In 2001, the Rivers trial showed that Early Goal Directed Therapy for septic shock resulted in a 16% absolute mortality risk reduction1. In the treatment arm of this trial, septic patients with a lactate above 4 mmol/L or systolic blood…
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For decades we have relied on static measurements of volume status such as central venous pressure, pulmonary artery occlusion pressure and right ventricular end diastolic volume. CVP has been shown to have little better than a coin toss chance of…
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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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San Antonio is a playground of arts, culture, heritage, sports, natural or man-made adventures, theme parks, museums, and nature. Whatever you’re about, San Antonio has it all and will not disappoint. Voted one of the most picturesque cities in America,…
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Hospital Procedures Consultants made a successful showing at The Society of Hospital Medicine 2012 conference in San Diego between April 2-4. Our booth offered clinicians free training in ultrasound-guided central line placement which was a smashing success. There was tremendous interest…
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We’re looking forward to Las Vegas in May! We’re excited because everything is available right there at the hotel! Here’s a little information on what to do while at the Paris Hotel in Las Vegas: Gaming Spa / Fitness Center…
Read MoreOne of the most common indications for placing a central venous catheter is “no IV access”. I certainly have placed numerous central lines for this reason. Unfortunately, this practice is not without consequences. In addition to patient discomfort and mechanical…
Read MoreMore Articles – Arterial line, Central line, Chest Tube, Emergency Procedures, medical procedures, Paracentesis
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Are you a hospitalist who would like to incorporate procedures into your practice but don’t feel competent or confident in your skills? Are you a hospitalist who does procedures so infrequently that you feel more comfortable referring your patients to…
Read MoreNumerous studies have shown that ultrasound guidance lowers the rate of complications and increases the success rate for virtually every hospital procedure compared with traditional landmark-based techniques. This has proved to be the case for ultrasound-guided central lines, ultrasound-guided paracentesis,…
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National resident work hour restrictions were first implemented by the ACGME in 2003. The debate started initially after the unfortunate death of Libby Zion in 1984 which prompted the state of New York to restrict resident duty hours. The assumption…
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