Volume 12 Issue 4
December 2012
Clinical Pharmacy and Pharmacology
Section Newsletter
Society of Critical Care Medicine
Section Officers
Message from the Chair
Gail Gesin, PharmD,
Chair
Gail Gesin, PharmD
(gail.gesin@carolinashealt
hcare.org)
Past-Chair
Jeff Barletta, PharmD,
FCCM
(jbarle@midwestern.edu)
Chair-Elect
Lance Oyen, PharmD,
FCCM
(oyen.lance@mayo.edu)
Secretary/Treasurer
Karen McAllen
(karen.mcallen@spectrum
health.org)
Members-at-Large
Ishaq Lat, PharmD
(Ishaq.Lat@uchospitals.ed
u)
Omar Badawi, PharmD
(obadawi@gmail.com)
Amy Dzierba
(ald9012@nyp.org)
It’s hard to believe I’m writing my last Message from the
Chair. As anticipated, this year has been both a busy and
rewarding one. I can say without a doubt that the CPP
Section membership displays a dedication to and enthusiasm
for critical care that is second to none. I would like to extend
my appreciation for the work of those serving on a CPP or
SCCM committee or task force this year. Furthermore, I
would like to recognize the CPP Section Committee Chairs
and Chair-Elects for their leadership. Finally, I owe a sincere
thank you to the members of the CPP Steering Committee,
including Jeff Barletta, Lance Oyen, Karen McAllen, Steve
Martin, Amy Dzierba, Ishaq Lat, and Omar Badawi for their
support and guidance (and tolerance of the numerous emails
and conference calls I have subjected them to throughout the
year).
A special welcome to the 2013 CPP Section Committee
Chair-Elects! They include Deepali Dixit (Communications),
Jorie Frasiolas (Education), Laura Aykroyd (Membership),
Lisa Harinstein (Patient Safety), Moo Sultan (Program), and
Erin Frazee (Research).
Thank you to those who planned, participated in, and
attended the successful 2012 SCCM Pharmacotherapy in
Critical Illness conference. Comments were positive and the
topics were well-received. Informative dialogue was shared
during the question and answer sessions, allowing for the
provision of insight and clinical practice pearls.
The CPP Communications Committee was successful in
coordinating a joint CPP/AJHP publication. This work was
initially published as a pharmacotherapy article in the CPP
Section Newsletter and then expanded for publication in
AJHP. The article, written by Rachel Kruer and Christopher
Ensor, is on the use of colloids in the ICU (Am J HealthSystem Pharm. 2012;69:1635-1642).
Keep in mind several deadlines that will approach quickly
after Congress. The submission process for educational
Volume 12 Issue 4
December 2012
sessions at the 2014
Congress in San Francisco is open until March 1, 2013.
Anyone can submit an idea via the following link:
http://www.sccm.org/SiteCollectionDocuments/2014%20Congress%20Session%20Proposal%2
0User%20Form.pdf. SCCM committee and task force applications for 2014 appointments are
due May 1, 2013. More information can be found in a document titled CPP Members with
Appointments to SCCM Committees and Task Forces: 2012 Update, which is located in the
CPP Section iRoom. You may also refer to
http://www.sccm.org/Membership/CreativeCommunity/Pages/VolunteerOpportunities.aspx.
It has been a privilege serving as the 2012 CPP Section Chair, and I look forward to seeing
everyone in San Juan!
CRITICAL CARE PHARMACOTHERAPY TRIALS NETWORK UPDATE
The Critical Care Pharmacotherapy Trials Network (CCPTN) was formed in 2007. The overall
goals of this enthusiastic and productive network are to advance science and improve the
outcomes of critically ill patients through excellence in pharmacotherapy-related clinical and
translational research. To date, the CCPTN has facilitated the conduct of four multicenter
studies, including more than 100 intensive care units and over 1,750 patients.
Benefits of Participating in the CCPTN
For the principal investigator, the CCPTN provides opportunity to actively engage and utilize a
multidimensional critical care research network. Specifically, the CCPTN can broaden study
enrollment, applicability, and collaborative contribution. In addition, it offers pharmacotherapyand research expert-level protocol review and facilitation, including considerations for formal
grant submission.
For a co-investigator or member, the CCPTN provides opportunity for active research
collaboration, including patient enrollment, data collection/analysis, and scholarly contribution.
The CCPTN also invites volunteers to serve on organizational committees.
General Procedure for Proposal Submission
All research proposals submitted to CCPTN for consideration will undergo a formal review by
the CCPTN Proposal and Grant Review Committee with final approval by the CCPTN Steering
Committee. Formal submissions are transmitted using the CCPTN Proposal Submission
template, which includes investigator biographical sketches; concise and focused research plan,
including specific aims, background and significance, preliminary studies (where applicable),
and research design and methods; Institutional Review Board approval; and a statement
confirming that all investigators named on the project have read the proposal and agree to
participate.
If you would like to submit a proposal for consideration or participate as a coinvestigator/member of the Critical Care Pharmacotherapy Trials Network, please contact Jeff
Gonzales (jgonzale@rx.umaryland.edu) or Eric Mueller (eric.mueller@uchealth.com) for more
information.
Volume 12 Issue 4
December 2012
CPP COMMITTEE CORNER
Communications Committee
Kathryn Connor, PharmD, BCPS (Chair), and Xi Liu-DeRyke, PharmD (Chair-Elect)
The CPP Communications Committee will continue to provide summaries of various educational
sessions from the upcoming Congress; these will be published in the April 2013 newsletter. A
call for volunteers has been sent out to all members, and we encourage residents’ involvement
as well. If you are interested, please contact Xi Liu-DeRyke at xi.liu@orlandohealth.com by
January 8, 2013.
A summary of CPP members involved in educational sessions and abstracts is attached to the
end of this newsletter. Our section has over 300 abstracts accepted for the 2013 Congress.
Congratulations to all on your hard work! Great job!
If you are a Communications Committee member or would like to become one, please join us at
our meeting during the Congress. We will meet on Sunday, January 20, 2013, from 11 am to 12
pm in the Luna Boardroom at the Sheraton Hotel. If you have any questions regarding
membership in the Communications Committee or contributions you would like to make to the
CPP Section newsletter, please contact Kathryn Connor at
Kathryn_connor@urmc.rochester.edu or Xi Liu-DeRyke at xi.liu@orlandohealth.com
Education Committee
April Miller, PharmD, BCPS (Chair), and Aimée LeClaire, PharmD, BCPS (Chair-Elect)
The CPP Education Committee has partnered with the SCCM-wide Education Committee to
create educational modules with a multidisciplinary focus. The CPP Section will help provide
materials related to pharmacotherapy as part of larger disease state modules. The committee is
also partnering with the Patient Safety Committee on the development and implementation of
patient/family education materials related to commonly used medications in the ICU.
Membership Committee
Brian Kopp, PharmD, BCPS (Chair), and Jenni Morris, PharmD, BCPS (Chair-Elect)
Mentor-Mentee Program
The Mentor-Mentee Program was developed to provide pharmacist members of the CPP
Section with guidance in a variety of areas, such as clinical practice, research, career
advancement, and teaching. All members of the CPP Section are eligible to participate in the
program in either a mentor or mentee capacity.
There has been a wonderful response for participation in this program for both mentees and
mentors. Based on the popularity of this program, we will need additional mentors. The
Membership Committee is actively seeking CPP members who are interested in serving as a
mentor. While mentors are needed in all areas of critical care, there are particular needs in the
area of emergency medicine to support the growing number of pharmacists in this field. Anyone
interested in serving as a mentor should contact either Brian Kopp (Brian.Kopp@uahealth.com)
or Jenni Morris (jmorris@iuhealth.org).
Volume 12 Issue 4
December 2012
Members interested in being mentored are encouraged to contact us at any point. Matching will
resume at the end of January following the 2013 Congress. Please contact either Brian Kopp or
Jenni Morris if you have any questions regarding the program or are interested in participating.
We look forward to working with our current and prospective mentors and mentees and to the
continued success of the program.
SCCM CPP Congress Orientation for New Members and First-time Attendees
The CPP Membership Committee would like to invite all new members or first-time Congress
attendees to the new member reception and orientation on Saturday January 19, 2013, from
8:00 pm to 9:00 pm in Bahia 1 at the Sheraton. The new member reception is a great way to
learn about the different CPP Section meetings and activities held during the Annual Congress.
In addition, it is a great way to network with other new section members and members of the
Advisory Board and Committee Chairs. If you would like additional details about the orientation,
please email either Brian Kopp or Jenni Morris. We look forward to seeing all the new members
and first-time Congress attendees at this orientation. Thank you to Leanne Current and Brittany
Romine for their planning efforts!
Residency Directory
The CPP Membership Committee continues to work on the pharmacy residency directory. This
directory contains critical care, emergency medicine, and pediatric residencies. Once the annual
update is complete, it will be posted in the CPP iRoom. This directory will help pharmacists
identify colleagues in their specialty areas and provide networking opportunities. Please contact
either Brian Kopp or Jenni Morris with questions related to the directory.
Networking Opportunities
One of the charges of the CPP Membership Committee is to improve networking within the
subspecialty pharmacy groups within our section. For 2013, we will focus primarily on
emergency medicine and pediatric pharmacy subspecialties. We are interested in receiving your
input on strategies that would be helpful in improving networking capabilities with CPP Section
members who also practice in your subspecialty. Please contact either Brian Kopp or Jenni
Morris with any suggestions you may have.
Finally, we would like to welcome and congratulate Laura Aykroyd (laykroyd@iuhealth.org) on
becoming the incoming Chair-elect for the CPP Membership Committee
Patient Safety Committee
Pamela L. Smithburger, PharmD, BCPS (Chair), and Eric W. Mueller, PharmD (Chair-Elect)
The Patient Safety Committee solicited submissions for the second annual Patient Safety
Awards. The CPP Medication Safety Award recognizes a health system or an individual for
designing a successful and novel program that minimizes medication errors and improves
medication safety in the ICU. The goal of this award is to sensationalize the medication safety
improvements and to disseminate the objectives, methods, and outcomes used to achieve the
innovation.
This year’s recipient is Ananth Anthes, PharmD. The objective of Dr. Anthes’ project, “Improving
adverse drug event detection in critically ill patients through screening intensive care unit
transfer summaries,” was to compare frequency and type of adverse drug events (ADEs)
detected in ICU transfer summaries to those detected in hospital discharge notes to
demonstrate the effectiveness of ICU transfer summary surveillance in the identification of
ADEs.
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December 2012
He concluded that the use of ICU transfer summaries is an effective tool to increase ADE
detection since the rate of detection was 5.5 times greater in ICU transfer summaries than in the
hospital discharge summaries. The use of an ICU transfer summary should be considered as an
adjunct method to an existing ADE surveillance system for heightened pharmacovigilance.
Dr. Anthes will present his project at the SCCM Annual Congress. The award is administered
through the CPP Section of SCCM. The winner will receive a plaque and a SCCM annual tuition
allowance of $225.
Program Committee
Heather Bockheim, PharmD (Chair), and Joseph Aloi, PharmD, BCPS (Chair-Elect)
SCCM CPP Pre-Congress Symposium
On behalf of the Clinical Pharmacy and Pharmacology Section of the Society of Critical Care
Medicine, we would like to invite you to attend the CPP Pre-Congress Symposium, to take place
at this year’s upcoming SCCM Annual Congress. The symposium will be held on Saturday,
January 19, 2 – 4 pm in room Bahia 2 at the Sheraton in San Juan, Puerto Rico. There is no
registration required and no fee to attend!
The program will include the following:
2:00 pm – 2:20 pm
Credentialing Pharmacists to Practice in the ICU – Mary Hess, PharmD, FASHP, FCCM
2:20 pm – 2:40 pm
Staff Development in the ICU – Stephanie Mallow Corbett, PharmD
2:40 pm – 3:00 pm
Marketing Clinical Pharmacists – Jeff Barletta, PharmD, FCCM
3:00 pm – 3:20 pm
Drug Shortage Management – John Lewin III, PharmD, BCPS, MBA
3:20 pm – 3:40 pm
HCAHPS Scores: Pharmacist Involvement – Steven Martin, PharmD, BCPS, FCCP, FCCM
3:40 pm – 4:00 pm
Questions for the Panel
Pharmacy Year in Review
The Pharmacy Year in Review session has been scheduled for Monday, January 21, 2:15 –
3:15 pm (room TBD). The topics that will be covered this year include the following:
Infectious Diseases
Simon Lam, PharmD, BCPS
Nutrition
Scott Mueller, PharmD, BCPS
Anticoagulation
Todd Miano, PharmD, BCPS
SCCM CPP Member Reception
This year’s CPP Member Reception at the Annual Congress will take place on Saturday,
January 19, 9 – 11 pm poolside at the Sheraton, San Juan, Puerto Rico. This reception
serves as a great opportunity to network with established practitioners, get to know our newest
members, and catch up with your old friends. We would like to thank PharMEDium for
graciously sponsoring our reception for a THIRD YEAR in a row!
Volume 12 Issue 4
December 2012
CPP Section Program Committee Meeting
If you are a Program Committee member, or would like to become one, please join us during
Congress at our meeting, to be held Sunday, January 20, 2013, from 12:00 pm to 1:30 pm in
the Luna Boardroom at the Sheraton. We look forward to seeing you there!
