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Minocycline: A New Hope in Delirium Prevention for Critically Ill Patients?
In this episode of the Saving Lives Podcast, we discuss a recent randomized controlled trial exploring the use of minocycline to prevent delirium in critically ill patients. The study reveals that minocycline may significantly reduce delirium incidence and hospital mortality, offering a promising new pharmacologic approach.
The Vasopressor & Inotrope Handbook
I have written "The Vasopressor & Inotrope Handbook: A Practical Guide for Healthcare Professionals," a must-read for anyone caring for critically ill patients (check out the reviews)! You have several options to get a physical copy.
Amazon: amzn.to/47qJZe1 (Affiliate Link)
My Store: eddyjoemd.myshopify.com/products/the-vasopressor-inotrope-handbook
Citation
Dal-Pizzol F, Coelho A, Simon CS, Michels M, Corneo E, Jeremias A, Damásio D, Ritter C. Prophylactic Minocycline for Delirium in Critically Ill Patients: A Randomized Controlled Trial. Chest. 2024 May;165(5):1129-1138. doi: 10.1016/j.chest.2023.11.041. Epub 2023 Dec 1. PMID: 38043911.
zhlédnutí: 199

Video

Direct (DL) vs Video Laryngoscopy (VL) for Intubation? DEVICE Trial (Saving Lives Video Podcast)
zhlédnutí 1,8KPřed rokem
In this article I break down the DEVICE trial looking at using video laryngoscopy (VL) or direct laryngoscopy (DL) for intubation. Show Notes: eddyjoemd.com/vl-dl-intubation/ This Video was Editing Using Descript: www.descript.com?lmref=BGOxjQ Citation: Prekker ME, Driver BE, Trent SA, Resnick-Ault D, Seitz KP, Russell DW, Gaillard JP, Latimer AJ, Ghamande SA, Gibbs KW, Vonderhaar DJ, Whitson M...
Change Severe Community Acquired Pneumonia (CAP) Management: Add Hydrocortisone
zhlédnutí 1,4KPřed rokem
Change Severe Community Acquired Pneumonia (CAP) Management: Add Hydrocortisone
Aortic Pulsatility Index (API): Optimizing Cardiogenic Shock Management
zhlédnutí 699Před rokem
Aortic Pulsatility Index (API): Optimizing Cardiogenic Shock Management
Methylene Blue for Septic Shock
zhlédnutí 8KPřed rokem
Methylene Blue for Septic Shock
Goodbye, 2022. Hello, 2023!
zhlédnutí 294Před rokem
Goodbye, 2022. Hello, 2023!
Acute Pancreatitis IV Fluid Resuscitation: No Need to Overdo It (Saving Lives Podcast)
zhlédnutí 1,8KPřed rokem
Acute Pancreatitis IV Fluid Resuscitation: No Need to Overdo It (Saving Lives Podcast)
Paxlovid: An Outpatient Therapy to Potentially Reduce Hospitalizations (Saving Lives Video Podcast)
zhlédnutí 1,6KPřed 2 lety
Paxlovid: An Outpatient Therapy to Potentially Reduce Hospitalizations (Saving Lives Video Podcast)
End-Expiratory Occlusion to Determine Fluid/Volume Responsiveness
zhlédnutí 1,8KPřed 2 lety
End-Expiratory Occlusion to Determine Fluid/Volume Responsiveness
Molnupiravir Reduced the Risk of Hospitalization or Death by 50% (Saving Lives Video Podcast)
zhlédnutí 486Před 2 lety
Molnupiravir Reduced the Risk of Hospitalization or Death by 50% (Saving Lives Video Podcast)
Cardiac Power Output (CPO) in Cardiogenic Shock (Saving Lives Video Podcast)
zhlédnutí 2,8KPřed 3 lety
Cardiac Power Output (CPO) in Cardiogenic Shock (Saving Lives Video Podcast)
Intubated COVID-19 Patients are in it for the Long Haul (Saving Lives Podcast, Journal Club-ish)
zhlédnutí 484Před 3 lety
Intubated COVID-19 Patients are in it for the Long Haul (Saving Lives Podcast, Journal Club-ish)
Double Triggering on Mechanical Ventilation: (Journal Club-ish, Saving Lives Podcast)
