Happy to have you with us! Ring in the New Year with clinical updates around piperacillin-tazobactam vs cefepime in AKI, corticosteroids in severe CAP with a clinical trial and several meta-analyses, perioperative management of ACEI/ARBs, and AE in inpatient medicine.
| 00.33 - Introduction |
| 01.00 - ACORN trial [JAMA 2023] - In 2500 patients presenting to the ED with sepsis, there was no statistically significant difference in AKI or death @ 14 days with pip/tazo vs cefepime, but cefepime did cause a decrease in delirium or coma free days |
| 01.55 - CAPE COD with Dequin et al. in France? trial [NEJM 2023] In 800 patients admitted to the ICU with severe CAP, hydrocortisone administration was associated with reduced death from any cause at 90 days and reduced need for intubation |
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02.54 - PROSPERO [CHEST 2023] - Doesn’t include Dequin’s study. Concludes that there was a reduced incidence of intubation, but no reduced mortality.
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03.26 - CID meta-analysis including the CAPE COD study by Dequin et al. [CID 2023] many studies similar to the PROSPERO study, but including Dequin et al. Therefore resulting in the conclusion of decreased mortality on top of reduced intubation.
| 04.21 - POISE-3 - hypotension avoidant vs hypertension avoidant strategies in properties ACEI/ARB management [ AIM 2023] |
| 05.58 - Adverse events in Massachusetts hospitals. What can we focus on for the future? [NEJM 2023] |
| 07.15 - Happy new year! |
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Music by Amit Apte. *Image by rawpixel.com on Freepik.*