Research Committee
Russel Roberts, PharmD (Chair), and Seth Bauer, PharmD (Chair-Elect)
The CPP Research Committee would like to update you on several important and exciting
processes.
One of our charges is to support, facilitate, and/or assist with research projects and explore new
domains (e.g., quality improvement) consistent with the goals and mission of SCCM. Through
joint efforts and collaboration between the CPP Section and leadership, the following outcomes
have been achieved.

A procedural document for conducting research within the CPP Section has been finalized
and approved by both the section and SCCM leadership. The standardized processes
outlined in this document are intended to foster the generation of multidisciplinary research
and provide a resource for CPP members needing assistance in developing and conducting
research.
 Any CPP member desiring assistance with collaboration or with the design or conduct of
research should begin by reviewing the procedure document, which is posted in the CPP
Section iRoom Research Committee folder.

A pathway to gain more visibility within the research world has been established.
 CPP Section members conducting research that is submitted to the CPP Research
Committee for review and approved by the CPP Steering Committee now have the
opportunity to associate their research with the SCCM-CPP name and may
acknowledge this affiliation in the manuscript as long as certain criteria are met (see
research procedural document).

Results of a member database survey soliciting important demographic information has
been compiled to help foster professional growth of the CPP Section. The survey is open
on a continual basis to CPP Section members and is located at
https://www.surveymonkey.com/s/CPP_Survey. For those who haven’t yet completed it, or
need to provide updated information, please consider doing so.
I would like to remind you about the peer review of manuscripts, a service created to provide
CPP members with an opportunity to have their journal manuscripts reviewed by an
experienced clinician to potentially increase quality prior to submission. This review may
improve the likelihood for acceptance and help junior clinicians foster a better understanding of
the review and submission process.
I encourage everyone to consider using this service to enhance journal acceptability and to gain
a better understanding of the peer review process. Remember, this service is for all CPP
members, so be sure to remind your CPP colleagues about it.
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December 2012
INFORMATION TECHNOLOGY UPDATE
Tudy Hodgman, PharmD, BCPS, FCCM
Just a reminder…
A new online virtual communications center is available through the SCCM website. This is an
individualized SCCM go-to place for members. Each member can designate where items such
as blast emails, journals, upcoming events, and section information should be delivered. It
should facilitate communication with members in all sections. SCCM has updated the website
and wants members who may have had a negative experience to try the revised version and
provide comments.
Please pass this message along to others within your institution who may not have received it. If
you or anyone you know does NOT receive SCCM blast mails, please have them contact me at
thodgman@nch.org or thodgm@midwestern.edu so we can investigate the issue. If anyone is
interested in helping to find individuals who do not receive SCCM or CPP Section emails,
please let me know.
Sleep Enhancement in the Intensive Care Unit
Katarzyna Adamczyk, PharmD, BCPS, and Joanna L. Stollings, PharmD, BCPS
Extrinsic and intrinsic factors are associated with sleep disturbances in the intensive care unit
(ICU). Environmental factors, routine nursing care, patient procedures, and mechanical
ventilation modes are all extrinsic factors that contribute to sleep deprivation. Intrinsic factors -such as pain and discomfort, severity of illness, and commonly administered medications -have also been associated with sleep disturbance in the ICU. Consequences of sleep
deprivation include agitation, delirium, decreased pain tolerance, depression, posttraumatic
stress disorder (PTSD), impaired immune response, arrhythmias, nocturnal hypertension, and
delayed ventilator weaning.1 The majority of patients who experience sleep deprivation also
experience delirium. Although the relationship between sleep deprivation and delirium has
never been studied, a number of mechanisms, risk factors, and symptoms co-exist in both
disease states.2 The following review will address some non-pharmacologic interventions that
can be considered in critically ill patients to promote sleep enhancement and potentially
decrease delirium.
Commonly Administered Medications in the ICU
As pharmacists, the very first thing that should come to mind when trying to consider how to
promote sleep in the ICU is medications. Many medications commonly used in the ICU, such
as benzodiazepines, opiates, inotrope infusions, antihypertensives, antipsychotics,
antidepressants, and anticonvulsants, have all been associated with sleep disruption.
Benzodiazepines and narcotics are commonly given to provide comfort and enhance sleep in
mechanically ventilated patients; however, these agents have been shown to decrease rapid
eye movement (REM) and slow sleep, thus not providing the physiological benefits of sleep.1
A prospective, multicenter, double-blind study randomized 336 mechanically ventilated patients
to a spontaneous awakening trial (SAT) combined with a spontaneous breathing trial (SBT) or
to an SBT alone. The results of this study showed a statistically significant reduction in
ventilator days (11.6 vs 14.7, P=0.02), ICU days (9.1 vs 12.9, P=0.01), hospital days (14.9 vs
19.2, P=0.04), and mortality rates (hazard ratio [HR]=0.68, P=0.01) in the SAT/SBT group.3
Pharmacist promotion of SAT/SBT conduction and coordination can decrease the amount of
sedation and analgesia used in the ICU, resulting in better quality of patient sleep.
Early Mobility
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December 2012
A prospective, controlled study randomized 104 mechanically ventilated patients to early
exercise and mobilization during the SAT or to SAT with physical therapy ordered by the
primary team. Twenty-nine (59%) of the patients in the intervention group returned to baseline
functional status at hospital discharge compared to 19 (35%) of the control group (P=0.02). The
intervention group had a shorter duration of delirium (2 vs 4 days, P=0.02) and more ventilatorfree days (23.5 vs 21.1 days, P=0.05).4 Therefore, early mobilization endorsement by
pharmacists is yet another way that we can potentially decrease the rate of sleep deprivation in
the ICU.
Pet Visitation
Pets are often considered to be a member of the family. Potential benefits of allowing pet
visitation in the ICU include decreased heart rate and blood pressure, relaxation, and faster
recovery. However, no available studies have evaluated pet therapy in the ICU. If such
program is going to be considered, specific policies and procedures must be developed with
regards to patient selection, infection control, therapy pet choice, and limitation of exposure for
animal-allergic patients. All pets must be certified through the Animal Assisted Therapy
Program, which ensures that all pets are clean, vaccinated, and undergo regular evaluation for
health or behavioral matters.5 One concern with pet visitation in the ICU is an increased patient
infection risk, although a zoonotic infection has never been reported by the Centers for Disease
Control and Prevention or the Animal Assisted Therapy Program.6 Thus, pet visitation is
another option to decrease patient agitation and likely improve sleep quality in ICU patients.
Music Therapy
Music therapy has been shown to promote restful sleep, decrease anxiety in mechanically
ventilated patients, reduce physiological and psychological responses, and increase comfort in
critically ill patients.5,7 A pre-/post-test design evaluated the ability of music therapy to
decrease anxiety and promote relaxation in 54 mechanically ventilated patients. A significant
reduction in anxiety (10.13% vs 6.15%, P<0.001) was found in the intervention group. A
randomized, controlled study in 65 adults undergoing cardiovascular surgery who listened to
music during and after surgery showed significantly lower levels of anxiety postoperatively
(F=5.57, P=0.022). Twenty mechanically ventilated patients were evaluated in a randomized
study to receive either 30 minutes of music then uninterrupted sleep, or 30 minutes of
uninterrupted sleep and then music. Anxiety scores following the music therapy in both groups
were significantly lower than after the rest period (53.51 vs 49.67 and 52.67 vs 38.67, P<0.01).
Levels of epinephrine, growth hormone, interleukin-6, and mean arterial pressures (MAP) were
compared in five patients who listened to classical music and in five patients in the control
group. Epinephrine levels (P=0.05), growth hormone levels (P <0.05), interleukin-6
measurements (P <0.05), and MAP were all decreased in the intervention group compared to
the control group. Thirty-nine critically ill cancer patients had significant reduction in distress
levels when comparing pre- and post-music therapy scores (4.6 vs 2.5, P =0.001). When using
music therapy, the patient should be involved in the selection, if possible, and use headphones.
The music should have predictable dynamics, regular rhythms, fluid melodic movements, and
include flutes, strings, piano, or specifically synthesized tones.5 Music therapy is another
intervention to decrease anxiety and promote restful sleep in critically ill patients.
Earplugs and Eye Masks
Light and noise are commonly highlighted factors contributing to poor sleep quality in critically ill
patients. A limited number of studies have evaluated the role of earplugs and eye masks in the
ICU environment. Subjective sleep experiences and patient satisfaction were commonly
measured outcomes. In general, earplugs and eye masks were found to improve quality and
quantity of sleep in critically ill patients.8-14 Patients perceived that they slept for longer hours
compared to patients who were not in the intervention group.8-11 In most cases, earplugs and
eye masks were comfortable and easy to apply12; however, mixed feelings have also been
Volume 12 Issue 4
December 2012
reported with this intervention.8 Polysomnography was used only in three studies, most likely
due to cost and training time involved. A small study by Wallace and colleagues measured the
effect of earplugs on sleep in seven mechanically ventilated patients. They found no
improvements in REM sleep with earplugs (sleep period time 6.7% vs 3.9%, P=0.07) and no
difference in sleep efficiency indices (0.5 vs 0.4, P =0.14)13 Another small study in healthy
participants exposed to ICU noise found that earplugs improved sleep period time, REM
latency, and percentage of REM sleep (P <0.05 for all variables).12 A more recent study using a
simulated ICU environment demonstrated that earplugs and eye masks improved REM sleep
(P=0.005), resulted in fewer arousals (P =0.04), and increased melatonin levels (P=0.002).14
Interestingly, fewer patients showed delirium or confusion with the use of earplugs (HR 0.47,
P=0.008).11 Earplugs and eye masks have been shown to be a reasonable option for promoting
sleep in some critically ill patients. Most of the studies were restricted to non-ventilated, nonmedicated patients, however, limiting their generalizability to the entire critical care population.
Massage
Massage is another intervention used to promote sleep in critically ill patients. Back massage
has been shown to be safe, to induce physiological and psychological relaxation, and to
decrease perception of pain.15,16 The effect of a back massage and combined muscle
relaxation, mental imagery, and a music audiotape on sleep was measured in men with
cardiovascular illness admitted to a critical care unit.17 Sixty-nine patients were randomized to
receive a back massage and relaxation or to the standard nursing care. Patients in the backmassage group slept for approximately one hour longer and the sleep efficiency index was
14.7% higher compared to the control group. The intervention group spent 35 minutes in REM
sleep compared with 25 minutes in the control group. None of the findings; however, were
statistically significant. Groups did not differ in percentage of combined stage of three and four
non-REM sleep. Back massage and relaxation techniques may be considered as an alternative
or adjunct to pharmacological treatment of sleep disturbances.
Conclusion
Non-pharmacological interventions directed towards promotion of sleep in critically ill patients
include early mobility, music, and relaxation therapy, as well as the use of earplugs and eye
masks. Many of the interventions have been evaluated only in small studies; however, the role
of each intervention continues to evolve. Sleep in ICU patients is often abnormal and
fragmented; non-pharmacological efforts to restore it seem reasonable. Pharmacists play a vital
role in promoting sleep and decreasing the risk of delirium not only by promoting proper and
minimal medication selection, but also in recommending non-pharmacological therapies. Large,
prospective, randomized studies evaluating the effects of non-pharmacologic effects on sleep
enhancement and delirium prevention need to be conducted.
References
1. Tembo AC, Parker V. Factors that impact sleep in intensive care patients. Intensive Crit
Care Nurs. 2009;25(6):314-322.
2. Kamdar BB, Needham DM, Collop NA. Sleep deprivation in critical illness: its role in
physical and psychological recovery. J Intensive Care Med. 2012;27:97-111.
3. Girard TD, Kress JP, Fuchs BD, et al. Efficacy and safety of a paired sedation and
ventilator weaning protocol for mechanically ventilated patients in intensive care
(awakening and breathing controlled trial): a randomized controlled trial. Lancet.
2008;371(9607):126-134.
4. Schweickert WD, Pohlman MC, Pohlman AS, et al. Early physical and occupational
therapy in mechanically ventilated, critically ill patients: a randomised controlled trial.
Lancet. 2009;373(9678):1874-1882.
5. Lee D, Higgins PA. Adjunctive therapies for the chronically critically ill. AACN Adv Crit
Care. 2010;21(1):92-106.
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6. Cullen L, Titler M, Drahozal R. Family and pet visitation in the critical care unit. Crit Care
Nurse. 1999;19(3):84-87.
7. Chan MF, Chung YF, Chung SW, et al. Investigating the physiological responses of
patients listening to music in the intensive care unit. J Clin Nurs. 2009;18(9):1250-1257.
8. Richardson A, Allsop M, Caghill E, et al. Earplugs and eye masks: do they improve
critical care patients’ sleep? Nurs Crit Care. 2007;12(6):278-286.
9. Scotto CJ, McClusky C, Spillan S, et al. Earplugs improve patients’ subjective
experience of sleep in critical care. Nurs Crit Care. 2009;14(4):180-184.
10. Jones C, Dawson D. Eye masks and earplugs improve patients’ perception of sleep.
Nurs Crit Care. 2012;17(5):247-254.
