#PharmICU following up from February 2020 tweet (9 years ago?) about a pharmacy position paper update for the 1st time since the original in 2000 https://t.co/Umef5jH9Jn
Propensity matched results - no difference in shock reversal, but an increase in shock recurrence (restarting vasopressors between 4-48hrs after initial discontinuation)
Dr. Richmond's Plenary Px on gun violence as a true health issue, pediatric and adult; surgeons, pharmacists, nurses, and physicians implored to view as a health issue.
"Nine children killed daily in the United States." #CCC49#PharmICU#GUNviolence
Pro/Con Procalcitonin Use in ICU
Con - We can do better, shorter is often better for ABX use. PCT use for escalation protocol had a a longer duration of ABX use than length of stay! Increased days of Zosyn, Mero, and Cipro too. #CCC49#PharmICU#FOAMed
Update on Vancomycin Guidelines
I know that everyone has been asking about when the guidelines will be published. Reviewing the proofs now! Online versions will be published Mid March in AJHP. Print version first week of June.
Looks like pharmacist are in the clear for harming ICU RNs and Intensivists (pretty sure we already knew that) #CCC49#PharmICU Burnout exists just as much with pharmacists, check out @iEMPharmD 's profile for more details and solutions
Nanchal et al : Executive summary: Guidelines for management of adult acute & acute-on-chronic liver failure in ICU: cardiovascular, endocrine, hematologic, pulmonary & renal considerations
Link: https://t.co/ngCSQtmoW2
@SCCM#CritCareMed#CCC49
Fig: Summary of Recommendations
Pro/Con use of Procalcitonin
Con: Dr. Maves argues against the Devil's labs and to not use at admission based on CAP trial CID 2017 #CCC49#PharmICU#FOAMed