A Week in Review: March 13th - 17th

Monday: Back to Basics - NIPPV in Acute Cardiogenic Pulm Edema - CPAP or BiPAP

Check out this Reivew on CPAP vs BiPAP - Both reduce need for intubation, only one lowers mortality.

Tuesday: Advanced Practice - Paracentesis-induced circulatory dysfunction (PICD)

How much fluid do you remove during your paracentesis? What are the risks of large volume removal?

When is it appropriate to consider administering plasma expanders (colloids) to these patients.

Wednesday: What's the Diagnosis?

Thursday: #emconf - Do Trigger Point Injections Improve MSK Pain?

Check out this great critical appraisal of the recent literature

Study 1: Imamura M, et al. Paraspinous Lidocaine Injection for Chronic Nonspecific Low Back Pain: A Randomized Controlled Clinical Trial. The Journal of Pain 2016; Vol 17, No 5 (May): pp 569-576

Study 2: Saime Ay, et al. Comparison of injection methods in myofascial pain syndrome: a randomized controlled trial. Clinical Rheumatology 2010; 29: 19-23

Friday: Critical Care - Should you Intubate with the Head of the Bed Elevated 

Bottom Line: higher first-pass success rates wtih HOB elevated to 45 degrees. Check out the post for all the details and links to primary literature