11. Van Rompaey B, Elseviers MM, Drom WV, et al. The effects of earplugs during the night
on the onset of delirium and sleep perception: a randomized controlled trial in intensive
care patients. Crit Care. 2012;16(3):R73.
12. Wallace CJ, Robins J, Alvrod LS, et al. The effects of earplugs on sleep measures
during exposure to simulated intensive care unit noise. Am J Crit Care. 1999;8(4):210219.
13. Wallace CJ, Ronins J, Walker JM. The effects of earplugs in critically ill patients. Sleep.
1998;21(Suppl):234.
14. Hu RF, Jiang XY, Zeng YM, et al. Effects of earplugs and eye masks on nocturnal sleep,
melatonin and cortisol in a simulated intensive care unit environment. Crit Care.
2010;14(2): R66.
15. Bauer WC, Dracup KA. Physiologic effects of back massage in patients with acute
myocardial infarction. Focus Crit Care. 1987;14(6):42-46.
16. Ferrell-Torry A, Glick OJ. The use of therapeutic massage as a nursing intervention to
modify anxiety and the perception of cancer pain. Cancer Nurs. 1993;16(2):93-101.
17. Richard KC. Effects of a back massage and relaxation intervention on sleep in critically
ill patients. Am J Crit Care. 1998;7(4):228-299.
MEMBER SPOTLIGHT
by Kimberley Berger, PharmD
Gourang P. Patel, PharmD, MSc, BCPS
Pharmacy Supervisor, Adult Critical Care & Operating Room
Medical Intensive Care Unit Clinical Specialist
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December 2012
Rush University Medical Center is a 664-bed not-for-profit academic medical center located in
Chicago, Illinois. The mission of Rush University Medical Center (RUMC) is to provide the very
best care for its patients. The education, research endeavors, community service programs and
relationships with other hospitals are dedicated to enhancing excellence in patient care for the
diverse communities within the Chicago area. In January 2012, Rush opened a new 376-bed
hospital building, known as the Tower, which is part of the medical center's major renovation of
its campus and consists of adult critical care and acute care units. With the opening of the
Tower, the pharmacy department underwent significant change with the implementation of new
processes and a new pharmacy practice model. Dr. Gourang Patel played a vital role in the
successful transformation to the pharmacy practice model.
Dr. Patel serves as the pharmacy supervisor for the adult critical care and operating room
services. Additionally, he is the medical intensive care unit (MICU) clinical pharmacy specialist.
Dr. Patel, originally from the suburbs northwest of Chicago, obtained his bachelor of science
degree in chemistry from Truman State University in Kirksville, Missouri. Following graduation,
he obtained his doctor of pharmacy degree from St. Louis College of Pharmacy. His interest in
critical care initially stemmed from personal experiences, but was strengthened by his rotational
experiences as a student and a resident. He felt that critical care was a challenging,
progressing field of medicine and particularly liked the multidisciplinary interactions and
discussions amongst the critical care team. He completed an internal medicine residency at
John Cochran Veterans’ Administration Medical Center located in St. Louis, Missouri. Following
completion of residency, he accepted his position at RUMC. Throughout his career at RUMC,
he has served on numerous critical care, patient care, and quality improvement committees.
Critical care medicine is a changing field, and Dr. Patel recognizes the need for quality research
to guide clinical decisions. In 2008, he obtained his master of science degree from Rush
Graduate College’s clinical research program. He has participated in a number of studies
evaluating sepsis, septic shock, vasopressors, and antimicrobial use. Dr. Patel has published a
number of peer-reviewed articles on various critical care topics. In 2010, he published “Efficacy
and safety of dopamine versus norepinephrine in the management of septic shock” in the
journal Shock. Most recently, he published “Systemic steroids in severe sepsis and septic
shock” in the American Journal of Respiratory and Critical Care Medicine. He has also served
as a manuscript reviewer for numerous professional journals, including Annals of
Pharmacotherapy and Pharmacotherapy.
In addition to his clinical practice and research, Dr. Patel is dedicated to the education of fellow
and future healthcare professionals. He serves as a preceptor to pharmacy residents and has
precepted students from various schools in the Chicago area. He has appointments in Rush
Medical College’s Department of Pharmacology, as well as Midwestern University’s Division of
Pharmacy Practice. He serves as an assistant professor for the medical pharmacology course
at Rush Medical College in which he lectures on pharmacokinetics, the autonomic nervous
system, and cardiovascular pharmacology. In addition to his precepting and didactic teaching,
he has shown his dedication to education of future healthcare professionals by authoring
multiple textbook chapters.
Dr. Patel’s passion for providing quality care to patients, as well as his devotion to research and
education, has made him a valuable asset to the profession of pharmacy and the field of critical
care medicine. These commitments demonstrate the qualities of a successful practitioner, and
he continues to serve as an example to his colleagues and current and future healthcare
professionals.
Communications Committee members are charged with publishing the newsletter.
Thanks to the following members:
Volume 12 Issue 4
December 2012
Kathryn Connor (Chair)
Xi Liu-Deryke (Vice-Chair)
Farooq A. Bandali
Kim Berger
Kara Birrer
Tram Cat
Darlene Chaykosky
Jessica Crow
Garrett Curtis
Stephanie Davis
Deepali Dixit
Amy L. Dzierba
Diana Esaian
Stacey Folse
Payal K Gurnani
Tudy Hodgman
Lori Lynn Kesteloot
Kate Kimborowicz
Simon Lam
Jim Landzinski
Aimee LeClaire
Jason Makii
Erin Nagle
Allison Palmer
Kristine Parbuoni
Mona K. Patel
Greg Peitz
Jeanmarie Salonia
Joanna Stollings
Wyn Wheeler
Jim Winegardner
Nate Zook
Upcoming SCCM Congress Meetings – Save the Date!
2013
2014
2015
January 19 – 23
January 9 - 13
January 24 – 28
San Juan, Puerto Rico
San Francisco, California
San Antonio, Texas
Volume 12 Issue 4
December 2012
42nd Critical Care Congress
January 19 – 23, 2013, San Juan, Puerto Rico
Puerto Rico Convention Center
Clinical Pharmacy and Pharmacology Section Meeting Guide
**Please check the Program and Exhibition guide at Congress for locations and the most up-todate schedule.**
Saturday, January 19, 2013
8:00AM-1:00PM
6:30AM-1:00PM
CPP Section Strategic Planning Committee Meeting
Crafting Individualized Medication Therapies When
Practicing in the Grey
7:30-7:45AM
Case Setup: Dilemmas with Drug Therapy in a
Neurosciences ICU
Dilemmas with Drug Therapy in a Neurosciences ICU
7:45-8:45AM
8:45-9:00AM
9:00-10:00AM
10:30-10:45AM
10:45-11:45AM
11:45-12:00PM
Case Setup: Dilemmas with Drug Therapy in a
Surgical ICU
Dilemmas with Drug Therapy in a Surgical ICU
Case Setup: Dilemmas with Drug Therapy in a
Medical ICU
Dilemmas with Drug Therapy in a Medical ICU
12:00-1:00PM
Case Setup: Dilemmas with Drug Therapy in a
Cardiovascular ICU
Dilemmas with Drug Therapy in a Cardiovascular ICU
7:30AM-1:00PM
10:45-11:30AM
12:15-1:00PM
2:00-4:00PM
2:00-2:20PM
2:20-2:40PM
2:40-3:00PM
3:00-3:20PM
3:20-3:40PM
Current Concepts in Adult Critical Care – Day 2
Antithrombotic Therapy in the ICU
Case Presentations
CPP Section Pre-Congress Symposium
Credentialing Pharmacists to Practice in the ICU
Staff Development in the ICU
Marketing Clinical Pharmacists
Drug Shortage Management
HCAHPS Scores – Pharmacist Involvement
3:40-4:00PM
8:00-9:00PM
Questions for the Panel
CPP Section New Members and First Congress
Attendees Orientation Meeting
CPP Section Member Reception
9:00-11:00PM
Room: San Cristobal (Sheraton)
Co-Moderators:
Jeffrey Barletta, PharmD, BCPS, FCCM
William E. Dager, PharmD, BCPS, FCCM
Jeffrey Barletta, PharmD, FCCM
Karen McAllen, PharmD, FCCM
Stacy Alan Voils, PharmD, BCPS
Jeffrey Barletta, PharmD, FCCM
Tyree H. Kiser, PharmD, BCPS
Eric W. Mueller, BS, FCCM, PharmD
William E. Dager, PharmD, BCPS, FCCM
Paul M. Szumita, BCPS
Scott Micek, PharmD, BCPS
William E. Dager, PharmD, BCPS, FCCM
Judith L. Kristeller, PharmD
Jeremy D. Flynn, BCPS, PharmD, FCCM
William E. Dager, PharmD, BCPS, FCCM
William E. Dager, PharmD, BCPS, FCCM
Room: Bahia 2 (Sheraton)
Mary Hess, PharmD, FASHP, FCCM
Stephanie Mallow Corbett, PharmD
Jeff Barletta, PharmD, FCCM
John Lewin III, PharmD, BCPS, MBA
Steven Martin, PharmD, BCPS, FCCP,
FCCM
Room: Bahia 1 (Sheraton)
Room: Poolside (Sheraton)
Sunday, January 20, 2013
10:30-11:30AM
Safe Medication Use Guidelines
10:30-10:50AM
Safe Practices for the Distribution and Administration
of Drugs
Incorporating Technology into Safe Medication Practices
Developing a Medication Safety Surveillance
10:50-11:10AM
11:10-11:30AM
Moderator:
Sandra L. Kane-Gill, PharmD, MS, FCCM
Mitchell S. Buckley, PharmD, BCPS
Sharon M. Bejian, BCPS, PharmD
Sandra L. Kane-Gill, PharmD, MS, FCCM
Volume 12 Issue 4
10:30-12:30PM
Liver Failure in the ICU
12:10-12:30PM
10:30-12:30PM
11:30-12:00PM
10:30-12:30PM
12:10-12:30PM
Drug Dosing Considerations in Liver Failure
Anticoagulation and Devices
VAD-Specific Therapies
Obesity Care in the ICU
Dosing Medications in the Morbidly Obese:
Is More Better?
CPP Section Communications Committee Meeting
CPP Section Program Committee Meeting
11:00-12:00PM
12:00-1:30PM
December 2012
Moderator:
Tyree H. Kiser, PharmD, BCPS
Tyree H. Kiser, PharmD, BCPS
Christopher Paciullo, PharmD, BCPS
Brian L. Erstad, PharmD, BCPS, FCCM
Room: Luna Boardroom (Sheraton)
Room: Luna Boardroom (Sheraton)
Monday, January 21, 2013
9:00-10:00AM
CPP Section Education Committee Meeting
10:00-11:30AM
CPP Section Business Meeting
9:15-10:15AM
Controlling Costs in an Era of $100,000
Therapeutics
New $100K Therapeutics Are Worth the Cost: Pro
The Effect of New Guidelines on ICU Care
9:15-9:45AM
9:15-11:15AM
9:45-10:15AM
10:15-10:45AM
10:45-11:15AM
10:15-11:15AM
10:15-10:35AM
10:35-10:55AM
10:55-11:15AM
11:30-12:30PM
2:15-3:15PM
2:15-3:15PM
2:15-2:35PM
2:35-2:55PM
2:55-3:15PM
3:30-5:00PM
3:55-4:20PM
4:45-5:00PM
Insulin Infusion Guidelines: Maximizing Safety and
Consistency
How to Apply Guideline Recommendations to the
Care of Patients
Implementation and Beyond: Are You Actually
Achieving the Intended Outcomes?
Practical Application of Antimicrobial Management
Optimal Initial Selection of Antibiotics
Practical Application of Pharmacodynamics: Beyond
the Minimum Inhibitory Concentration
Less Is More: Using Objective Data to Guide Duration
CPP Section Patient Safety Committee Meeting
Quality Metrics: Priorities and
Application
Year In Review: Pharmacy
Infectious Diseases
Nutrition
Anticoagulation
Sponsored Symposium - Improving Outcomes in the
Neurological Critical Care Patient with Decreased
Sodium Levels
A Review of the Guidelines, Existing, and Emerging
Data On Managing Serum Sodium Levels
Panel Discussion
Room: Conference Room 10
(Caribe Hilton)
Room: San Cristobal Ballroom A
(Caribe Hilton)
Moderator:
Sandra L. Kane-Gill, PharmD, MS, FCCM
Joseph F. Dasta, MSc, FCCM
Moderator:
Gilles L. Fraser, BS, PharmD, FCCM
Judith Jacobi, PharmD, BCPS, FCCM
Gilles L. Fraser, BS, PharmD, FCCM
Joseph F. Dasta, MSc, FCCM
Moderator:
Scott Micek, PharmD, BCPS
Michael T. Johnson, PharmD
Elizabeth A. Coyle, BCPS, FCCM
Dustin D. Spencer, PharmD, BCPS
Room: Conference Room 10
(Caribe Hilton)
Moderator:
Sandra L. Kane-Gill, PharmD, MS, FCCM
Moderator:
Gail Gesin, PharmD
Simon W. Lam, PharmD
Scott W. Mueller, PharmD, BCPS
Todd A. Miano, PharmD, BCPS
Moderator:
Mitchell S. Buckley, PharmD, BCPS,
FCCM
Mitchell S. Buckley, PharmD, BCPS, FCCM
Mitchell S. Buckley, PharmD, BCPS, FCCM
Tuesday, January 22, 2013
9:00-10:30AM
9:15-11:15AM
10:45-11:15AM
CPP Section Research Committee Meeting
Critical Complications of Pregnancy
Review of Medications Commonly Used in Pregnancy
and Critical Illness
Room: San Cristobal (Sheraton)
Lisa Burry, PharmD
Volume 12 Issue 4
9:15-11:15AM
10:15-10:45AM
10:30-12:00PM
3:30-4:30PM
3:30-3:50PM
3:50-4:10PM
Update on Deep Venous Thrombosis and Pulmonary
Embolism
Pharmacologic Treatment for Thromboembolic
Processes
CPP Section Membership Committee Meeting
Management Challenges with the New Antiplatelet
and Antithrombotic Agents
Overview of the New Antiplatelet and Antithrombotic
Agents
Measuring the Effects of New Anticoagulant and
Antiplatelet Agents
December 2012
William E. Dager, PharmD, BCPS, FCCM
Room: Sol Boardroom (Sheraton)
Toby C. Trujillo, PharmD, BCPS
William E. Dager, PharmD, BCPS, FCCM
Wednesday, January 23, 2013
9:30-11:30AM
9:30-11:30AM
10:30-11:00AM
9:30-11:30AM
9:30-9:50AM
9:55-10:15AM
10:20-10:40AM
10:45-11:05AM
11:10-11:30AM
Updates in Acute Respiratory Distress Syndrome
Therapeutics
Extracorporeal Life Support
How Much to Give and When: Managing Drugs in
ECMO
Clinical Considerations for Drug Dosing in
Specialized Populations
Heart Failure
Estimating Creatinine Clearance: Why Is It So Difficult?
