Medical Specialists Associates
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Medical Specialists Associates - Procalcitonin in Antibiotic Stewardship by Christopher Voss, MD, MS
Medical Specialists Associates - Procalcitonin in Antibiotic Stewardship: A Comprehensive Guide by Christopher Voss, MD, MS board-certified in anesthesiology, critical care, and neurocritical care medicine.
References:
1. Schuetz P, ChristCrain M, Thomann R, et al. Effect of procalcitonin-based guidelines vs standard guidelines on antibiotic use in lower respiratory tract infections: The ProHOSP randomized controlled trial. JAMA. 2009;302(10):10591066.
2. Bouadma L, Luyt CE, Tubach F, et al. Use of procalcitonin to reduce patients' exposure to antibiotics in intensive care units (PRORATA trial): A multicentre randomized controlled trial. Lancet. 2010;375(9713):463474.
3. de Jong E, van Oers JA, Beishuizen A, et al. Efficacy and safety of procalcitonin guidance in reducing the duration of antibiotic treatment in critically ill patients: a randomised, controlled, openlabel trial. Lancet Infect Dis. 2016;16(7):819827.
4. Hoeboer SH, van der Geest PJ, Nieboer D, Groeneveld AB. The diagnostic accuracy of procalcitonin for bacteraemia: A systematic review and metaanalysis. Clin Microbiol Infect. 2015;21(5):474481.
5. Simon L, Gauvin F, Amre DK, SaintLouis P, Lacroix J. Serum procalcitonin and Creactive protein levels as markers of bacterial infection: A systematic review and metaanalysis. Clin Infect Dis. 2004;39(2):206217.
6. Hattori T, Nishiyama H, Kato H, Ikeda T, Morita H. Clinical value of procalcitonin in patients with suspected bloodstream infection: can procalcitonin reduce the rate of blood culture contamination? Am J Clin Pathol. 2014;141(1):4351.
zhlédnutí: 1

