POCUS: Feissel

In patients with septic shock who are mechanically ventilated does indexed LV end-diastolic area and respiratory changes in aortic blood velocity predict the haemodynamic effects of volume expansion?
Continue reading »A compendium of critical appraisals in Intensive Care Medicine research and related specialties
In patients with septic shock who are mechanically ventilated does indexed LV end-diastolic area and respiratory changes in aortic blood velocity predict the haemodynamic effects of volume expansion?
Continue reading »Are there specific ECG characteristics that can differentiate between anterior ST-elevation myocardial infarction (STEMI) and early repolarisation?
Continue reading »In patients with wide QRS (probably ventricular) tachycardia, does intravenous procainamide compared with intravenous amiodarone reduce major adverse cardiac events?
Continue reading »In patients aged 80 years or older, with unstable angina/non-ST elevation myocardial infaction (NSTEMI), does an early invasive strategy compared with a conservative strategy, reduce the composite outcome of myocardial infarction, need for urgent revascularisation, stroke and death?
Continue reading »In adult patients with nontraumatic out-of-hospital cardiac arrest and shock-refractory ventricular fibrillation (VF) or pulseless ventricular tachycardia (pVT), does amiodarone or lidocaine along with standard care result in improved survival and more favourable neurological outcome compared with placebo?
Continue reading »In patients with ST-elevation-myocardial infarction (STEMI), without hypoxia, does receiving supplemental oxygen compared with no supplemental oxygen reduce early myocardial injury?
Continue reading »Does a modified Valsalva technique, incorporating a leg lift procedure, result in improved success in converting a supraventricular tachycardia to sinus rhythm in patients presenting to the Emergency Department?
Continue reading »In elective surgical patients with atrial fibrillation who are suspending their normal warfarin peri-operatively, does no bridging anticoagulation compared to bridging anticoagulation with dalteparin increase the incidence of thromboembolism or reduce the incidence of major bleeding?
Continue reading »Intra-aortic balloon counterpulsation in acute myocardial infarction complicated by cardiogenic shock (IABP-SHOCK II): final 12 month results of a randomised, open-label trial IABP-SHOCK II Trial Investigators.NEJM;2012,367(14)1287-96, DOI: 10.1056/NEJMoa1208410 Clinical Question In patients with acute MI and cardiogenic shock, does intraaortic balloon counterpulsation (IABP) vs. medical therapy alone improve mortality? Design Randomised controlled trial Randomisation performed centrally via internet based program […]
Continue reading »In patients with suspected acute coronary syndrome (ACS) does a novel accelerated diagnostic protocol (ADP) identify low risk patients suitable for discharge after a single high-sensitivity troponin T (hs-cTnT)?
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