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Grand Rounds Recap 3.8.23

Taming the SRU

mepivacaine (1-3 h) 1% lidocaine +/- epi (2-3h) 0.25% bupivacaine (2-3 h) 0.25-0.5% mepivacaine (1-3 h) 1% lidocaine +/- epi (2-3h) 0.25% bupivacaine (2-3 h) 0.25-0.5% mg/kg IV Versed: 0.2 mg/kg IM, 0.2 mg/kg IN (may repeat to max of 0.4 mg/kg IN), 0.2 mg/kg IV Versed: 0.2 mg/kg IM, 0.2 mg/kg IN (may repeat to max of 0.4 mg/kg IN), 0.2

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Friday Reflection 24: I Would Rather Go Back in Time

Sensible Medicine

1] Would the outcomes be different? By the time she died, this management had included intravenous fluids, pain medications, antiemetics, and seizure medications. He had COPD and depended on home oxygen. From a professional standpoint, there is no question that my answer to the final question would be, “the past.”

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The Latest in Critical Care, 10/23/23 (Issue #17)

PulmCCM

Cefepime crosses the blood-brain barrier, and dozens of case reports have associated the drug with seizures, encephalopathy, delirium, and coma, with a possibly increased incidence of neurologic adverse effects among patients with renal failure or sepsis. Read in JAMA Does Paxlovid Improve Covid-19 Outcomes in the Omicron Era?

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Diagnostics: Intractable Hiccups

Taming the SRU

Additionally, cardiac instrumentation, recent procedures such as bronchoscopy/endoscopy, central venous catheter placement/displacement, aortic aneurysm, pneumonia, asthma, COPD, pleural effusion, and pericarditis can manifest as intractable hiccups through similar mechanisms. BMC Cancer. 2022;22:659. J Pain Symptom Manage. 2021;62(3).

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