Make Sure the Cuff (Pilot Balloon) is Completely Deflated on a Cuffed Tracheostomy Tube Before a Passy-Muir Speaking Valve is Placed Molly B. Campion MS A speaking valve is a…
Do Not Flush Ureteral Stents if a Urological Consultation is Available Jennifer Miles-Thomas MD Postoperative urology, gynecology, and other abdominal surgical patients often come to the intensive care unit (ICU)…
Consider Changing the Foley Catheter when Patient has a Urinary Tract Infection Melissa S. Camp MD Urinary tract infections (UTIs) are one of the most common nosocomial infections in intensive…
Perform Doppler Ultrasound before Placing Sequential Compression Devices Bradford D. Winters MD, PhD Deep vein thromboses (DVTs) are extremely common in many groups of hospitalized patients and contribute to patient…
Use a Two-Step Technique with Radiographic Confirmation when Placing a Feeding Tube Julius Cuong Pham MD Placement of a feeding tube is not without peril to the patient and requires…
Do not Dismiss Rib Fractures as Trivial and Consider an Epidural Catheter for Pain Control in Multiple Rib Fractures Bryan A. Cotton MD Rib fractures are the most common injury…
Be Meticulous when Dosing Bupivacaine in Patients with Both Epidural and Pleural Catheters Patricia M. Veloso MD Many patients being admitted to the intensive care unit (ICU) after thoracic surgery…
Consider an Intravenous Naloxone Drip for Treatment of Pruritus Associated with Epidural Analgesia J. Gregory Hobelmann MD Continuous epidural analgesia can be beneficial for postoperative pain control. Perioperatively, it may…
Administer Epidural test Doses Rahul G. Baijal MD The spinal canal contains the spinal cord and its coverings (or meninges), fatty tissue, and the venous plexus. It extends from the…
Do Not Use Low-Molecular-Weight Heparin in Patients with Epidurals Awori J. Hayanga MD Elliott R. Haut MD Neuraxial anesthesia and analgesia (either by perioperative spinal or postoperative epidural catheter) has…
