Is Aseptic Technique for Ultrasound Guided Peripheral Lines Enough? Widespread use of ultrasound guided peripheral intravenous catheters will reduce reliance on central lines, thus decreasing the central line device utilization ratios (DUR).  In theory and practice, high DURs correlate with…
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Ultrasound for Radial Arterial Line?   Do I really need to use an ultrasound for radial arterial lines?  For years I have used ultrasound guidance for brachial and femoral arterial line placement because the risk associated with puncturing or lacerating…
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Mortality Prediction Model for Patients with Prolonged Mechanical Ventilation One of the most difficult tasks for critical care physicians is approaching the patient and their families about end-of-life issues.  One scenario that often arises is the scenario of decision making…
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Endotracheal Intubation When You Can’t See the Cords: the Bougie is Your Friend This is a problem that every emergency physician or hospitalist faces on occasion and if you haven’t encountered this problem then you haven’t done enough intubations.  There…
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