Vitamin C Can Shorten the Length of Stay in the ICU: A Meta-Analysis

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Although great care has been taken to ensure that the information in this post is accurate, eddyjoemd, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom.

The effect of corticosteroids on mortality of patients with influenza pneumonia: a systematic review and meta-analysis

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Although great care has been taken to ensure that the information in this post is accurate, eddyjoemd, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom.

Passive leg raising: how to do it

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Although great care has been taken to ensure that the information in this post is accurate, eddyjoemd, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom.

Oxygen There may be such a thing as too much oxygen..

The effect of hyperoxia on mortality in critically ill patients: a systematic review and meta analysis

Do your patients have supplemental oxygen and sats of 100% on the monitor? If so, they may be getting too much oxygen. Wean the supplemental oxygen as we have data that this causes harm. I encourage you to read this article which you can download on my website, eddyjoemd.com. I’m making an effort to review articles for you all that you can download for free and not have to pay ridiculous fees to stay up to date. You can like my posts and YouTube videos and donate $10 to your favorite charity instead 😁. Thank you to the authors, as always because I do not do research myself.

-EJ


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Although great care has been taken to ensure that the information in this post is accurate, eddyjoemd, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom.

Hyperchloremic Metabolic Acidosis and Acute Kidney Injury

Hyperchloremia and moderate increase in serum chloride are associated with acute kidney injury in severe sepsis and septic shock patients

A lot of the research I do on my own time to be a better doctor includes the simple basics of critical care. I don’t delve too much into the esoteric things bc it doesn’t impact as many lives as what I do on a DAILY basis. That’s the reason why I’m obsessed with fluids and sharing what I’ve learned along the way leading to how my practice has changed. Keep in mind that even LR could lead to an increase in the serum Cl (nl 98-109 and LR has 109mmol/L). I have made a video on YouTube describing the different fluids side by side that I made when I was a fellow. Since then, I have made individual videos covering NS, LR, and Plasma-Lyte. I really hope that some of you are benefitting from these posts. I appreciate the feedback I’ve received. Hat tip to the authors.

-EJ 



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Although great care has been taken to ensure that the information in this post is accurate, eddyjoemd, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom.

Marik Protocol for Septic Shock: Looking at Vitamin C

Hydrocortisone, Ascorbic Acid and Thiamine
(HAT Therapy) for the Treatment of Sepsis. Focus on Ascorbic Acid

Controversies. Controversies. Controversies. I tell you, the behaviors of Intensivists when it comes to king septic patients IV Vitamin C for sepsis are quite perplexing. We had a cheap drug, less than;$20 a day that MAY help treat sepsis and people don’t even bother to try it out. I know I use it because if it saves lives, why not try? Let’s say that the trials show a mortality benefit, two years have already passed since the first trial. Think of all the additional lives you could have saved but didn’t because your ego was in the damned way. If Marik is wrong, nothing bad happened. But if he’s right, you’re going to beat yourself up.

-EJ 



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Although great care has been taken to ensure that the information in this post is accurate, eddyjoemd, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom.

Articles that I have used for my Instagram Posts as of 3/25

https://jamanetwork.com/journals/jama/article-abstract/2725234



https://annalsofintensivecare.springeropen.com/articles/10.1186/s13613-019-0506-y
https://annalsofintensivecare.springeropen.com/track/pdf/10.1186/s13613-019-0506-y



https://www.nejm.org/doi/full/10.1056/NEJMoa1812405?query=pulmonary



https://onlinelibrary.wiley.com/doi/full/10.1111/anae.14472



https://ccforum.biomedcentral.com/articles/10.1186/s13054-019-2368-y
https://ccforum.biomedcentral.com/track/pdf/10.1186/s13054-019-2368-y



https://link.springer.com/epdf/10.1007/s00134-019-05561-w?shared_access_token=rTeiylWJdlL3VwqGpj4Kq_e4RwlQNchNByi7wbcMAY643av82qwwcII63__HlENh6YhUR4ZGkthQ4JdHcBeAV8Z7KNOkmV_O79HdliiumiAUAvOLvY0NPXmgLces5SGUvXWZvUJa9gprHlZMUdPakg%3D%3D



https://link.springer.com/epdf/10.1007/s00134-019-05526-z?shared_access_token=6MIrpEk5bbwEEnz4YIjB7ve4RwlQNchNByi7wbcMAY6T8cDofZacKXv6q8aKiyjTVK8EN5sZ_Tbg_x-Wvs85hhWRP7ub2_lfLCAkg3hlEwEfk7wrEmLYnR0czZRpccOV3RsbGzeUxyHPFoSFFD9YnHKEjA973oyayPosMnfs--g%3D

Although great care has been taken to ensure that the information in this post is accurate, eddyjoemd, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom.