Is a Cuff Enough?

Is a Cuff Enough?

Sepsis is a leading cause of mortality for hospitalized patient’s both worldwide and in the United States.  The surviving sepsis guidelines weakly recommend invasive arterial blood pressure monitoring (IABP) over noninvasive blood pressure monitoring (NIBP) with a blood pressure cuff supported by low quality evidence.(1) Data comparing the accuracy between IABP and NIBP measurements are limited. The largest analysis of 736 critically ill patients found a mean difference of 1 mmHg which was not statistically significant, however, there was only one measurement recorded per patient.(2) Arterial lines have several drawbacks compared with non-invasive methods such as: training requirements for caregivers, potential for pain and increased pain medications, limitation of participation in physical therapy, risk of digital ischemia, and risk of iatrogenic infection.(3) In this journal club recap, we analyze an article looking at the relationship between invasive arterial line blood pressure readings and non-invasive cuff measurements.

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Grand Rounds Recap 1.26.22

Grand Rounds Recap 1.26.22

This week, we started off with an excellent journal club led by Drs. Ijaz and Mullen discussing interventions aimed at improving access to primary care from the Emergency Department and then followed along with Drs. Ferreri and Skrobut as they battled out a case of mysterious altered mental status during the crowd favorite, CPC. Dr. Pulvino reminded us that not all rashes are simple through her case follow up and Dr. Gobble took us on a deep dive of the diagnosis and management of gastroparesis and cyclic vomiting syndrome. Finally, we closed out the day with lessons in nasal endoscopy and cricothyrotomy from the airway guru himself, Dr. Steven Carleton.

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Grand Rounds Recap 03.10.21

Grand Rounds Recap 03.10.21

This week’s Grand Rounds started off with Journal Club covering everyone’s favorite medication, droperidol! We followed this with a blast from the past, alum and guest lecturer Dr. Iserson who delivered this quarter’s Global Health Grand Rounds. The Sports Medicine Interest Group gave key points on the hand, elbow, and hip exam. Finally, the day ended with video review of two pediatric resuscitations to make us all pause the next time we see the chief complaint “shortness of breath” pop onto the trackboard.

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Grand Rounds Recap 05.20.20

Grand Rounds Recap 05.20.20

This week we used two papers addressing implicit biases in healthcare as a platform to discuss systematic reviews and meta-analyses in Journal Club. Dr. Dave Thompson then led us through the latest installment of the quality improvement series with insights for how to lead QI initiatives. Dr. Crawford reviewed tick-borne illnesses in her R1 clinical knowledge presentation, and Dr. Modi discussed highlights of management and prognostication of refractory v-fib arrest. Finally, the Air Care team brought us up to speed on a wealth of topics in this edition of the Air Care Grand Rounds series.

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