zhlédnutí 946Před 3 lety
Double Triggering on Mechanical Ventilation: (Journal Club-ish, Saving Lives Podcast)
Do NOT Drown Your Shock Patients with IV Fluids (Saving Lives Podcast)
zhlédnutí 1,1KPřed 3 lety
Do NOT Drown Your Shock Patients with IV Fluids (Saving Lives Podcast)
Peripheral Vasopressors: Are They Safe for Our Patients? (Journal Club-ish, Saving Lives Podcast)
zhlédnutí 689Před 3 lety
Peripheral Vasopressors: Are They Safe for Our Patients? (Journal Club-ish, Saving Lives Podcast)
Timing of Intubation in COVID-19 Patients: Early or Late? (Journal Club-ish, Saving Lives Podcast)
zhlédnutí 450Před 3 lety
Timing of Intubation in COVID-19 Patients: Early or Late? (Journal Club-ish, Saving Lives Podcast)
Indirect Calorimetry: Gaining an Edge w/Nutrition in the ICU (Journal Club-ish, Saving Lives Podcast
zhlédnutí 849Před 3 lety
Indirect Calorimetry: Gaining an Edge w/Nutrition in the ICU (Journal Club-ish, Saving Lives Podcast
Ivermectin Doesn't Help Healthy Patients with COVID-19 (Journal Club-ish, Saving Lives Podcast)
zhlédnutí 1,2KPřed 3 lety
Ivermectin Doesn't Help Healthy Patients with COVID-19 (Journal Club-ish, Saving Lives Podcast)
Azithromycin in Outpatient COVID-19: Not Recommended (Journal Club-ish, Saving Lives Podcast)
zhlédnutí 2,4KPřed 3 lety
Azithromycin in Outpatient COVID-19: Not Recommended (Journal Club-ish, Saving Lives Podcast)
Prone Your Non-Intubated COVID Patients! (Journal Club-ish, Saving Lives Podcast)
zhlédnutí 318Před 3 lety
Prone Your Non-Intubated COVID Patients! (Journal Club-ish, Saving Lives Podcast)
w/Dr. Rishi Kumar: Discussing Giapreza/Angiotensin II Applications
zhlédnutí 1,1KPřed 3 lety
w/Dr. Rishi Kumar: Discussing Giapreza/Angiotensin II Applications
Giapreza/Angiotensin II: Should we be using it more? (Journal Club-ish, Saving Lives Podcast)
zhlédnutí 850Před 3 lety
Giapreza/Angiotensin II: Should we be using it more? (Journal Club-ish, Saving Lives Podcast)
Choosing Wisely in Critical Care: 10 Recs, 5 New Ones (Journal Club-ish, Saving Lives Podcast)
zhlédnutí 428Před 3 lety
Choosing Wisely in Critical Care: 10 Recs, 5 New Ones (Journal Club-ish, Saving Lives Podcast)
Hypothermia for COVID-19 ICU Patients? (Journal Club-ish, Saving Lives Podcast)
zhlédnutí 543Před 3 lety
Hypothermia for COVID-19 ICU Patients? (Journal Club-ish, Saving Lives Podcast)
Tocilizumab for COVID-19: The Return (RECOVERY Group) Journal Club-ish, Saving Lives Podcast
zhlédnutí 525Před 3 lety
Tocilizumab for COVID-19: The Return (RECOVERY Group) Journal Club-ish, Saving Lives Podcast
Colchicine for COVID-19: Appraising the COLCORONA Trial (Journal Club-ish)
zhlédnutí 351Před 3 lety
Colchicine for COVID-19: Appraising the COLCORONA Trial (Journal Club-ish)
Why I Chose to Receive the Vaccine Today
zhlédnutí 383Před 3 lety
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Hypercapnic Respiratory Failure: Quick Tricks for Ventilator Management (Journal Club-ish)
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Hypercapnic Respiratory Failure: Quick Tricks for Ventilator Management (Journal Club-ish)
Does NIV/BiPAP Improve Outcomes in Asthma Exacerbations? Journal Club-ish (Saving Lives Podcast)
zhlédnutí 877Před 3 lety
Does NIV/BiPAP Improve Outcomes in Asthma Exacerbations? Journal Club-ish (Saving Lives Podcast)
High-Flow Nasal Cannula in Severe Asthma Exacerbations: Journal Club-ish (Saving Lives Podcast)
zhlédnutí 405Před 3 lety
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Komentáře

