SCCM Resource Library-Year in Review: Internal Medicine

Video Transcription

Video Summary

In this session, three trials were discussed. The first trial, Hyperion, evaluated the use of moderate hypothermia for patients with coma after successful resuscitation from cardiac arrest with non-shockable rhythms. The results showed that hypothermia led to more patients with favorable neurological outcomes compared to normothermia. The second trial, Violet, examined the use of high-dose vitamin D for critically ill patients with vitamin D deficiency. The results showed no difference in 90-day mortality between the vitamin D and placebo groups. The third trial, Citrus ALI, investigated the use of vitamin C supplementation for sepsis-associated acute lung injury. The results showed no difference in organ failure assessment or biomarkers, but a potential mortality benefit and shorter ICU-free days with vitamin C supplementation. Overall, the trials highlighted the potential benefits of targeted temperature management and the need for further research on vitamin D and vitamin C supplementation. The session generated discussion on the appropriate use of these interventions and the importance of individualized care for patients with sepsis and other critical illnesses.

Asset Subtitle

Sepsis, Pulmonary, 2020

Asset Caption

The Society of Critical Care Medicine's Critical Care Congress features internationally renowned faculty and content sessions highlighting the most up-to-date, evidence-based developments in critical care medicine. This is a presentation from the 2020 Critical Care Congress held February 16-19, 2020, in Orlando, Florida, USA.

Learning Objectives

Identify the extent of the new evidence base in internal medicine critical care
Examine the strengths and weakness of the new evidence base
Explain how new evidence fits in with established published literature

Internal Medicine Review 1

Rahul S. Nanchal

Internal Medicine Review 2

Jen-Ting Chen

Internal Medicine Review 3

Kwadwo Kyeremanteng

Meta Tag

Content Type Presentation

Knowledge Area Sepsis

Knowledge Area Pulmonary

Knowledge Level Foundational

Knowledge Level Intermediate

Knowledge Level Advanced

Membership Level Select

Membership Level Professional

Membership Level Associate

Tag Shock

Tag Extubation

Tag Fluids Resuscitation Management

Year 2020

Keywords

trials

Hyperion

moderate hypothermia

cardiac arrest

vitamin D deficiency

90-day mortality

vitamin C supplementation

sepsis-associated acute lung injury

targeted temperature management

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