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Evidence-base Use of Steroid in Sepsis Case
In this case, given the patient's persistent hypotension despite significant fluid resuscitation and vasopressor therapy, the use of steroids is supported with good evidence. Steroids can help reduce the inflammatory response, hasten the reversal of hypotension in septic shock.
Mazen Kherallah
June 19, 2024
5
Sleep Promotion in the ICU
This presentation aims to offer an overview of ICU sleep, concentrating on sleep patterns within the ICU, the factors contributing to sleep disturbances, and the initiatives within the ICU aimed at promoting better sleep, encompassing environmental, nonpharmacological, and pharmacological approaches
Mazen Kherallah
December 17, 2023
7
Continuous vs Intermittent β-Lactam Antibiotic Infusions
This presentation covers pharmacodynamic properties of antibiotics, therapeutic goals of antibiotics, rationales for continuous infusion of beta lactams, and evolving evidence of continuous infusion of beta lactam agents.
Mazen Kherallah
June 19, 2024
5
Sedation Strategies in the ICU
The PADIS guidelines recommend a structured approach to managing pain and sedation in critically ill adults, using routine assessments and prioritizing pain management. In this presentation, we will discuss sedation strategies based on the 2018 PADIS guidelines.
Mazen Kherallah
December 17, 2023
7
Agitation Assessment in the ICU
The RASS score system, or Richmond Agitation-Sedation Scale is a validated, evidence-based tool employed in the assessment of sedation and agitation in critically ill patients. By providing a standardized measure, it assists intensivists in optimizing patient care, guiding therapeutic interventions, and monitoring patient responses over time.
Mazen Kherallah
December 17, 2023
7
Non-Pharmacologic Pain Management
The SCCM ICU Liberation Bundle recommends four primary non-pharmacologic methods: massage therapy, cold therapy, music and sound, and relaxation therapy. These interventions can be carried out by nurses and aim to complement pharmacological therapy.
Mazen Kherallah
December 17, 2023
5
Assessment of Pain in the ICU
In patients where self-reporting of pain is possible, a visual analog scale or numerator rating scale and a behavioral pain scale for non-intubated patients can be used. For patients who are unable to self-report, a behavioral pain scale and a critical care pain observation tool or CPOT should be used.
Mazen Kherallah
December 17, 2023
6