SCCM Resource Library-April Journal Club: Critical Care Medicine (2021)

Video Transcription

Video Summary

This webcast featured two articles on critical care medicine. The first article discussed the impact of pre-intubation non-invasive ventilation on outcomes in pediatric ARDS. The study analyzed data from the RESTORE trial, which tested a nurse-implemented, goal-directed sedation protocol compared to usual care. The findings showed that patients who received non-invasive ventilation prior to intubation had longer duration of mechanical ventilation, longer ICU and hospital stays, and higher mortality at 28 and 90 days. The study also found that the duration of non-invasive ventilation was associated with worse outcomes, with patients who received non-invasive ventilation for longer than 24 hours having the highest mortality rate. The authors concluded that further research is needed to determine which patients will benefit from non-invasive ventilation and to identify early markers of non-invasive ventilation failure. <br /><br />The second article discussed the use of the inspiratory muscle training device for patients in the weaning process. The study found that the use of the device was associated with improved muscle strength, successful weaning rates, and higher survival rates. The findings suggest that inspiratory muscle training can be a beneficial tool in prolonging the weaning process and improving outcomes for patients. The authors highlighted the importance of incorporating the measurement of inspiratory muscle function in intensive care and the potential for the device to guide inspiratory muscle training programs. However, further research is needed to confirm these findings and to address limitations such as blinding and sample size. Overall, both articles emphasize the need for continued research in critical care medicine to improve patient outcomes.

Asset Subtitle

Pulmonary, Pediatrics, 2021

Asset Caption

"The Journal Club: Critical Care Medicine webcast series focuses on articles of interest from Critical Care Medicine.

This series is held on the fourth Thursday of each month and features in-depth presentations and lively discussion by the authors.

Follow the conversation at #CritCareMed."

Meta Tag

Content Type Webcast

Knowledge Area Pulmonary

Knowledge Area Pediatrics

Knowledge Level Intermediate

Knowledge Level Advanced

Membership Level Professional

Membership Level Select

Membership Level Associate

Tag Airway Management

Tag Pediatrics

Year 2021

Keywords

critical care medicine

pre-intubation non-invasive ventilation

pediatric ARDS

RESTORE trial

mechanical ventilation

mortality rate

inspiratory muscle training device

weaning process

patient outcomes

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