Drug Dosing in Renal Replacement Therapy: You Can't
Always Believe What Your Reference Says
Geriatrics
Ethnic Variation in Drug Response: Is It All
Pharmacogenetics?
Moderator:
Scott Micek, PharmD, BCPS
Erik E. Abel, PharmD, BCPS
Moderator: Jeffrey Barletta, PharmD,
FCCM
Toby C. Trujillo, PharmD, BCPS
Kristen A. Hesch, BCPS, PharmD
Michael L. Bentley, PharmD, FCCM
Scott Bolesta, BCPS, PharmD, BCPS
Philip E. Empey, PharmD, PhD, BCPS
Volume 12 Issue 4
December 2012
Clinical Pharmacy and Pharmacology Section Member Abstracts 2013 SCCM
Congress
Abstract
Number
1
Title
SAFETY AND EFFICACY OF THE ABCDE BUNDLE IN
CRITICALLY-ILL PATIENTS RECEIVING MECHANICAL
VENTILATION
2
ROAD BLOCKS TO INSTITUTIONAL REVIEW BOARD
APPROVAL OF A MULTICENTER OBSERVATIONAL
CRITICAL CARE STUDY
4
ICU 'SURGE CAPACITY'; COLLABORATIVE
TELEMEDICINE COVERAGE CAN SAFELY PROVIDE
VIRTUAL ICU BEDS
5
THE ABCDE BUNDLE REDUCES THE INCIDENCE OF
DELIRIUM IN NON-MECHANICALLY VENTILATED
PATIENTS.
7
NEW DUTY HOURS AND THE EFFECTS ON
PRESCRIBING ERRORS IN THE MEDICAL INTENSIVE
CARE UNIT
PHENYTOIN CONCENTRATIONS ARE ELEVATED IN
CHILDREN RECEIVING THERAPEUTIC HYPOTHERMIA
FOLLOWING TRAUMATIC BRAIN INJURY.
32
33
TIMING OF ONSET PHENOTYPES OF THE ACUTE
RESPIRATORY DISTRESS SYNDROME (ARDS) AFTER
SEVERE TRAUMA
50
POPULATION PHARMACOKINETICS (PK) OF
PIPERACILLIN/TAZOBACTAM (TZP) IN CRITICALLY ILL
CHILDREN
PHARMACOKINETICS OF VANCOMYCIN DURING
SUSTAINED LOW-EFFICIENCY DIALYSIS
51
52
53
ALLERGIC REACTIONS ASSOCIATED WITH
CARBAPENEMS IN PATIENTS WITH A HISTORY OF
PENICILLIN ALLERGY VERSUS THOSE WITH NO
KNOWN DRUG ALLERGIES
EVALUATION OF SULFOBUTYLETHER-ßCYCLODEXTRIN SODIUM (SBECD) AND VORICONAZOLE
PHARMACOKINETICS IN CRITICALLY ILL PATIENTS
UNDERGOING CONTINUOUS RENAL REPLACEMENT
THERAPY (CRRT).
Authors
Michele Balas, Keith Olsen, David
Gannon, Joseph Sisson, James
Sullivan, Joseph Stothert, Randeep
Jawa, Eduard Vasilevskis, William
Burke, Wes Ely
Carmen Polito, Sushma Cribbs,
Greg Martin, Terence O’Keeffe,
Daniel Herr, Todd Rice, Jonathan
Sevransky
Tara Ann Collins, Matthew
Robertson, Corinna Sicoutris,
Michael Pisa, Daniel Holena,
Benjamin Kohl, Patrick Reilly
Keith Olsen, William Burke, Gregory
Peitz, David Gannon, Joseph
Stothert, Randeep Jawa, Suzanne
Nuss, William Thorell, Frank
Freihaut, Michele Balas
Sameer Shah, Donald McKaig, Jim
Smith, Mary Cooper, Jeffrey Mazer,
Gerardo Carino, Andrew Levinson
Philip Empey, Nieves Velez de
Mendizabal, Michael Bell, Robert
Bies, Kacey Anderson, Patrick
Kochanek, P. David Adelson,
Samuel Poloyac
John Reilly, Scarlett Bellamy,
Michael Shashaty, Nuala Meyer,
Daniel Holena, Addison May,
Lorraine Ware, Jason Christie
Jeffrey Cies, Venkat Shankar,
Christine Schlichting, Joseph Kuti
Nicole Reardon, Keith Olsen,
Kimberly Bogard, Troy Plumb, Li
Yin, Stephen Nissen, Patrick Fuller,
Christopher Bultsma, Amanda
Branch-Woods, Gregory Peitz
Benjamin Dreesman, Ryan Cassity,
Joseph Lovely, Daryl Kor
Tyree Kiser, Douglas Fish, Michael
Wempe, Robert MacLaren, Isaac
Teitelbaum
Volume 12 Issue 4
Abstract
Number
54
55
56
57
60
61
63
104
119
120
December 2012
Title
EVALUATION OF CORTICOSTEROID USE IN CRITICALLY
ILL PATIENTS WITH ACUTE EXACERBATIONS OF
CHRONIC OBSTRUCTIVE PULMONARY DISEASE
EVALUATION OF BLEEDING EVENTS WITH
ENOXAPARIN FOLLOWING IMPLEMENTATION OF ANTIXA MONITORING
DOSE RESPONSE EFFECT OF RESCUE INTRAVENOUS
DEXTROSE FOR HYPOGLYCEMIA IN CRITICALLY ILL
PATIENTS
IDENTIFYING EMPIRIC ANTIMICROBIAL THERAPY FOR
PSEUDOMONAS AERUGINOSA: AN ANTIBIOGRAM
APPROACH COMPARING CLSI AND PK/PD BREAKPOINT
SUSCEPTIBILITY
BEFORE-AFTER COMPARISON OF A SEDATION
PROTOCOL MINIMIZING BENZODIAZEPINE INFUSIONS
AND FAVORING EARLY DEXMEDETOMIDINE
EFFECT OF ETOMIDATE VERSUS KETAMINE ON
INTUBATION SUCCESS IN THE EMERGENCY
DEPARTMENT
COLISTIN MONOTHERAPY VERSUS COLISTIN-PLUS
REGIMENS FOR TREATMENT OF MULTI-DRUG
RESISTANT NOSOCOMIAL PNEUMONIA IN CRITICALLY
ILL PATIENTS
THE ROLE OF CERULOPLASMIN IN INNATE IMMUNE
RESPONSE AND SURVIVAL DURING SEPTIC SHOCK IN
CRITICALLY ILL ADULTS
EXTENDED INTERVAL FONDAPARINUX DOSING FOR
DVT PROPHYLAXIS IN CRITICALLY ILL PATIENTS WITH
RENAL FAILURE
VANCOMYCIN TISSUE CONCENTRATIONS DURING
CORONARY ARTERY BYPASS GRAFT AND/OR AORTIC
VALVE REPLACEMENT SURGERY
121
ADDITION OF DEXMEDETOMIDINE TO THE STANDARD
OF CARE FOR SEVERE ALCOHOL WITHDRAWAL
122
COMPARISON OF TRADITIONAL METHODS FOR RENAL
FUNCTION ESTIMATION WITH METHODS DESIGNED
FOR ESTIMATION IN ACUTE KIDNEY INJURY (AKI) AND
THE POTENTIAL IMPACT ON ANTIMICROBIAL DOSING
RETROSPECTIVE EVALUATION OF DEXMEDETOMIDINE
USE IN VENTILATED ICU PATIENTS IN THE SEDATIONWEANING PHASE AT TWO TEACHING HOSPITALS
126
127
EVALUATION OF QUETIAPINE IN THE TREATMENT OF
DELIRIUM IN MECHANICALLY VENTILATED CRITICALLY
ILL SURGICAL PATIENTS: A RETROSPECTIVE CASECONTROLLED STUDY.
Authors
Tyree Kiser, Richard Allen, R
Vandivier
Stephanie Edwin, Michael Lucey,
Kelly McNorton, Jeff Hurren,
Michelle Dehoorne-Smith
Manasa Murthy, Erin Nagle, Patricia
Parker, Jeremiah Duby
Nune Zadikian, John Ahern,
Christopher Grace, Joseph Aloi,
Wesley McMillian
Lee Skrupky, Ryan Field, Anne
Drewry, Brian Wessman, Linda
Varghese, Richard Fagley, Scott
Micek, Marin Kollef, Walter Boyle
Courtney McKinney, Asad
Patanwala, John Sakles, Brian
Erstad
Nikita Eagleson, Neha Doshi,
Charles Cook, Claire Murphy
Ralph Fuchs, Sanjeev Noel, Laura
Zheng, Rajesh Thimmulappa, Ana
Navas-Acien, Shyam Biswal
Krista Wahby, Zachary Jerusalem,
Stephanie Lazar, Megi Gojka,
Steven D. Tennenberg
Matthew Hafermann, Tyree Kiser,
Clark Lyda, Douglas Fish, Gerard
Barber, Michael Wempe, Joseph
Cleveland
Charles Foster, Scott Mueller, Luke
Vanderweide, Tyree Kiser, Douglas
Fish, Robert MacLaren
April Miller, Brandon Bookstaver
Shannon Welch
Madeline Stephnes, Neil Ernst, Eric
Mueller, Betty Tsuei
Volume 12 Issue 4
Abstract
Number
December 2012
Title
128
HIGH DOSE DEXMEDETOMIDINE IS NOT ASSOCIATED
WITH INCREASED RISK OF HYPOTENSION
137
DOES A DELAY EXIST BETWEEN TIMING OF ORDERING
AN ANTIINFECTIVE AND ADMINISTRATION IN THE
INTENSIVE CARE UNITS?
IMPLEMENTATION OF A DEXMEDETOMIDINE
STEWARDSHIP PROGRAM AT A TERTIARY ACADEMIC
MEDICAL CENTER
143
146
149
152
154
EVALUATION OF HIGH RISK MEDICATION INFUSIONS IN
INTENSIVE CARE UNITS TO OPTIMIZE CLOSED LOOP
MEDICATION ADMINISTRATION.
AN ASSESSMENT OF CLINICAL PHARMACY
INTERVENTIONS IN THE INTENSIVE CARE UNIT
GROWTH OF A PHARMACIST-LED CRITICAL CARE
PRACTICE-BASED RESEARCH NETWORK: THE
CRITICAL CARE PHARMACOTHERAPY TRIALS
NETWORK
RAPID RESPONSE TEAM PROVIDERS: THE NEW “GRIM
REAPERS”
160
IMPACT OF INTRODUCING PHARMACIST SERVICES IN
A COMMUNITY HOSPITAL EMERGENCY DEPARTMENT
161
IMPLEMENTATION OF A SURGICAL CRITICAL CARE
NURSE PRACTITIONER SERVICE.
