SCCM Resource Library-Year in Review: Pharmacy

Video Transcription

Video Summary

This video discussed updates in the management of critically ill cardiovascular surgery and cardiology patients. It focused on the use of anticoagulation during extracorporeal membrane oxygenation (ECMO) and the emerging use of bivalirudin as an alternative to heparin. Two recent studies were highlighted, one from the University of Pittsburgh and the other from the Mayo Clinic, that compared the outcomes of patients on ECMO who received either heparin or bivalirudin. Both studies found that bivalirudin was associated with lower rates of major bleeding events and circuit thrombosis compared to heparin. The studies also showed that bivalirudin was associated with a decreased need for transfusions in some patients. However, it is important to note that these studies had limitations, such as their retrospective design and the inclusion of specific patient populations. Further research is needed to fully understand the impact of bivalirudin on ECMO outcomes and to determine optimal timing and dosing practices.

Asset Subtitle

Pharmacology, Quality and Patient Safety, Infection, 2022

Asset Caption

Learning Objectives:
-Review the newest pharmacologic strategies related to infectious diseases
-Discuss relevant updates for providing adequate nutrition in critically ill patients
-Evaluate the evidence for updates in the management of critically ill cardiovascular surgery and cardiology patients

Meta Tag

Content Type Presentation

Knowledge Area Pharmacology

Knowledge Area Quality and Patient Safety

Knowledge Area Infection

Knowledge Level Foundational

Knowledge Level Intermediate

Knowledge Level Advanced

Membership Level Select

Tag Pharmacology

Tag Evidence Based Medicine

Tag Infectious Diseases

Year 2022

Keywords

management

critically ill

cardiovascular surgery

cardiology patients

anticoagulation

extracorporeal membrane oxygenation

ECMO

bivalirudin

heparin

	Society of Critical Care Medicine 500 Midway Drive Mount Prospect, IL 60056 USA Phone: +1 847 827-6888 Fax: +1 847 439-7226 Email: support@sccm.org	Contact Us About SCCM Newsroom Advertising & Sponsorship DONATE	MySCCM LearnICU Patients & Families Surviving Sepsis Campaign Critical Care Societies Collaborative	GET OUR NEWSLETTER
© Society of Critical Care Medicine. All rights reserved. \| Privacy Statement \| Terms & Conditions The Society of Critical Care Medicine, SCCM, and Critical Care Congress are registered trademarks of the Society of Critical Care Medicine.