  • @RhodesHarvey-p6n
    @RhodesHarvey-p6n Před 17 hodinami

    Rodriguez Helen Wilson Jeffrey Clark Karen

  • @ryanfillmore8030
    @ryanfillmore8030 Před 4 dny

    Welcome back! :) Thank you for sharing!

  • @justelynnnjoelle
    @justelynnnjoelle Před 5 dny

    OMG, he's backkkkk 🙏🏼

    • @eddyjoemd
      @eddyjoemd Před 4 dny

      ☺️☺️☺️ I had a few minutes today and an interesting article. Thanks for your support!

  • @DageD214
    @DageD214 Před 7 dny

    Well, as of yesterday, I stop eating it I had some beef and men I am tell you join pain would kill me and I’m just 30. inflammatory.

  • @carolynkind9553
    @carolynkind9553 Před 11 dny

    Which brand do you suggest?

  • @amyahlquist3436
    @amyahlquist3436 Před 15 dny

    Haldol was a nightmare for me it locked up my jaw and cheeks.

  • @hlengiwemkizeyvonne378

    Thank you Doctor 🙏🏽 i'm in hospital and they put that SABAT PLASMALYTE and now im feeling pain in some areas of my body

  • @GauravPande1
    @GauravPande1 Před 27 dny

    Superb! Thank you!

  • @shellwilliams6306
    @shellwilliams6306 Před měsícem

    Can't or shouldn't use LR with IV Zosyn.

  • @Boglabu49
    @Boglabu49 Před měsícem

    How do you utilise Aortic Pulsality index in your practice?

  • @nickhelvey5532
    @nickhelvey5532 Před měsícem

    I met a Boston flight medic at a critical care, conference, and he said he wants transported a patient that was on 500 mcg a minute of norepinephrine. Also, all the other vasopressors, too like vasopressin, epi, dobutamine, methylene blue.

  • @ezekielhand6988
    @ezekielhand6988 Před měsícem

    Is research experience during medical school or IM residency important/make or break for matching into a CCM fellowship like it can be for PCCM?

  • @high-voltage1904
    @high-voltage1904 Před měsícem

    Our facility uses weight based dosing.

  • @Daniel-rk2qz
    @Daniel-rk2qz Před měsícem

    how many months did you take to prepare?

  • @juniorocha9721
    @juniorocha9721 Před měsícem

    Thanks for the class 🙌🏽

  • @UmutoniGiselle-rn1yb
    @UmutoniGiselle-rn1yb Před měsícem

    Ntibigaragarape

  • @HebaHassan-po3lp
    @HebaHassan-po3lp Před 2 měsíci

    I am starting my job as ICU resident, this Vedio is a jam , loved it

  • @Dustin-i7k
    @Dustin-i7k Před 2 měsíci

    Great advice doc, in my experience in critical care and flight nursing it’s physicians like your self who have taken the time share their knowledge with me that have made the greatest impacts on my career as a critical care RN. I’m just beginning my Acute Care NP program this fall. Your advice brought to light some new facts for me to investigate. Thank you keep up the good work on this channel 🤙

  • @Dustin-i7k
    @Dustin-i7k Před 2 měsíci

    Great advice doc, in my experience in critical care and flight nursing it’s physicians like your self who have taken the time share their knowledge with me that have made the greatest impacts on my career as a critical care RN. I’m just beginning my Acute Care NP program this fall. Your advice brought to light some new facts for me to investigate. Thank you keep up the good work on this channel 🤙

  • @pavankumar-jb9im
    @pavankumar-jb9im Před 2 měsíci

    At finally lidocaine is better than amiodorane

  • @szickef
    @szickef Před 2 měsíci

    Thanks for saying the hard stuff out loud. We do our best, but in the end, God gets the final vote.