163
DEVELOPMENT OF A STRUCTURED COMMUNICATION
TOOL TO PREVENT UNPLANNED SURGICAL ICU
READMISSIONS
ASSESSMENT OF NUTRITIONAL ADEQUACY IN
PATIENTS ON EXTRACORPOREAL MEMBRANE
OXYGENATION
166
195
199
230
THE RELATIONSHIP BETWEEN PLASMA ESTROGEN
LEVELS AND SEVERITY OF INJURY AND DELAYED
CEREBRAL ISCHEMIA AFTER ANEURYSMAL
SUBARACHNOID HEMORRHAGE
EXPRESSION OF MULTIDRUG RESISTANCE
TRANSPORTERS IN HUMAN TRAUMATIC BRAIN INJURY
THE PULMONARY INJURY SCORE: A NOVEL SCORING
SYSTEM FOR EVALUATION AND RISK STRATIFICATION
IN ACUTE PULMONARY INJURY
Authors
Anthony Gerlach, Danielle Blais,
Gary Jones, Pamela Burcham,
Stanislaw Stawicki, Charles Cook,
Claire Murphy
Deb Sherman, Kelly Schoeppler,
Bonnie Boller, Lisa Dufficy, Jason
Brainard
Rachel Cyrus Blum, Craig Stevens,
Robert Southard, Danielle Carter,
Aaron Hussey, Kathleen Marquis,
Heather Torbic, Paul Szumita
Lauren Riley, Jessica Jones, Lea
Monday, Joanne MacDonald,
Angela Milad
Vincent Mabasa, Claudia Ho,
Douglas Malyuk, Vivian Leung,
Jerrold Perrott
Seth Bauer, Zachariah Thomas,
Farooq Bandali, Sandra Kane-Gill,
Stacy Voils, Ishaq Lat
Rhonda D’Agostino, Tara Buchholz,
Lisa Canecchia, Jibran Majeed,
Caroline Shirzadi, Stephen
Pastores, Neil Halpern
Thomas Johnson
Charles Warrington, Michael
Weinstein, Patrice Miller,
Christopher McMenemy
Nathan Smischney, Peter Anderson,
Manoj Mittal, Philip Kuper, Francis
Whalen
Joseph Miessau, Melanie Sion,
Pawel Karbowski, Evanthia Fotiou,
Hitoshi Hirose, Nicholas Cavarocchi,
Christine Feldmeier
Elizabeth Crago, P Sherwood,
Catherine Bender, Jeffrey Balzer,
Dianxu Ren, S Poloyac
Anthony Willyerd, Philip Empey,
Milos Ikonomovic, Ava Puccio,
David Okonkwo, Ashley Philbrick,
Christina Hosler, Patrick Kochanek,
Robert Clark
Andrea Pakula, Sergey Kozyr, Eric
vanSonnenberg, Ruby Skinner
Volume 12 Issue 4
Abstract
Number
December 2012
Title
234
PILOT STUDY: THE USE OF TRANEXAMIC ACID IN
TRAUMA PATIENTS AT A LEVEL ONE TEACHING
HOSPITAL
246
PRIMING PRESS GANEY: CAN A SIMPLE PHONE CALL
AFFECT THE RESULTS?
EFFECT OF ANTIOXIDANT SUPPLEMENTATION ON
ATRIAL ARRHYTHMIAS IN TRAUMA PATIENTS AT AN
ACADEMIC LEVEL I TRAUMA CENTER
THE DIAGNOSTIC AND THERAPEUTIC IMPACT OF
POINT-OF-CARE ULTRASONOGRAPHY IN THE
INTENSIVE CARE UNIT
247
250
Authors
Margaret Fernandez, Christopher
Morrison, Gina Pettineo, Mayela
Castillo, Ennie Cano, Punam Parikh,
Nicholas Namias, Fahim Habib
Sara Webb, Eugene Reilly, Amanda
McNicholas, Forrest Fernandez
W. Paul Moore, Susan Hamblin,
Jonathon Pouliot, Judith Jenkins,
Mayur Patel, Bryan Collier
Amelie Bernier-Jean, Martin Albert,
Ariel Shiloh, Lewis Eisen, Jennifer
Howes, David Williamson, Yanick
Beaulieu
Muhammad Syed, Andrew
Levinson, Jason Frost, Jeffrey
Mazer, Gerardo Carino, Saleem
Shahzad, Muhammad Perwaiz,
Terrance Healey
Sean McMillan, Zachary Bauman,
Harriette Mathilda Horst, Marika
Gassner, Dionne Blyden, Zeeshan
Syed, Ilan Rubinfeld
Justin Fongemie, Nada Al-Qadheeb,
N.A. Estes, Russ Roberts,
Yutthapong Temtanakitpaisan,
Robin Ruthazer, John Devlin
259
CONFIRMATION OF CENTRAL VENOUS CATHETER
PLACEMENT USING ULTRASOUND.
262
COMPUTATIONAL PREDICTION OF ATRIAL
FIBRILLATION IN THE INTENSIVE CARE UNIT USING
EARLY ADMISSION VITAL SIGNS DATA
265
AGREEMENT BETWEEN ICU CLINICIANS AND
ELECTROPHYSIOLOGY CARDIOLOGISTS FOR THE
INITIATION OF A QTC-INTERVAL PROLONGING
MEDICATION IN ICU PATIENTS WITH POTENTIAL RISK
FACTORS FOR TORSADE DE POINTES
282
DABIGATRAN MANAGEMENT IN A LEVEL 1 TRAUMA
CENTER: BALANCING SAFETY AND CONVENIENCE
Trevor Perry, Harminder Sikand
287
USE OF INHALED EPOPROSTENOL FOR PULMONARY
ARTERY HYPERTENSION AFTER CARDIAC SURGERY
Joseph Aloi, Cassie Barton, Wesley
McMillian, Mark Hamlin
289
DETERMINATION OF FACTORS ASSOCIATED WITH
BLEEDING IN PATIENTS RECEIVING ALTEPLASE FOR
PULMONARY EMBOLISM: A FOCUS ON BODY WEIGHT
Garrett Curtis, Anita Reddy, Simon
Lam, Seth Bauer
291
RISK FACTORS, PREVALENCE, COURSE, AND
COMPLICATIONS OF ATRIAL FIBRILLATION IN
CRITICALLY ILL TRAUMA PATIENTS
USE OF VASOPRESSORS FOLLOWING ETOMIDATE FOR
INDUCTION IN CARDIAC SURGERY PATIENTS
Sarah Bajorek, Jeremiah Duby,
Shannon Heintz, Brett Heintz,
Christine Cocanour
Kasey Greathouse, Sarah Bush,
Lucy Crosby, Barry Davis, Steve
Lysak, John Kudlak, Anna Cass
Lina Saliba, Charles Cook, Kathleen
Dungan, Kyle Porter, Bruce
Doepker, Anthony Gerlach, Claire
Murphy
Tyler Sledge, Wayne Shipley, Nick
Lonardo, Richard Barton
293
296
THE EFFECT OF INSULIN-INDUCED VERSUS
SPONTANEOUS HYPOGLYCEMIA ON HOSPITAL
MORTALITY IN CRITICALLY ILL PATIENTS
297
EVALUATION OF A STANDARDIZED HYPERGLYCEMIA
PROTOCOL USED IN MULTIPLE CRITICALLY ILL
POPULATIONS
Volume 12 Issue 4
Abstract
Number
300
301
302
303
December 2012
Title
MANAGEMENT OF HYPONATREMIA IN THE INTENSIVE
CARE UNIT (ICU): INTERIM RESULTS OF A DISEASEBASED REGISTRY
PROTOCOL FOR THE TREATMENT OF PEDIATRIC
DIABETIC KETOACIDOSIS
EVALUATION OF A GUIDELINE FOR HYPERGLYCEMIC
EMERGENCIES AT A TERTIARY ACADEMIC MEDICAL
CENTER
CORTICOSTEROIDS IN BRAIN DEAD POTENTIAL
ORGAN DONOR MANAGEMENT : A SYSTEMATIC
REVIEW OF RANDOMIZED CONTROLLED TRIALS
304
MULTIDISCIPLINARY APPROACH TO MINIMIZING
HYPOGLYCEMIA: THE IMPACT OF A REVISED NURSING
DRIVEN INSULIN INFUSION PROTOCOL
309
DE NOVO ADOPTION OF A HYPERGLYCEMIA
MANAGEMENT PROTOCOL IN PEDIATRIC ICUS: A
MULTICENTER EVALUATION
310
EVALUATION OF SAFETY AND EFFICACY OF A
MODERNIZED INTENSIVE CARE UNIT CONTINUOUS
INSULIN INFUSION ORDER SET
STANDARDIZING GLYCEMIC MANAGEMENT IN A
PEDIATRIC ICU: COMPARATIVE OUTCOMES OF
PATIENTS WITH RESPIRATORY FAILURE WITH AND
WITHOUT HYPERGLYCEMIA
IMPACT OF INTENSIVE INSULIN THERAPY PROTOCOL
BASED ON LIBERATED VERSUS TIGHT GLYCEMIC
CONTROL ON CLINICAL OUTCOMES IN THE ICU
TOLERABILITY AND SAFETY OF ENTERAL NUTRITION
IN CRITICALLY ILL PATIENTS RECEIVING
INTRAVENOUS VASOPRESSOR THERAPY
EVALUATION OF HYPOCALORIC PARENTERAL
FEEDING IN THE CRITICALLY ILL OBESE PATIENT
314
315
328
331
Authors
Joseph Dasta, Sandra Chase,
Alpesh Amin, Arthur Greenberg,
Joseph Verbalis
Brandy Merritt, Nadia Khan, Juliane
Bubeck-Wardenburg, Elizabeth
Littlejohn, Dianne Deplewski, Frank
Chaten
Nahal Beik, Allison Forni, Kevin
Anger, Paul Szumita
David Williamson, Sebastien
Dupuis, Jacques-Alexandre Amiel,
Mathieu Desgroseilliers, Marc
Perreault, Zoe Thiboutot, Karim
Serri, Pierre Marsolais, Anne Julie
Frenette
Claire Murphy, Jennifer
MacDermott, Brenda Vermillion,
Jamie St. Clair, Michele Weber,
Kathleen Dungan, Charles Cook
Mark Rigby, Traci Leong, Catherine
Preissig, Paulette Johnson, Janice
Sullivan, Alexandre Rotta, Christi
Rider, Jennifer Morris, Mara Nitu,
Kupper Wintergerst
Michael Sirimaturos, Bennett Noell,
Matthew Wanat, Rebeca Halfon,
Archana Sadhu
Mark Rigby, Traci Leong, Alexandre
Rotta, Jennifer Morris, Christi Rider,
Mara Nitu
Stephanie Roberts, Jesse
Wisniewski, May Wong, Maha
Kadafour, Patricia Parker
Erin Mancl, Katie Muzevich
Alexander Flannery, Tanna CooperHassig, Brian McKinzie
336
DRUG-INDUCED THROMBOCYTOPENIA IN THE
CRITICALLY ILL: A CASE-CONTROL STUDY
David Williamson, Olivier Lesur,
Jean-Pierre Tétrault, Danielle Pilon
337
THROMBOCYTOPENIA IN THE CRITICALLY ILL:
INCIDENCE, RISK FACTORS AND IMPACT ON
TRANSFUSIONS, BLEEDING, MORTALITY
339
EVALUATION OF PRACTICES FOR DIAGNOSIS OF
HEPARIN-INDUCED THROMBOCYTOPENIA IN THE
INTENSIVE CARE UNIT
David Williamson, Martin Albert,
Diane Heels-Ansdell, Francois
Lauzier, Wendy Lim, Mark Crowther,
Ryan Zarychanski, Deborah Cook
Jennifer Sutherland, Marina
Rabinovich, Zhengjia Chen, Majorie
Curry, Sidney Stein
Volume 12 Issue 4
Abstract
Number
December 2012
Title
345
MULTIDRUG RESISTANT ORGANISM INFECTIONS IN
PATIENTS WITH LEFT VENTRICULAR ASSIST DEVICES
346
CLINICAL OUTCOME ASSESSMENT OF THREE ANTIMETHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS
AGENTS
EFFICACY OF SHORT DURATION THERAPY FOR GRAMNEGATIVE BACTEREMIA IN CRITICALLY ILL TRAUMA
PATIENTS.
