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Surviving Sepsis Campaign (part 2)

We continue our discussion of the Surviving Sepsis Campaign (SSC).  This includes fluids types,...

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Surviving Sepsis Campaign (part 1) Jeffrey S. Guy, MD, FACS
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Surviving Sepsis Campaign (part 1)

The Surviving Sepsis Campaign (SSC) is concensus document that attempts to provide the best...

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Hemoglobin Based Blood Substitutes: Increased Morbidity and Mortality Jeffrey S. Guy, MD, FACS
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Hemoglobin Based Blood Substitutes: Increased Morbidity and Mortality

In this week's Journal of the American Medical Association a meta-analysis was published that...

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