SCCM Resource Library-September Journal Club: Critical Care Medicine (2020)

Video Transcription

Video Summary

In this Journal Club webcast, two articles from the September issue of Critical Care Medicine were discussed. The first article focused on the use of thromboelastography (TEG) in critically ill COVID-19 patients with acute respiratory distress syndrome (ARDS). TEG is a method of assessing coagulation by measuring various aspects of clot formation and lysis. The study found that the majority of COVID-19 ARDS patients had a hypercoagulable TEG profile, with elevated maximum amplitude (MA) and alpha angle, indicating increased platelet function and fibrinogen cross-linking. However, traditional markers of coagulation, such as prothrombin time (PT) and partial thromboplastin time (PTT), did not correlate well with TEG parameters. The study also found that TEG parameters did not predict the occurrence of venous thromboembolic events or death in these patients.<br /><br />The second article discussed the use of a rapid response electroencephalography (EEG) system in patients with suspected status epilepticus. The study found that the rapid EEG system enabled EEG monitoring to start within a few minutes, compared to conventional EEG, which had a median wait time of several hours. The rapid EEG system was shown to inform clinical decision-making, with improvements in diagnostic confidence and treatment plans. The system was also found to be easy to use and safe, with no adverse events reported. The authors suggest that the rapid EEG system could be a valuable tool for early detection and treatment of seizures in critically ill patients.<br /><br />Overall, these articles highlight the potential of novel technologies, such as TEG and rapid EEG, to improve the management of critically ill patients.

Asset Subtitle

Pulmonary, Infection, 2020

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 Infection

Knowledge Level Intermediate

Knowledge Level Advanced

Membership Level Select

Membership Level Professional

Membership Level Associate

Tag COVID-19

Tag Acute Respiratory Distress Syndrome ARDS

Year 2020

Keywords

TEG

COVID-19

ARDS

coagulation

platelet function

fibrinogen cross-linking

EEG

status epilepticus

diagnostic confidence

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