349
350
351
352
353
356
357
360
363
364
365
367
OVERCOMING UNINTENDED CONSEQUENCES:
ADDRESSING INCREASED FLUROQUINOLONE
RESISTANCE AFTER IMPLEMENTATION OF AN HCAP
ORDERSET
A COHORT STUDY OF PATIENTS WITH KLEBSIELLA
BACTEREMIA WITH CARBAPENEM RESISTANCE
COMPARED TO THOSE WITH THIRD-GENERATION
CEPHALOSPORIN RESISTANCE
CLINICAL OUTCOMES OF PROLONGED-INFUSION
PIPERACILLIN/TAZOBACTAM IN PATIENTS ADMITTED
TO THE INTENSIVE CARE UNIT
USE OF A STANDARDIZED ORDER SET FOR ENSURING
COMPLIANCE WITH INTENSIVE CARE UNIT
PROPHYLAXIS
COMPARISON OF TREATMENT OUTCOMES FOR
VANCOMYCIN ALONE VERSUS COMBINATION
THERAPY IN SEVERE CLOSTRIDIUM DIFFICILE
INFECTION
EVALUATION OF EMPIRIC SINGLE COVERAGE GRAMNEGATIVE VENTILATOR ASSOCIATED PNEUMONIA
PROTOCOL IN AN ACADEMIC LEVEL ONE
TRAUMA/SURGICAL INTENSIVE CARE UNIT
EFFICACY OF MEROPENEM EXTENDED INFUSION
VERSUS INTERMITTENT INFUSION IN CRITICALLY ILL
PATIENTS
PREVALENCE AND RISK FACTOR ANALYSIS OF
RESISTANT ESCHERICHIA COLI URINARY TRACT
INFECTIONS IN THE EMERGENCY DEPARTMENT
CLOSTRIDIUM DIFFICILE TREATMENT OUTCOMES IN
CRITICALLY ILL TRANSPLANT PATIENTS
EVALUATION OF EMPIRIC DUAL GRAM-NEGATIVE
ANTIBIOTIC COVERAGE FOR SUSPECTED
VENTILATOR-ASSOCIATED PNEUMONIA IN THE
INTENSIVE CARE UNIT AT A RURAL, ACADEMIC
MEDICAL CENTER
THE UTILITY OF PROCALCITONIN IN DETERMINING
PRESENCE OF INFECTION WITHIN A HEALTHCARE
SYSTEM
Authors
Elisabeth Donahey, Derek Polly,
David Vega, Marshall Lyon, Javed
Butler, Ann Pekarek, Kristin
Wittersheim, Christopher Paciullo
Lucas Schulz, Erin Hendrick, David
Andes
David Hill, G. Wood, Louis Magnotti,
Joseph Swanson, Bradley Boucher,
Thomas Schroeppel, Martin Croce,
Timothy Fabian
Kayvan Moussavi, William Liang,
Michele Ritter, James Lane, Charles
James, Greg Seymann
Christina Rose, Safia Kuriakose,
Prachi Bhatt, Conan MacDougall,
Jason Gallagher
Chase Waxler, DeeDee Hu
Frantz Hastrup, Bette Bertini
Stephanie Bass, Seth Bauer,
Elizabeth Neuner, Simon Lam
Andy Kim
Erin Oh, Teena Abraham, Nasser
Saad, Fabienne Vastey, Eric Balmir
Abby Bailey, Kyle Weant, Stephanie
Baker
Whitney Chaney, Mehrnaz
Pajoumand, Carla Williams, Anthony
Amoroso
Lisa Kurczewski, Richard McKnight,
Rocco LaSalla, Harakh Dedhia
Megan Van Berkel, Justin Usery, G.
Morgan Jones, Christopher Finch
Volume 12 Issue 4
Abstract
Number
368
380
387
390
391
396
397
398
402
409
416
419
421
432
December 2012
Title
Authors
METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS
SCREENING RESULTS AS A GUIDE FOR EMPIRIC
ANTIBIOTIC SELECTION IN MEDICAL INTENSIVE CARE
UNIT PATIENTS
TRANSCRANIAL REGIONAL CEREBRAL OXYGEN
DESATURATION PREDICTS DELAYED CEREBRAL
ISCHEMIA AND POOR OUTCOMES AFTER
SUBARACHNOID HEMORRHAGE
A META-ANALYSIS AND META-REGRESSION OF
RANDOMIZED, CONTROLLED ICU TRIALS WITH
INTERVENTIONS HYPOTHESIZED TO REDUCE
DELIRIUM: THE RELATIONSHIP BETWEEN DURATION
OF DELIRIUM AND HOSPITAL MORTALITY
Amy McManness, John Lock, Sarah
Hittle, Jennifer McCann
EVALUATION OF THE IMPLEMENTATION OF A STRESS
ULCER PROPHYLAXIS GUIDELINE IN A NEUROSCIENCE
INTENSIVE CARE UNIT.
ALTEPLASE DOSING AND CLINICAL OUTCOMES IN
ACUTE ISCHEMIC STROKE
IMPACT OF PHARMACOLOGIC OPTIONS FOR DRUGINDUCED HYPERTENSION IN ACUTE ISCHEMIC
STROKE ON ICU AND HOPSITAL LENGTH OF STAY
EVALUATION OF FUNCTIONAL AND CLINICAL
OUTCOMES IN ACUTE ISCHEMIC STROKE PATIENTS
UNDERGOING TREATMENT WITH MECHANICAL
THROMBECTOMY DEVICES
HYPOFIBRINOGENEMIA AND ABNORMAL INR AFTER
TREATMENT WITH SYSTEMIC RECOMBINANT TISSUE
PLASMINOGEN ACTIVATOR FOR ACUTE ISCHEMIC
STROKE
GRAM STAIN CAN BE USED TO SAFELY DISCONTINUE
VANCOMYCIN THERAPY FOR EARLY PNEUMONIA IN
THE TRAUMA ICU
Jennifer Hogg, Shaun Keegan,
Kiranpal Sangha
DIAGNOSIS, DISPOSITION, AND DEATHS OF PATIENTS
EVALUATED FOR PULMONARY EMBOLISM IN THE
EMERGENCY DEPARTMENT.
AMINOCAPROIC ACID COMBINED WITH HIGH DOSE
METHYLPREDNISOLONE MAY NOT IMPROVE
OUTCOMES IN CRITICALLY ILL CANCER PATIENTS
WITH DIFFUSE ALVEOLAR HEMORRHAGE
INCIDENCE AND TIMING OF SPACE RESPIRATORY
ISOLATES IN PATIENTS ADMITTED TO A TRAUMAORTHOPEDICS-VASCULAR INTENSIVE CARE UNIT
EFFECT OF LOW DOSE CORTICOSTEROIDS ON
RESPONSE TO INHALED EPOPROSTENOL IN PATIENTS
WITH SEPTIC SHOCK AND ARDS
ANALYSIS OF CAUSALITIES AND OUTCOMES IN
TRAUMA PATIENTS WHO SELF-EXTUBATE
Khalil Yousef, Jeffrey Balzer,
Elizabeth Crago, Samuel Poloyac,
Paula Sherwood
Nada Al-Qadheeb, Gilles Fraser,
Ethan Balk, Yoanna Skrobik,
Richard Riker, John Kress, Shawn
Whitehead, John Devlin
Erin Roach, Gretchen Brophy, Stacy
Voils
Julie Cash, Jennifer Bushwitz,
Aimee LeClaire, Azra Bihorac, Anna
Khanna
Sara Schepcoff, Karen McAllen,
Jeffrey Barletta
Kathryn Smith, Gilles Fraser, David
Seder, Barbara McCrum, Robert
Trowbridge, Timothy Hayes, Richard
Riker
Arthur Vaught, Russell Finday, Ruth
Davis, Jennifer Lanz, Lyle
Moldawer, Frederick Moore, Peggy
Marker, Azra Bihorac, Aimee
LeClaire, Philip Efron
Genese Lamare, Chee Chan, David
Milzman, Andrew Shorr
Nisha Rathi, Anne Rain Tanner,
Wenli Dong, Menaka Yadav, Lei
Feng, Suzy Wallace, Kristen Price,
Joseph Nates, Sajid Haque
Russell Findlay, Philip Efron, Cassie
Bozeman, Arthur Vaught, Karly
O’Brien, Peggy Marker, Frederick
Moore, Aimee LeClaire
James McMillen, Laura
Krumenacker, Barbara Faircloth,
Anthony Rowe
Ana Negrete, Stephanie Thompson,
Audis Bethea
Volume 12 Issue 4
Abstract
Number
446
December 2012
Title
THE USE OF MECHANICAL VENTILATION IN THE
EMERGENCY DEPARTMENT
448
IMPROVING COMMUNICATION CAN ENHANCE THE
COORDINATION OF SEDATION HOLIDAYS AND
SPONTANEOUS BREATHING TRIALS
466
ICU-ACQUIRED HYPERNATREMIA IS AN INDEPENDENT
PREDICTOR OF INCREASED MORTALITY AND LENGTH
OF STAY
COMPARISON OF CONTINUOUS INFUSION VERSUS
BOLUS SODIUM PHOSPHATE IN SUSTAINED LOWEFFICIENCY DIALYSIS
EFFECT OF LOW-DOSE DOPAMINE INFUSIONS ON
RENAL FUNCTION POST ORTHOTOPIC LIVER
TRANSPLANTATION
ABDOMINAL VISCERAL AND SUBCUTANEOUS
ADIPOSITY ARE ASSOCIATED WITH ACUTE KIDNEY
INJURY IN CRITICALLY ILL TRAUMA PATIENTS
468
473
475
477
482
484
488
504
507
513
518
OVERESTIMATION OF ESTIMATED GFR IN
OLIGOANURIC NEW ONSET ACUTE KIDNEY INJURY IN
THE CRITICALLY ILL: A MULTIVARIATE ANALYSIS OF
RETROSPECTIVE DATA
IMPACT OF COMPUTERIZED PROVIDER ORDER ENTRY
(CPOE) IMPLEMENTATION ON THE TIMING OF
ANTIBIOTIC ADMINISTRATION IN INPATIENTS WITH
SEVERE SEPSIS AND SEPTIC SHOCK
PRESCRIBING PATTERNS OF INTRAVENOUS
HYDROCORTISONE IN SEPTIC SHOCK: FINDINGS FROM
AN ACADEMIC HEALTHCARE SYSTEM
PREDICTORS OF HEALTHCARE ASSOCIATED
INFECTIONS IN PATIENTS PRESENTING TO THE ICU
WITH SEPSIS
THE EFFECT OF SEPSIS ON MORTALITY AND LENGTH
OF STAY IN PATIENTS WITH ANEURYSMAL
SUBARACHNOID HEMORRHAGE
USE OF NON-INVASIVE TISSUE OXYGEN SATURATION
MEASUREMENT AS A SCREENING TOOL FOR
HYPOPERFUSION IN SUSPECTED SEVERE SEPSIS
EVALUATION OF VITAMIN D INSUFFICIENCY IN
PATIENTS WITH SEVERE SEPSIS AND SEPTIC SHOCK
IMPACT OF CLOPIDOGREL EXPOSURE ON OUTCOMES
IN PATIENTS WITH SEPSIS
Authors
Brian Fuller, Nicholas Mohr,
Matthew Dettmer, Kevin Cullison,
Rebecca Bavolek, Sarah Kennedy,
Nicholas Rathert, Christine Taylor,
Jacob Gadbaw, Craig McCammon
Markos Kashiouris, Andrew
Goldberg, Edwin Lee, Anil Paturi,
Xun Zhu, Jennifer Elmer, Timothy
Aksamit
Michael Waite, Steven Fuhrman,
Omar Badawi, Ilene Zuckerman,
Christine Franey
Kyle Dvoracek, Stephen Nissen,
Gregory Peitz, Jayashri
Sankaranarayanan, Keith Olsen
Kaitlin Starosta, Michael Peters,
James Kalus, James Fleming
Michael Shashaty, Kathleen
Cummins, Daniel Holena, Paul
Lanken, Harold Feldman, Muredach
Reilly, Jayaram Udupa, Jason
Christie
Erin Frazee, Heather Personett,
Vitaly Herasevich, Christina WoodWentz, Kianoush Kashani
Angelina Chan, Gerald Toy, Pan
Pan Wong, Deanna Horner, A.
Kendall Gross
Katlynd Contrael, Alley Killian, Sara
Gregg, Timothy Buchman, Craig
Coopersmith
Reba Umberger, Carol Thompson,
Ann Cashion, David Kuhl, Jim Wan,
Charles Yates, Muthiah Muthiah,
Gianfranco Meduri
Kevin Hatton, Aaron Cook, Annette
Rebel, Daniel Rusu, Scott Mccardle,
Deborah Rohner, Justin Fraser
Hanh-Nhi Duong, Lucretia Davis,
Petra Grami, BeeBee Hu, Ali AlHimyary, John Sabo, Gregory Laine
Megan Rech, Todd Hunsaker,
Jennifer Rodriguez
Paul Dobesh, Donald Klepser,
Timothy McGuire, Sloane
Schneider, Janelle Weber, Keith
Olsen
Volume 12 Issue 4
Abstract
Number
519
521
522
523
524
573
581
597
December 2012
Title
Authors
EVALUATION OF CATECHOLAMINE DOSE AT
HYDROCORTISONE INITIATION AS A PREDICTOR OF
SHOCK-FREE SURVIVAL IN PATIENTS WITH SEPTIC
SHOCK
DIFFERENCES IN TIME TO APPROPRIATE
ANTIMICROBIAL ADMINISTRATION FOR PATIENTS WITH
SEPTIC SHOCK IN THE EMERGENCY DEPARTMENT
(ED) VERSUS MEDICAL AND SURGICAL WARDS
TIME TO INITIAL ANTIMICROBIAL THERAPY IN
EMERGENCY DEPARTMENT PATIENTS WITH SEPSIS
IMPROVES WHEN A CLINICAL PHARMACIST
PARTICIPATES ON THE CARE TEAM
DEVELOPMENT OF A COMBINATION ANTIBIOGRAM TO
OPTIMIZE EMPIRICAL ANTIBIOTICS FOR
PSEUDOMONAS AEURGINOSA INFECTIONS IN THE
SURGICAL INTENSIVE CARE UNIT
FACTORS ASSOCIATED WITH PROLONGED ANTIBIOTIC
USE IN THE SETTING OF SUSPECTED PNEUMONIA AND
NEGATIVE BRONCHEOALVELOR LAVAGE CULTURES
Seth Bauer, Gustavo Heresi, Simon
Lam
POST CARDIAC ARREST THERAPEUTIC HYPOTHERMIA
WITHOUT NEUROMUSCULAR BLOCKADE VS.
