WICM 2014 ICU Literature Essentials

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Slides used by PAul Young and Chris Nickson for the session on ICU Literature essentials at WICM 2014.

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WICM 2014 ICU Literature Essentials

  1. 1. The LITERATURE ESSENTIALS …according to Paul Young & Chris Nickson Wellington Hospital / The Alfred
  2. 2. What lies AHEAD
  3. 3. The BOTTOM LINE
  4. 4. YOU must say what YOU would do and state WHY
  5. 5. … YOU must know the key EVIDENCE that informs ICU practice
  6. 6. Don’t WORRY
  7. 7. If YOU have done enough time…
  8. 8. and paid enough ATTENTION…
  9. 9. YOU already know most of what YOUneed to know
  10. 10. The GOOD NEWS
  11. 11. YOU do not actually need to read (all) the literature!
  12. 12. YOU do not need to cite references…
  13. 13. YOU do need to know the main findings of key studies & the implications
  14. 14. How to PREPARE
  15. 15. KEEP UP-TO-DATE Go to your journal club! CriticalCareReviews.com CritIQ Literature Summaries Intensive Care Monitor Gordon Doig’s EBM site The LITFL Review*
  16. 16. Learn & perform CRITICAL APPRAISALS
  17. 17. TALK TO PEOPLE about the literature
  18. 18. THE ESSENTIALS ANZICS CTG Publications CCR Top 100 / DICM Hit Parade Past exam questions LITFL CCC Literature Summaries* CritIQ Literature Summaries International guidelines
  19. 19. Trials from the ANZICS CTG
  20. 20. Low dose dopamine SAFE NICE-SUGAR RENAL MERIT PROTECT CHEST EARLY PN http://www.anzics.com.au/ctg/ctg-publications
  21. 21. ANZICS CTG Trials IN PROGRESS
  22. 22. ADRENAL TRANSFUSE EPO-TBI POLAR BLING- 2 PHARLAP HEAT SUDDICU SPLIT ARISE TARGET TEAM SPICE http://www.anzics.com.au/ctg/current-research
  23. 23. Important GUIDELINES
  24. 24. SURVIVING SEPSIS GUIDELINES
  25. 25. BRAIN TRAUMA FOUNDATION (BTF) GUIDELINES
  26. 26. Barr et al, CCM 2013 Pain, Agitation and Delirium Guideline
  27. 27. ANZICS Central Line Insertion and Maintenance Guideline (2012)
  28. 28. ILCOR Guidelines
  29. 29. CONSORT Checklist for internal validity YOU for external validity
  30. 30. Know what the BIG JOURNALS have to say
  31. 31. NEJM JAMA Lancet Critical Care & Resuscitation
  32. 32. What about 2013?
  33. 33. Rob Mac Sweeney to the rescue! http://lifeinthefastlane.com/mac-sweeneys-top-ten-critical-care- papers-2013/ http://lifeinthefastlane.com/mac-sweeneys-best-guidelines- commentaries-and-reviews-2013/ http://lifeinthefastlane.com/mac-sweeneys-best-rest-2013/
  34. 34. The Hot STORIES
  35. 35. TTM EGDT ARDS Glucose Control Fluids Sedation Transfusion
  36. 36. Other STORIES
  37. 37. Steroids in Sepsis Steroids in ARDS PACs RRT Dopamine APC SDD IABP Nutrition Cardiac arrest drugs ECMO TXA Tracheostomy Timing
  38. 38. The END

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