Video

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zhlédnutí 5Před 4 hodinami
Medical Specialists Associates - Capillary Refill Time in Clinical Assessment of Peripheral Tissue Perfusion based on the current research References: 1. Ait-Oufella H, Bige N, Boelle PY, Pichereau C, Alves M, Bertinchamp R, et al. Capillary refill time exploration during septic shock. Intensive Care Med. 2014;40(7):958-964. 2. Hernandez G, Ospina-Tascon GA, Damiani LP, Estenssoro E, Dubin A, H...
Medical Specialists Associates - Driving Pressures in Lung Protective Mechanical Ventilation
zhlédnutí 67Před 10 hodinami
Medical Specialists Associates - Driving Pressures in Lung Protective Mechanical Ventilation based on the current research Presented by Christopher Voss, MD, board-certified in critical care and neurocritical care medicine References: 1. Amato MB, Meade MO, Slutsky AS, et al. Driving pressure and survival in the acute respiratory distress syndrome. N Engl J Med. 2015;372(8):747-755. 2. Chiumell...
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zhlédnutí 32Před 11 hodinami
KaiyaVeda - Understanding HMB: Benefits, Research, and Recommendations based on current research Presented by Christopher Voss, MD, board-certified in lifestyle medicine, obesity medicine, and pain medicine References: 1. Nissen SL, Sharp RL, Ray M, et al. Effect of leucine metabolite β-hydroxy-β-methylbutyrate on muscle metabolism during resistance-exercise training. J Appl Physiol (1985). 199...
KaiyaVeda - Understanding D-Ribose: Benefits, Research, and Recommendations
zhlédnutí 43Před 12 hodinami
KaiyaVeda - Understanding D-Ribose: Benefits, Research, and Recommendations based on current research References: 1. Peveler WW, Binkley HM, Moffatt RJ, Triplett NT, Enis RM. The effect of oral ribose supplementation on repeated sprint performance. J Int Soc Sports Nutr. 2006;3:40-47. 2. Teitelbaum JE, Johnson C, St Cyr J. The use of D-ribose in chronic fatigue syndrome and fibromyalgia: a pilo...
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zhlédnutí 26Před 3 hodinami
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zhlédnutí 16Před 3 hodinami
Medical Specialists Associates - The Role of Buprenorphine in Pain Management based on current research References: 1. Daitch, D., Frey, M. E., Silver, D., Mitnick, C., Daitch, J., & Pergolizzi, J. V. (2014). Conversion of chronic pain patients from full-opioid agonists to sublingual buprenorphine. Pain Physician, 17(3), E283-E292. 2. Johnson, R. E., Fudala, P. J., & Payne, R. (2003). Buprenorp...
Medical Specialists Associates - Safe Opioid Prescribing in the Modern Era
zhlédnutí 34Před 5 hodinami
"Safe Opioid Prescribing in the Modern Era: Evidence-Based Guidelines and Practices" References 1. Dowell, D., Haegerich, T. M., & Chou, R. (2016). CDC guideline for prescribing opioids for chronic pain-United States, 2016. JAMA, 315(15), 1624-1645. 2. Chou, R., et al. (2009). Clinical guidelines for the use of chronic opioid therapy in chronic noncancer pain. The Journal of Pain, 10(2), 113-13...
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zhlédnutí 11Před 8 hodinami
Medical Specialists Associates Pain Medicine Educational Series - Understanding Neuropathic Pain and Its Treatment in Conventional Medicine References 1. Finnerup, N. B., et al. (2015). Pharmacotherapy for neuropathic pain in adults: a systematic review and meta-analysis. Lancet Neurology, 14(2), 162-173. 2. Jensen, T. S., et al. (2011). A new definition of neuropathic pain. Pain, 152(10), 2204...
KaiyaVeda - The Essential Role of Gut Microbiota in Optimal Health: A Deep Dive into the Science
zhlédnutí 24Před 8 hodinami
KaiyaVeda - The Essential Role of Gut Microbiota in Optimal Health: A Deep Dive into the Science References 1. Morrison, D. J., & Preston, T. (2016). Formation of short-chain fatty acids by the gut microbiota and their impact on human metabolism. Gut Microbes, 7(3), 189-200. 2. LeBlanc, J. G., et al. (2013). Bacteria as vitamin suppliers to their host: a gut microbiota perspective. Current Opin...
KaiyaVeda's Guide to Artificial vs. Natural Sweeteners for Weight Loss and Health
zhlédnutí 24Před 8 hodinami
KaiyaVeda's Guide to Artificial vs. Natural Sweeteners for Weight Loss and Health based on current research Citations 1. [Qurrat-Ul-Ain & Khan, 2015] 2. [St-Onge & Heymsfield, 2003] 3. [Balachandran, 2018] 4. [Pearlman et al., 2017] 5. [Benton, 2005] 6. [Roberts, 2015] 7. [Laviada-Molina et al., 2019] 8. [Sardesai & Waldshan, 1991] 9. [Salvador-Reyes et al., 2014] 10. [Pawar et al., 2013] 11. [...
The Philosophy of KaiyaVeda: Integrating Wisdom for Optimal Health
zhlédnutí 8Před 13 hodinami
The Philosophy of KaiyaVeda: Integrating Wisdom for Optimal Health Citations: 1. Ornish, D., Brown, S. E., Scherwitz, L. W., et al. (1998). Can lifestyle changes reverse coronary heart disease? The Lifestyle Heart Trial. The Lancet, 336(8708), 129-133. 2. Davidson, R. J., Kabat-Zinn, J., Schumacher, J., et al. (2003). Alterations in brain and immune function produced by mindfulness meditation. ...
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zhlédnutí 63Před 13 hodinami
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zhlédnutí 21Před 13 hodinami
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zhlédnutí 11Před 13 hodinami
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KaiyaVeda's Guide to Clean Living: How to Detox Your Diet and Environment
zhlédnutí 48Před 13 hodinami
KaiyaVeda's Guide to Clean Living: How to Detox Your Diet and Environment
KaiyaVeda's Guide to Family Wellness Tips and Activities for a Healthy Household
zhlédnutí 2Před 15 hodinami
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KaiyaVeda's Guide to the top 5 science-backed weight loss tips for fast results
zhlédnutí 9Před 15 hodinami
KaiyaVeda's Guide to the top 5 science-backed weight loss tips for fast results
KaiyaVeda's Comprehensive Guide to a Plant-Based Diet
zhlédnutí 18Před 15 hodinami
KaiyaVeda's Comprehensive Guide to a Plant-Based Diet
KaiyaVeda's Comprehensive Guide to Intermittent Fasting
zhlédnutí 26Před 15 hodinami
KaiyaVeda's Comprehensive Guide to Intermittent Fasting
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zhlédnutí 4Před 15 hodinami
KaiyaVeda's Comprehensive Guide to the Keto Diet
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zhlédnutí 69Před 15 hodinami
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Introduction to KaiyaVeda
zhlédnutí 12Před 15 hodinami
Introduction to KaiyaVeda
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zhlédnutí 29Před 15 hodinami
KaiyaVeda's Guide to Optimal Sleep for Health
KaiyaVeda's Guide to Diets for Weight Loss and Weight Management
zhlédnutí 86Před 15 hodinami
KaiyaVeda's Guide to Diets for Weight Loss and Weight Management
KaiyaVeda's Guide to the Best Meditation Practices
zhlédnutí 32Před 15 hodinami
KaiyaVeda's Guide to the Best Meditation Practices
Best Supplements for Peak Athletic Strength and Endurance Performance
zhlédnutí 65Před 15 hodinami
Best Supplements for Peak Athletic Strength and Endurance Performance
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zhlédnutí 172Před 5 měsíci
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How to Perform a Percutaneous Cricothyroidotomy - With Dr. Voscopoulos
zhlédnutí 1,7KPřed rokem
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zhlédnutí 452Před 2 lety
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Komentáře

