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Evidence basedcritcare06

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Evidence-based critical care – Update 2006 Joel Peerless MD 3 January 2006
Intensivist shortage ,[object Object],[object Object]
The old way… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The old way… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The old way…”Why do you do it that way??” ,[object Object],[object Object],[object Object],[object Object]
The old way… dopamine ,[object Object],[object Object],[object Object],[object Object]
The old way… dopamine ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Evidence-based critical care ,[object Object]
The new way… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Evidence-based concepts ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Evidence-based concepts ,[object Object],[object Object],[object Object],[object Object]
Grading system ,[object Object],[object Object],[object Object]
Grading system ,[object Object],[object Object]
Evidence-based critical care ,[object Object],[object Object],[object Object],[object Object]
Low tidal volume strategy ,[object Object],[object Object],[object Object],[object Object]
Low tidal volume strategy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Low tidal volume strategy ,[object Object],[object Object],[object Object],[object Object]
PEEP levels in ARDS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Steroids for “late” ARDS ,[object Object],[object Object],[object Object]
Steroids for “late” ARDS ,[object Object],[object Object],[object Object]
Other ARDS modalities ,[object Object],[object Object],[object Object],[object Object],[object Object]
Evidence-based critical care ,[object Object]
Intensive insulin therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Intensive insulin therapy ,[object Object],[object Object],[object Object]
Intensive insulin therapy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Intensive insulin therapy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Evidence-based critical care ,[object Object]
 
 
RH Activated Protein C ,[object Object],[object Object],[object Object],[object Object],[object Object]
RH Activated Protein C ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RH Activated Protein C ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RH Activated Protein C ,[object Object],[object Object],[object Object],[object Object]
RH Activated Protein C ,[object Object],[object Object]
Evidence-based critical care ,[object Object]
Corticosteroids and sepsis ,[object Object],[object Object]
Corticosteroids and sepsis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Corticosteroids and sepsis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Corticosteroids and sepsis ,[object Object],[object Object],[object Object],[object Object]
Corticosteroids and sepsis ,[object Object],[object Object],[object Object]
Evidence-based critical care ,[object Object]
PA catheter use in the ICU ,[object Object],[object Object],[object Object],[object Object]
PA catheter use in the ICU ,[object Object],[object Object],[object Object],[object Object]
PA catheter use in the ICU ,[object Object],[object Object],[object Object],[object Object],[object Object]
Evidence-based critical care ,[object Object]
Early goal-directed therapy ,[object Object],[object Object],[object Object],[object Object]
Early goal-directed therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Early goal-directed therapy ,[object Object],[object Object]
Early goal-directed therapy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Early goal-directed therapy ,[object Object],[object Object]
Evidence-based critical care ,[object Object],[object Object],[object Object],[object Object],[object Object]
Who needs antibiotics? ,[object Object],[object Object],[object Object],[object Object]
Duration of antibiotic coverage ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SICU antibiotic usage ,[object Object],[object Object],[object Object],[object Object]
Evidence-based critical care ,[object Object],[object Object],[object Object],[object Object]
Ventilator-associated pneumonia - diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Ventilator-associated pneumonia - diagnosis ,[object Object],[object Object],[object Object]
Ventilator-associated pneumonia treatment ,[object Object],[object Object],[object Object],[object Object],[object Object]
Ventilator-associated pneumonia prevention ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Ventilator-associated pneumonia ,[object Object],[object Object],[object Object],[object Object],[object Object]
Catheter-related BSI ,[object Object],[object Object],[object Object],[object Object],[object Object]
Catheter-related BSI ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
C-difficile colitis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Infection control techniques ,[object Object],[object Object]
Infection control techniques ,[object Object],[object Object],[object Object],[object Object]
EBM in perspective
EBM in perspective ,[object Object],[object Object],[object Object],[object Object],[object Object]
EBM in perspective ,[object Object],[object Object],[object Object],[object Object]
EBM in perspective ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
EBM in perspective ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
EBM in perspective – the good ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
EBM in perspective – the bad ,[object Object],[object Object],[object Object]
EBM in perspective – the bad ,[object Object],[object Object],[object Object]
EBM in perspective: the bad ,[object Object]
EBM in perspective – the scary ,[object Object]
EBM in perspective – keep reading ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
EBM in perspective – keep reading ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
EBM in perspective – reading the literature ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object]

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Evidence basedcritcare06

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