  • @enalo6261
    @enalo6261 Před 2 měsíci

    Unfortunately does nothing for UTI.

  • @yalna3140
    @yalna3140 Před 2 měsíci

    Well I got dystonia and restlessness but it was for nausea. I can't by the best of me imagine this drug to be a good drug. Just stop ot with it and find something better.

  • @cravennnnnnnia5608
    @cravennnnnnnia5608 Před 2 měsíci

    Can we use nss side chain LRS ? i saw some example from my class that use nss for maintenance fluid and LRS for concurrent loss

  • @margallietal2912
    @margallietal2912 Před 2 měsíci

    saludos desde mexico!

  • @sinuzb3115
    @sinuzb3115 Před 2 měsíci

    Can you do a video about anesthesiologist critical care fellowship?

  • @rollievancleave7753
    @rollievancleave7753 Před 2 měsíci

    THANK YOU for mentioning the RT!!! Most don’t in these tutorials.

  • @keekeemyfirstcat8410
    @keekeemyfirstcat8410 Před 3 měsíci

    I took the Internal Medicine Boards 1996. I haven't taken it again. That is eighteen years ago. I read the MKSAP only and managed to pass the first time back then. However, I have very limited chronic internal medicine work history, doing mostly ER now. However, even to work ER with an internal medicine training if I don't get certified again, they want it renewed to gain other ER jobs. It is totally different practicing of medicine. Just wondering if I have to do MOC training, too?

  • @JesusMartinez-hd3ju
    @JesusMartinez-hd3ju Před 3 měsíci

    Thank you

  • @mballer
    @mballer Před 3 měsíci

    Is a simple fingertip pulse oximeter measuring both arterial and venous blood? If so, could a high reading be bad if oxygen is not being utilized and just recirculating? Also, What about using thiamine and Methylene Blue to increase oxygen consumption by the mitochondria? What would you say is happening when after breathing 90% oxygen for a few minutes and a pulse oximeter reads 100‰ , this 100% can be hit for many minutes afterwards, when normally it would be much lower? Any ideas?

  • @iswimslow4
    @iswimslow4 Před 3 měsíci

    And notice you said they told him to cut down, but didnt say how much of it he was eating. Then i the end you say “everything in moderation”. Lol okay bro. You’re not very bright

  • @iswimslow4
    @iswimslow4 Před 3 měsíci

    Just because you look healthy doesnt mean your blood is. Red meat increases fat in your blood. If all you eat is red meat or if you eat it a lot, you will clog your arteries. Its simple science. You could look as healthy as you want, fit doesnt equal healthy. You could be fit eating junk food, its about the calories you take in.

  • @gmm0rales
    @gmm0rales Před 3 měsíci

    Weight but we use ideal body weight vs actual weight

  • @helenn5309
    @helenn5309 Před 3 měsíci

    Thank you , this is very helpful!!

  • @Mohammed93ism
    @Mohammed93ism Před 3 měsíci

    I have both mag and potassium deficiency but whenever i take magnesium i feel that it increases the demands for more potassium, is this true ?

  • @gregoryherman1562
    @gregoryherman1562 Před 3 měsíci

    I would do one thing… talk about what the values or reading will look like in relation to consumption and delivery…