  • @zoltangaal1842
    @zoltangaal1842 Před 2 dny

    Bad voiceover, boys.

  • @mazharsoufi5270
    @mazharsoufi5270 Před 4 dny

    thank u very helpful

  • @peterholsken5618
    @peterholsken5618 Před 20 dny

    Excellent presentation. Unfortunately it also made me aware of all the deficiencies in the ICU treatment I was subjected to. Massive oversedation with Midazolam (RASS -4/-5), no daily SATs and SBTs, no mobilization, 5 days severe delirium after extubation, restraints, no contact to the family. Mistreatment of the delirium with Promethazine (antihistamine) and Lorazepam (benzodiazepine) IVs. 4 years later I am still not fully recovered. And the worst thing is that intubation/ventilation was actually never required in my case since I was merely fluctuating between a mild and no ARDS. But they did it anyways.

  • @RitaMBuda-tz6bi
    @RitaMBuda-tz6bi Před 23 dny

    Horrible! 😣😣😣😣

  • @RitaMBuda-tz6bi
    @RitaMBuda-tz6bi Před měsícem

    Hell no to it all. Never never again.😣😣😣

  • @RitaMBuda-tz6bi
    @RitaMBuda-tz6bi Před měsícem

    Thank-you. This video helped to firmly decide to never ever have surgery again. No one told me this was going to happen. If they did, I would have canceled the surgery pronto. In fact, this video makes me abhor hospitals and doctors even more.😣😣😔😔

    • @theskirata7034
      @theskirata7034 Před 24 dny

      You’re in luck: This is not how they secure your airway in surgery.