CONTINUOUS OR INTERMITTENT NEUROMUSCULAR
BLOCKADE
TARGETED TEMPERATARE MANAGEMENT IN A
COMMUNITY HOSPITAL
USE OF HIGH FIDELITY SIMULATION FOR
INTERPROFESSIONAL EDUCATION IN AN ICU
ENVIRONMENT
608
SURVEY OF POSTGRADUATE CRITICAL CARE
PHARMACY RESIDENCY TRAINING PROGRAMS
627
KNOWLEDGE, PRACTICES, AND PERCEPTIONS OF ICU
NURSES REGARDING USE OF THE CAM-ICU FOR THE
DETECTION OF ICU DELIRIUM
UTILIZING HIGH FIDELITY HUMAN SIMULATION TO
PREPARE DOCTOR OF PHYSICAL STUDENTS TO
ASSESS AND TREAT PATIENTS IN THE ICU
THE UTILITY OF A PHARMACY DEPARTMENT CRITICAL
CARE RESOURCE ON PHARMACISTS' COMPETENCE
AND CLINICAL CONFIDENCE
ECONOMIC TRENDS FROM 2003 - 2009 FOR
PERIOPERATIVE MYODCARDIAL INFARCTION: A
RETROSPECTIVE, COHORT STUDY
RANDOMIZED CONTROLLED TRIALS IN PEDIATRIC
CRITICAL CARE: A SCOPING REVIEW
630
631
646
651
Anand Kumar, Ryan Cormier
Phillip Mohorn, Rebecca Hockman,
Heather Cox, Tina Grof, Stephanie
Mallow Corbett
Nune Zadikian, Joseph Aloi, Wesley
McMillian
Marcus Dortch, Jonathon Pouliot,
Susan Hamblin, Paul Moore,
Matthew Eckert, Jeremy Thompson,
Addison May
John Snider, Melissa Vandenberg,
Wendy Thomas, Heather Bockheim
Bette Bertini, Frantz Hastrup
Pamela Havrilla-Smithburger,
Sandra Kane-Gill, Amy Seybert
Mitchell Buckley, Robert MacLaren,
Erin Frazee, Sandra Kane-Gill,
Pamela Smithburger, Heather
Personett
Kristin Lunghi, Gloria Cheng, Nancy
Hung
Kenneth Havrilla, Pamela
Smithburger, David Somers
Darlene Chaykosky, Cara McDaniel
Belinda Udeh, Jarrod Dalton,
Chiedozie Udeh, Alparslan Turan,
Steven Hata
Mark Duffett, Karen Choong,
Cynthia Cupido, Lisa Hartling,
Kusum Menon, Lehana Thabane,
Deborah Cook
Volume 12 Issue 4
Abstract
Number
652
663
680
December 2012
Title
IDENTIFYING RISK FACTORS FOR ICU READMISSION
ECONOMIC TRENDS FROM 2003-2009 FOR
PERIOPERATIVE RESPIRATORY FAILURE: A
RETROSPECTIVE, COHORT STUDY
CHARACTERISTICS OF INTRA-ABDOMINAL INFECTIONS
(IAI) WITH AN ASSOCIATED BACTEREMIA IN PATIENTS
WITH SEVERE SEPSIS AND SEPTIC SHOCK
693
INCIDENCE OF CLOSTRIDIUM DIFFICILE INFECTION IN
THE INTENSIVE CARE SETTING: RESULTS OF A
MULTICENTER STUDY
694
PREDICTING MORTALITY IN THE INTENSIVE CARE UNIT
THROUGH THE APPLICATION OF MACHINE LEARNING
TO ROUTINELY COLLECTED CLINICAL DATA
695
PREDICTORS OF MORTALITY IN CULTURE-POSITIVE
SEPTIC SHOCK PATIENTS RECEIVING APPROPRIATE
ANTIMICROBIAL THERAPY
THE AGING FACE OF THE TRAUMA INTENSIVE CARE
UNIT: THE IMPACT OF OCTOGENARIANS AND ABOVE
701
702
Authors
Philip Willsie, Krystal Hunter, Christa
Schorr, Barry Milcarek, JeanSebastien Rachoin, Elizabeth
Cerceo
Jarrod Dalton, Belinda Udeh,
Chiedozie Udeh, Steven Hata
Bethany Tellor, Eric High, Lee
Skrupky, Scott Micek, John Mazuski
Scott Micek, Garrett Schramm, Lee
Morrow, Erin Frazee, Heather
Personett, Nicholas Hampton, Alex
Hoban, Eric Dubberke, Marin Kollef
Sean McMillan, Marika Gassner,
Harriette Mathilda Horst, Zachary
Bauman, Dionne Blyden, Zeeshan
Syed, Ilan Rubinfeld
Heather Personett, David Leedahl,
Ross Dierkhising, Garrett Schramm
Lindsay Fairfax, A. Christmas, H.
Norton, Toan Huynh, Ronald Sing
COMPARING WORKFLOW BETWEEN RESIDENT AND A
RESIDENT INDEPENDENT ACUTE CARE NURSE
PRACTITIONER (ACNP) SERVICE IN A MEDICAL
INTENSIVE CARE UNIT (MICU)
EVALUATION OF THE IMPACT OF OBESITY ON
CLINICAL OUTCOMES IN AN ADULT TRAUMA
POPULATION
IMPROVING COMPLIANCE WITH POST-SPLENECTOMY
VACCINE ADMINISTRATION IN TRAUMA PATIENTS
Kristina J. Williams, Janna
Landsperger, Todd Rice, Arthur P.
Wheeler
732
AZITHROMYCIN AND PNEUMONIA: OUTCOMES IN THE
ERA OF HEALTHCARE-ASSOCIATED PNEUMONIA
747
ANTIMICROBIAL RESISTANCE PATTERNS IN A SUBSET
OF ACUTE CARE HOSPITALS IN PUERTO RICO
Andrew Shorr, Marya Zilberberg,
Justin Hoffman, Jason Kan, Marin
Kollef, Scott Micek
Oscar Guzman, Meredith Velez,
Kristi Kuper
753
CHARACTERIZING THE IMPACT OF ATRIAL
FIBRILLATION IN THE MEDICAL INTENSIVE CARE UNIT
Mark Pangrazzi, Ishaq Lat, John
Kress
760
IMPACT OF PRIOR BENZODIAZEPINE USE ON
HOSPITAL OUTCOMES FOR ACUTE TRAUMA PATIENTS
ADMITTED TO A LEVEL I TRAUMA CENTER
EVALUATION OF MICROORGANISMS PRESENT IN
EARLY- VERSUS LATE-ONSET BACTERIAL PNEUMONIA
REQUIRING MECHANICAL VENTILATION
Katherine Bidwell, David Volles,
Stephanie Mallow Corbett, Corina
Spanu, Kunal Patel, James Calland
Lauren Kimmons, April Hurdle,
Christopher Finch
707
716
761
John Allen, Robert Parker, Richard
Gonzalez, Sidney Brevard, Amin
Frotan, Jon Simmons
Nora Raynor, Gail Gesin, David
Jacobs, Toan Huynh
Volume 12 Issue 4
Abstract
Number
December 2012
Title
767
THE CO-OPERATIVE NETWORK OF CRITICAL CARE
KNOWLEDGE TRANSLATION FOR
THROMBOPROPHYLAXIS (CONECCKT-T): A
MULTICENTER AUDIT
769
AN EVALUATION OF THE SAFETY OF ΒETA-BLOCKERS
IN PATIENTS WITH SUB-ACUTE COCAINE TOXICITY
AND SELECT CO-MORBIDITIES
PARETO ANALYSIS IDENTIFIES BARRIERS TO
IMPLEMENTING SYNCHRONOUS SPONTANEOUS
BREATHING AND AWAKENING TRIALS IN THE
INTENSIVE CARE UNIT
VITAMIN D DEFICIENCY IN CRITICAL ILLNESS AND ITS
INFLUENCE ON OUTCOME: EXPERIENCE FROM
TERTIARY CARE CENTRE IN NORTH INDIA
EPIDEMIOLOGY OF HEPARIN INDUCED
THROMBOCYTOPENIA IN THE INTENSIVE CARE UNIT
770
774
775
778
789
790
797
TRANSPORT TIME OUT: IMPLEMENTATION OF AN
INTRA-FACILITY SAFETY VERIFICATION PROCESS
ACROSS AN ADULT CRITICAL CARE DIVISION
IMPROVING EMGERGENCY DEPARTMENT TO
INTENSIVE CARE UNIT TRANSFER TIME DOES NOT
EFFECT MORBIDITY OR MORTALITY
TWO YEAR OUTCOMES OF A MEDICAL INTENSIVE
CARE UNIT (MICU) ACUTE CARE NURSE PRACTITIONER
(ACNP) SERVICE
COMPARISON OF MEDICAL RAPID RESPONSE TEAM
(RRT) CALLS BEFORE AND AFTER ADDING ACUTE
CARE NURSE PRACTITIONER (ACNP) LEADERSHIP.
Authors
Francois Lauzier, David Williamson,
Donald Griesdale, Peter Dodek, Eric
Deland, Michael Cox, Michael
Jacka, Rodrigo Cartin-Ceba,
Richard Hall, Deborah Cook
Sloka Manvi, Marci Delossantos,
Patrick Aaronson, Justin Tinsley
Andrew Goldberg, Markos
Kashiouris, Edwin Lee, Xun Zhu,
Anil Paturi, Jennifer Elmer, Timothy
Aksamit
Afzal Azim, Armeen Ahmed, Arvind
Baronia, Subhash Yadav
Chee Chan, Christian Woods,
Theodore Warkentin, Jo-Ann
Sheppard, Andrew Shorr
Lindsay Fairfax, Toan Huynh,
Courtney Kaylor
Jason Frost, Muhammad Syed,
Jeffrey Mazer, Steven Reinert,
Gerardo Carino
Janna Landsperger, Kristina
Williams, Todd Rice, Arthur Wheeler
Susan M. Hellervik, Janna S.
Landsperger, Cherry B. Chassan,
Todd W. Rice, Arthur P. Wheeler
799
ASSESSMENT OF BOXED WARNING COMPLIANCE
WITHIN INTENSIVE CARE UNITS
Brian Lohr, Sandra Kane-Gill,
Pamela Smithburger, Amy Seybert
803
NURSING CARE OF THE OBESE CRITICALLY ILL
PATIENT: EXAMINATION OF THE PROCESSES OF CARE
Brenda Vermillion, Gerene Bauldoff,
Linda Daley, Edna Menke
830
DEVELOPMENT AND IMPLEMENTATION OF AN ANTIDELIRIUM PROTOCOL IN THE MEDICAL INTENSIVE
CARE UNIT
COMPARISON OF CHARACTERISTICS, INTERVENTIONS
AND OUTCOMES OF PATIENTS WITH SINGLE VERSUS
MULTIPLE RAPID RESPONSE TEAM (RRT) CALLS
DURING A HOSPITAL ADMISSION.
EVALUATION OF THE TREATMENT OF DIFFUSE
ALVEOLAR HEMORRHAGE IN CRITICALLY ILL CANCER
PATIENTS
Julie Wilbeck, Edward Eiland, Adam
Sawyer, Jonathan Edwards
838
839
844
EVALUATION OF INJECTABLE HALOPERIDOL LACTATE
USE AT AN ACADEMIC MEDICAL CENTER BEFORE AND
AFTER IMPLEMENTATION OF INSTITUTIONAL
GUIDELINES
Susan M. Hellervik, Janna S.
Landsperger, Cherry B. Chassan,
Todd W. Rice, Arthur P. Wheeler
Anne Rain Tanner, Sharla
Tajchman, Rina Patel, Lei Feng,
Wenli Dong, Suzy Wallace, Menaka
Yadav, Nisha Rathi
Yelena Atlasevich, Sally Rafie,
Margie Leung, James Lane, Jennifer
Quartarolo
Volume 12 Issue 4
Abstract
Number
December 2012
Title
855
PEDIATRIC BONE MARROW TRANSPLANT AND
INTENSIVE CARE: HAVE THINGS CHANGED?
859
INTENSIVE CARE UNITS WITH HIGH VERSUS LOW
ANNUAL VOLUME OF ACUTE MYOCARDIAL
INFARCTION: QUALITY OF CARE AND CLINICAL
OUTCOMES AMONG PATIENTS MANAGED BY THE EICU
867
SAFETY OF INPATIENT WARFARIN DOSING
IMMEDIATELY FOLLOWING THE FONTAN PROCEDURE
869
UNMET PARENTAL NEEDS AROUND THE TIME OF A
CHILD'S DEATH IN THE PEDIATRIC INTENSIVE CARE
UNIT (PICU) CONTRIBUTE TO COMPLICATED GRIEF
876
SHARED DECISION MAKING AND FAMILY
CONFERENCES IN THE PEDIATRIC INTENSIVE CARE
UNIT (PICU)
THE USE OF FAMILY CONFERENCES IN THE PEDIATRIC
INTENSIVE CARE UNIT (PICU)
882
887
906
PALLIATIVE USE OF LOW-DOSE NITROGLYCERIN
INFUSION FOR SHOCK-INDUCED MOTTLING AND
CYANOSIS TO MITIGATE FAMILY DISTRESS DURING
END OF LIFE CARE.