  • @maintenancezone4451
    @maintenancezone4451 Před 3 měsíci

    Watch the tyramines that chocolate binge could give you a stroke

  • @AnnaMaria-zm8cv
    @AnnaMaria-zm8cv Před 3 měsíci

    This is interesting. I suspect I had serious low potassium that went unnoticed by my doctors last year, crawling through the eye of the needle. They tested all my electrolytes right away after I went to ER with my symptoms, but only serum so it came back normal and they dismissed me as being healthy aka its all in my head. I have been sick for almost two years now, and only my own research and analysing brought me recently to the idea I might have been low on potassium all this time (extreme fatique to a point I was afraid to die which probably was such a low level of potassium that I would pass out, but my common sense told me to drink some juice and take a multivitamine which happened to contain potassium as well and electrolytes right away), numbness, digestion issues, arrhytmia, high bloodpressure, issues with water balance, muscle tremors I had it all. I also had all the issues that deplete potassium like magnesium deficiency, malnutrition, stress, sweating too much, drinking too less etc). But my doctor wont test me on cellulair level, still not with all the possible evidence. The way I kept going and went from being mostly in my bed too lethargic to live back to getting my life back, for me was really eating things high in potassium as I realise now and supplementing magnesium. Lately I have been taking extra potassium both supplement and diet rich in potassium, but the effect is not really big, eventhough I do function again. After watching this video I decided to swap a bit my supplement protocol and take magnesium 1-2 hours before potassium and not just before bed time and today I felt a difference. No more dizziness, no more palpitations and my heartrate kept more steady as well. I have been supplementing magnesium for a while now, just not close to my intake of potassium. I must say I have good and bad days, it could be coincidence but magnesium seemed to give me benefit anyway. But now I will take it more smart. Step by step Im getting healthy again, but if potassium was the cullprit all along, I´d be happy to finaly have an answer to my mysterious disease.

    • @anthonywilliams3822
      @anthonywilliams3822 Před 3 měsíci

      Sadly, I'm going through the same thing for six years now.

    • @AnnaMaria-zm8cv
      @AnnaMaria-zm8cv Před 3 měsíci

      @@anthonywilliams3822 it sucks doesnt it? It makes me wonder how many suffer or even die because of a so often simple to treat low potassium levels just because they dont test properly. High potassium is easy to see on ECG but low potassium isnt (?). My ecgs were always good. They never catch the arrhytmia which typically occure when being active. They get less and if I feel them I take electrolytes to deal with it.

    • @anthonywilliams3822
      @anthonywilliams3822 Před 3 měsíci

      @@AnnaMaria-zm8cv Absolutely, I've often wondered the same thing. Plus, because restoring potassium/magnesium levels can take some time it's hard to stay the course without some sort of guidance.

    • @AnnaMaria-zm8cv
      @AnnaMaria-zm8cv Před 3 měsíci

      @@anthonywilliams3822 yes I notice it with myself. I feel so much better but sometimes like today I feel like its something else because the symptoms are back however much milder than before. I now took on a more specific diet plan guided by some experts (at least I hope) which gave me some advise on additional supplementing. I hope my doctor soon makes some time to explain why I already wait 8 months for a heart monitor and maybe have some reliable bloodwork done to know if electrolytes are indeed the cause.

  • @purple.fantasy
    @purple.fantasy Před 3 měsíci

    How are the working hours?

  • @shilparajan578
    @shilparajan578 Před 3 měsíci

    Amazing class . Great video. Thanks .

  • @AIA2637
    @AIA2637 Před 4 měsíci

    Cool

  • @chriswood6333
    @chriswood6333 Před 4 měsíci

    Great content

  • @SFROutdoors
    @SFROutdoors Před 5 měsíci

    Med student here - how important is it that I get a good foundation in DL as we go more and more to ubiquitous VL? Feels like based on this video and what I have seen, DL is just something that is getting phased out (or just a superior standard of care, VL, is being phased in)

  • @feliciayeo599
    @feliciayeo599 Před 5 měsíci

    watching this in 2024 thank you for the video! in what cases the PEEP is to set at 0?

  • @MrFASSOLY1990
    @MrFASSOLY1990 Před 6 měsíci

    mcg/kg/min regardless of patient's weight

  • @TheSeawolf277
    @TheSeawolf277 Před 6 měsíci

    In the mental institution they call this “booty juice”

  • @dnyaneshthesia
    @dnyaneshthesia Před 6 měsíci

    THANKS A LOT ❤❤

    • @eddyjoemd
      @eddyjoemd Před 6 měsíci

      💪🏼💪🏼💪🏼