  • @RitaMBuda-tz6bi
    @RitaMBuda-tz6bi Před měsícem

    The worst kind of torture. If I knew in advance something like this would happen, I would have canceled the surgery pronto.😢😢

  • @sherrymeng-mx9sy
    @sherrymeng-mx9sy Před měsícem

    seriously,i think he is cute🤭

  • @kylecolmar964
    @kylecolmar964 Před 2 měsíci

    Thank you

  • @lazaroluis8242
    @lazaroluis8242 Před 2 měsíci

    I feel more comfortable using a boogie first

  • @Natalia-RN
    @Natalia-RN Před 2 měsíci

    Aaaaa....ummmm....um..a.aaaa...ummmm...sorry, great material, but impossible to listen... trying to listen prior to my CRRT class...couldn't...horrible speaker

  • @danneyxxx6614
    @danneyxxx6614 Před 3 měsíci

    Thank u!

  • @EBMisKing
    @EBMisKing Před 4 měsíci

    holding way too high and inserting too deep. Try holding at the base of where the channel meets the handle.

  • @monk1776
    @monk1776 Před 4 měsíci

    I spent 5 months on a ventilator, Ecmo and a dialysis machine due to covid pneumonia. I had internal bleeding among other problems and was only given a 3% chance of living. Coming off Ecmo was one of the hardest things I've ever had to do. It saved my life but left me handicapped, i have severe nerve damage to my right leg and foot.

  • @user-vb3zk9jh2d
    @user-vb3zk9jh2d Před 4 měsíci

    Outstanding and very informative information for a very common problem Often poorly understood and managed Must view

  • @elarti6969
    @elarti6969 Před 4 měsíci

    well, it might be a "mannekin" stuff, but, blade was leaning on upper teeth. Secondly, you never introduce your endotracheal tube all the way with the stillet in. Anyway, great video for a GENERAL idea.

  • @HMS20th
    @HMS20th Před 4 měsíci

    Is there a part 2 ?

  • @shainanembhard
    @shainanembhard Před 5 měsíci

    Thank you.

  • @hossammustafa3146
    @hossammustafa3146 Před 5 měsíci

    nice lecture. What are your thoughts on catheter directed therapy compared to systemic tPA. I t uses lower doses over longer period of time.

    • @christophervoscopoulos2364
      @christophervoscopoulos2364 Před 5 měsíci

      I am expressing an opinion here as I think more data is needed to answer this question, but I think, from my personal experience, that the "bigger" difference in results is likely in the longer duration of treatment, and not necessarily the total dose or mechanism of delivery. Again, only an opinion from personal experience .

  • @hasratkhan5421
    @hasratkhan5421 Před 5 měsíci

    A good teaching. However, I would have liked you to actually do the procedure on the human manniquen rather than just micmicking.

  • @cbbl7925
    @cbbl7925 Před 5 měsíci

    Hi, thx for the lecture. What do you think about 4peps score for rule out ep ?

  • @mihye32
    @mihye32 Před 5 měsíci

    Thank you for amazing video! This video is extremely helpful! :)

  • @Devinandtyler86
    @Devinandtyler86 Před 6 měsíci

    I’m getting one next month and I’m terrified

  • @saraosman8509
    @saraosman8509 Před 7 měsíci

    Thanks

  • @jdoe981
    @jdoe981 Před 7 měsíci

    Did they give him Remdesivir? They proned my husband, he died.

  • @nishatgarg2310
    @nishatgarg2310 Před 9 měsíci

    Arytenoids are located posteriorly. How did you able to see those?

    • @WhenNightHits
      @WhenNightHits Před 8 měsíci

      He probably meant corniculates and cuneiform. A lot of people confuse them with the arytenoids.

  • @gioia6305
    @gioia6305 Před 10 měsíci

    Ottima spiegazione

  • @Coral_Respiratorytherapist
    @Coral_Respiratorytherapist Před 10 měsíci

    Awesome video thanks

  • @igibon8
    @igibon8 Před 10 měsíci

    How about A line placement without guide wire? Is it doable?

  • @marionharris5952
    @marionharris5952 Před 11 měsíci

    Thanks

  • @riskymesk
    @riskymesk Před 11 měsíci

    Hi, I've been using the Mac blade, I believe I am profecient with it now. but I have a hard time visualizing the way the miller blade "clips" into the Epiglotis. Assuming I choose to sweep the tongue as I go in and see the epiglottis, do I rock and put it under the blade? Or is it better to go in without sweeping assuming where the epiglotis is and pull back slowly.I don't understand the "Clipping" sorry.

    • @MedicalSpecialistsAssociates
      @MedicalSpecialistsAssociates Před 11 měsíci

      Bearing in mind that there are many variants in techniques to using the individual blades, a common approach to using the miller blade is to go straight in midline. This is because the miller blade technically doesn't have a tongue sweep design. Then, going in mid-line, a common approach is to intentionally go in deep. After this, you do your typical lifting of the blade out and up at a 45 degree angle, and, concomitantly, you slide the blade back until you "clip" the epiglottis and visualize the vocal cords. A way some anesthesia residents learn to use both blades is to use both of them on every patient they encounter in the OR. In that learning environment you can gently enter the oral cavity with the MAC blade, visualize the vocal cords, then come out and go in with the Miller blade and intubate. Using this learning model one can begin to quickly gain experience knowing what type of blade would be most useful depending on your patient's unique anatomy.

    • @riskymesk
      @riskymesk Před 11 měsíci

      @@MedicalSpecialistsAssociates Thank you so much for taking the time to respond!

  • @olisaprice9870
    @olisaprice9870 Před rokem

    Great video

  • @mohamedrafi2671
    @mohamedrafi2671 Před rokem

    Amazing

  • @nebraskamomma
    @nebraskamomma Před rokem

    Uhm..... hell no

  • @sanatjankarriev9249

    The same problem happened recently with me. Short and thick neck male patient with limited mouth opening. I choose blade number 3 which was big mistake. I saw only long floppy depressed epiglottis. Desatureted very quickly. Inserted LMA. Ventilated somehow. Difficult ventilation even with LMA. Started to bleed from mouth. Desatureted bellow 40. It was nightmare. ThankGod started to wake up. And successfully awakened up.😢

  • @ZantherStone
    @ZantherStone Před rokem

    I can never find a diagram or picture that shows the arytenoids, the corniculates, AND the cuniform cartiledges all in one. Were they all visible in that view?

  • @HW-fj6ip
    @HW-fj6ip Před rokem

    amazing lecture! well done.

  • @reinal8086
    @reinal8086 Před rokem

    Great video thanks!

  • @veasnaphai8
    @veasnaphai8 Před rokem

    We need to STOP the human torture 3 times a week by hemodialysis. All about money and not humanity.

  • @matinakara3140
    @matinakara3140 Před rokem

    Ευχαριστούμε 👏👏👏

  • @amirhosseinetemad3094

    bruh?

  • @jaym5938
    @jaym5938 Před rokem

    Thank you for the video. I can't wrap my head around using that 'wire.' It doesn't cause damage to the posterior trach as it's inserted?

  • @tanishaagarwala3784

    This was very well done. Thank you so much for creating this resource. I am currently a CAA student and found this content helpful :)

  • @Kay-zo3wl
    @Kay-zo3wl Před rokem

    Theres a lot of ummmm ummmm on this lecture. It is so distracting. Skip this video, hard to concentrate here. Need to practice removing ummms

  • @itsyuridesouza
    @itsyuridesouza Před rokem

    Great content! Thank you

  • @LaitoChen
    @LaitoChen Před rokem

    cool! thanks!

  • @wridlarslaila1516
    @wridlarslaila1516 Před rokem

    Do you have any PDF file of this lecture ? This is very helpful :)

  • @mingfangzhang8870
    @mingfangzhang8870 Před rokem

    W

  • @MrBababuwi
    @MrBababuwi Před rokem

    If the speaker is nephrologist or dialysis nurse, there is a problem in this field.

  • @mannagarwal5390
    @mannagarwal5390 Před rokem

    Very good demonstration.