COMPARISON OF INTRAVENOUS COLISTIN WITH AND
WITHOUT AEROSOLIZED COLISTIN FOR MULTI-DRUG
RESISTANT GRAM-NEGATIVE PNEUMONIA IN
CRITICALLY ILL PATIENTS
907
ANTI-XA MONITORING FOR HEPARIN DOSING IN
PATIENTS WITH LIVER CIRRHOSIS
909
COMPARISON OF CLINICAL OUTCOMES WITH
AZITHROMYCIN AND FLUOROQUINOLONES IN THE
TREATMENT OF LEGIONELLA PNEUMONIA
AMIODARONE AND THE INCIDENCE OF ACUTE
RESPIRATORY DISTRESS SYNDROME AFTER
TRANSTHORACIC ESOPHAGECTOMY
SINGLE AGENT THERAPY VERSES COMBINATION
THERAPY FOR THE TREATMENT OF CLOSTRIDIUM
DIFFICILE IN CRITICALLY ILL PATIENTS (STOP-CDIFF): A
RETROSPECTIVE COHORT STUDY
EVALUATION OF AMIKACIN PHARMACOKINETICS AND
PHARMACODYNAMICS IN BURN INTENSIVE CARE UNIT
PATIENTS
EVALUATION OF THE INCIDENCE OF NEPHROTOXICITY
IN SURGICAL ICU PATIENTS TREATED WITH
VANCOMYCIN FOR >72 HOURS
911
916
918
920
Authors
Corrine Balit, Rachael Horan,
Helena Frndova, John Doyle, Peter
Cox
Ammar Nasir, Omar Badawi, Paul
Chan, Ilene Zuckerman, Van Hsu,
Gary Ripple, Gregory Howell,
Vincent Lem, John Spertus, Joshua
Stolker
Christopher Thomas, Kathryn
Taylor, Marcus Schamberger,
Alexandre Rotta
Kathleen Meert, Wynne Morrison,
Kelly Michelson, Richard Hackbarth,
Joseph Custer, Thomas Templin
Kelly Michelson, Marla Clayman,
Natalie Haber-Barker, Claire Ryan,
Linda Emanuel, Joel Frader
Kelly Michelson, Marla Clayman,
Natalie Haber-Barker, Claire Ryan,
Linda Emanuel, Frader Joel
Maribeth Guletz, Ravi Tripathi, Ellen
Gafford, Erik Abel, Michael
Firstenberg, Thomas Papadimos
Neha Doshi, Kari Mount, Charles
Cook, Stanislaw Stawicki, Erin
Frazee, Heather Personett, Garrett
Schramm, Heather Arnold, Claire
Murphy
Amaris Fuentes, Jeffrey Hall, Ellen
Strapp, David Putney, Sherilyn
Gordon-Burroughs, Howard
Monsour
Rachel Rarus, Alex Crowley, Jerod
Nagel, Cesar Alaniz
Michael Erdman, Christopher
Anderson, Colin Terry
Jessica Winter, Eric Mueller
Candice Preslaski, Tyree Kiser,
Douglas Fish, Robert MacLaren,
Gordon Lindberg
Mindy Joseph, Natasa Stevkovic,
Angela Plewa, John H. Stroger, Jr
Volume 12 Issue 4
Abstract
Number
December 2012
Title
921
AN EVALUATION OF VORICONAZOLE AND
POSACONAZOLE THERAPEUTIC DRUG MONITORING
922
COMPARISON OF TRANSFUSIONS ASSOCIATED WITH
PROTHROMBIN COMPLEX CONCENTRATE VERSUS
RECOMBINANT FACTOR VIIA IN TRAUMA
IMPACT OF MORE THAN THREE VASOPRESSORS IN
INTENSIVE CARE UNIT PATIENTS WITH SEPTIC SHOCK:
A RETROSPECTIVE STUDY
COMPUTERIZED PHYSICIAN ORDER ENTRY (CPOE)
INCREASES WEIGHT-BASED DOSING COMPLIANCE
WITH VANCOMYCIN PRESCRIBING IN THE EMERGENCY
DEPARTMENT
IMPACT OF BODY WEIGHT ON POTASSIUM
REPLACEMENT IN CRITICALLY ILL PATIENTS
927
928
930
931
932
934
935
936
937
939
940
941
COST-EFFECTIVENESS OF PHENYTOIN VERSUS
LEVETIRACETAM FOR POST-TRAUMATIC SEIZURE
PROPHLYAXIS
MANAGEMENT OF SHIVERING WITH NEUROMUSCULAR
BLOCKING AGENTS DURING THERAPEUTIC
HYPOTHERMIA
CONTINUOUS INFUSIONS OF HIGH DOSE BUMETANIDE
TO INDUCE DIURESIS IN VOLUME OVERLOADED
CRITICALLY ILL CARDIAC AND CARDIOTHORACIC
SURGERY PATIENTS
A PHARMACOKINETIC EVALUATION OF VANCOMYCIN
AND CEFEPIME IN CRITICALLY ILL NEUROSURGICAL
PATIENTS
TRANSITION FROM INTRAVENOUS TO SUBCUTANEOUS
INSULIN IS ASSOCIATED WITH WORSENING OF
GLYCEMIC CONTROL IN CRITICALLY ILL PATIENTS – A
RETROSPECTIVE COHORT STUDY
DEXMEDETOMIDINE USE IN SEVERE ALCOHOL
WITHDRAWAL: A SINGLE-CENTER RETROSPECTIVE
REVIEW
EVALUATION OF THE IMPACT OF AN ANTIBIOTIC
ROTATION PROTOCOL ON SUSCEPTIBILITY PATTERNS
OF GRAM-NEGATIVE BACTERIA IN A SURGICALTRAUMA INTENSIVE CARE UNIT: A 48-MONTH
EXPERIENCE
RISK OF HEMORRHAGE ASSOCIATED WITH
EXTENDED-INFUSION EPTIFIBATIDE IN CARDIAC
PATIENTS
COMPARISON OF CALCULATED VERSUS URINE
MEASURED CREATININE CLEARANCE IN THE
CRITICALLY ILL
Authors
Kelly Schoeppler, Tyree Kiser, Scott
Mueller, Robert MacLaren, Deb
Sherman, Douglas Fish
Allison Palmer, Joanna Stollings,
Martin Zielinski, Daryl Kor, Lance
Oyen
Eileen Tang, Nasser Saad, Teena
Abraham, Liziamma George,
Fabienne Vastey
Jamie Rosini, Kathryn Calmus
Frankel, Brian Levine, Neil Jasani
Mary Koors, Victor Truong, Melissa
Pleva, Mike Dorsch, Cesar Alaniz,
Robert Hyzy
Mallory Cruz, Staci Anderson,
Melissa Reger
Marlena Fox, Sarah Miller, Geisinger
Wyoming , Valerie Danesh, Xi LiuDeRyke
Brandi Thoma, Kristina Kipp,
Nicholas Cavarocchi
Lynn Anliker, Tyree Kiser, Scott
Mueller, Deb Sherman, Robert
MacLaren, Robert Neumann,
Douglas Fish
Rebecca Adair, Benjamin
Dreesman, Arun Subramanian
Katherine Jennings, Michael
Johnson, Sean Kane, Rosalind
Franklin
John Allen, Jeremy Smith, Jon
Simmons, Sidney Brevard, Amin
Frotan, Richard Gonzalez
Bryan Lizza, Scott Benken
Amaris Fuentes, Joselin Joseph,
Husaina Hassanali, Joshua Swan
Volume 12 Issue 4
Abstract
Number
December 2012
Title
942
AN EVALUATION OF VANCOMYCIN IN CRITICALLY ILL
OBESE PATIENTS REQUIRING CONTINUOUS RENAL
REPLACEMENT THERAPY
943
PERCEIVED SAFETY AND EFFICACY OF
NEUROMUSCULAR BLOCKERS FOR ACUTE
RESPIRATORY DISTRESS SYNDROME AMONG
MEDICAL INTENSIVE CARE UNIT PROVIDERS
PROLONGED EXCESSIVE ANTICOAGULATION WITH
ARGATROBAN USE IN CRITICALLY ILL PATIENTS.
944
945
946
947
948
949
950
951
952
954
957
EFFECT OF A HYPOGLYCEMIA TREATMENT PROTOCOL
ON GLYCEMIC VARIABILITY IN CRITICALLY ILL
PATIENTS
IMPACT OF FIORICET® ADMINISTRATION ON THE
INCIDENCE OF VASOSPASM IN SUBARACHNOID
HEMORRHAGE
Blood stream infections in patients with an inferior vena cava
filter: Implications for antimicrobial prescribing
PILOT STUDY OF THE CONTINUOUS INFUSION OF
KETAMINE ON THE CYTOKINE LEVELS IN PATIENT
WITH SIRS/SEPSIS
ANTIPSYCHOTIC UTILIZATION IN THE INTENSIVE CARE
UNIT
VENOUS THROMBOEMBOLISM PROPHYLAXIS
FOLLOWING CRANIOTOMY IN ACUTE TRAUMATIC
BRAIN INJURY
FIRST-DOSE PHARMACOKINETICS OF
AMINOGLYCOSIDES IN CRITICALLY ILL HEMATOLOGIC
MALIGNANCY PATIENTS
EVALUATION OF A DIABETIC KETOACIDOSIS
TREATMENT PROTOCOL USING SUBCUTANEOUS
INSULIN ASPART
CONTINUOUS LOW-DOSE ALTEPLASE INFUSION FOR
CLEARANCE OF PARTIALLY OCCLUDED CENTRAL
VENOUS CATHETERS IN PEDIATRIC PATIENTS
EARLY VERSUS LATE VASOPRESSIN IN ADULT
CRITICALLY ILL PATIENTS WITH SEPTIC SHOCK
Authors
Mitchell Buckley, Keith Olsen, Erin
Frazee, Paul Juang, Russel
Roberts, Amy Dzierba, Seth Bauer,
Gregory Peitz
Erin Frazee, Heather Personett,
Sean Caples, Craig Daniels
Stephanie Bennett, Michael Johnson
Patrick Arnold, Renee Alexander,
Kelly McNorton, Stephanie Edwin,
Michelle Dehoorne-Smith
Rachel Swope, Kelly Glover, Jane
Gokun, Aaron Cook
Jeffrey Endicott, Cassie Barton,
John Ratliff, William Charash,
Wesley McMillian
Krzysztof Laudanski, Andrew
Chalupka, Victoria Nielson, Victor
Novack, Daniel Talmor
John Marshall, Jennifer Stevens,
Julia Kats, Michael Howell
Mitchell Daley, Sadia Ali, Carlos
Brown
Laura Blackburn, Frank Tverdek,
Mike Hernandez, Jeffrey Bruno
Colleen Teevan, Tudy Hodgman
Carolyn Ragsdale, A. Jill Thompson,
Melissa Evans
David Reardon, Jeremy DeGrado,
Kevin Anger, Paul Szumita
958
EVALUATION OF ARGATROBAN DOSE REQUIREMENTS
IN CRITICALLY ILL PATIENTS
Zahra Hashemipour, Michelle
Dehoorne-Smith, Stephanie Edwin
960
CONSERVATIVE VERSUS TRADITIONAL DELIRIUM
MANAGEMENT IN SURGICAL INTENSIVE CARE UNIT
(SICU) PATIENTS
IMPACT OF BODY WEIGHT ON ALBUMIN REPLACEMENT
IN PATIENTS WITH SPONTANEOUS BACTERIAL
PERITONITIS
IMPLEMENTATION OF A BOWEL REGIMEN PROTOCOL
IN CRITICALLY-ILL CHILDREN: A PILOT STUDY
Megan Cadiz, Lisa Forsyth, Allycia
Natavio
964
967
Michelle Harrison, Jenny Leung,
Karen Shen, Randolph Regal, Cesar
Alaniz
Peter Johnson, Megan Andrews,
Jamie Miller, Christine Allen, Tracy
Hagemann, Donald Harrison
Volume 12 Issue 4
Abstract
Number
December 2012
Title
Authors
969
PROPOFOL VERSUS BENZODIAZEPINE INFUSION FOR
ALCOHOL WITHDRAWAL REQUIRING MECHANICAL
VENTILATION: A RETROSPECTIVE CHART REVIEW
Rose Sohraby, Rebecca Attridge,
Darrel Hughes
970
EVALUATION OF BIVALIRUDIN DOSING FOR
THERAPEUTIC ANTICOAGULATION
Alexis Crawford, Hunter Holmes
McGuire
972
IMPLEMENTATION OF GLUCOSE MANAGEMENT
SOFTWARE (ENDOTOOL®) INTRA-OPERATIVELY IN
CARDIAC SURGERY PATIENTS TO IMPROVE POSTOPERATIVE BLOOD GLUCOSE CONTROL AND
COMPLIANCE WITH SCIP INF-4
EFFECT OF STATIN MEDICATIONS ON THE INCIDENCE
OF POSTOPERATIVE ATRIAL FIBRILLATION AFTER
CARDIAC VALVE SURGERY
EVALUATION OF RISK FACTORS ASSOCIATED WITH
THIOCYANATE TOXICITY IN PATIENTS WITH
DECOMPENSATED HEART FAILURE RECEIVING
SODIUM NITROPRUSSIDE INFUSION
INTRAVENOUS ENOXAPARIN USE FOR PEDIATRIC
INTENSIVE CARE UNIT PATIENTS
Michael Denaburg, Earnest
Alexander, Maresa Glass
DURATION OF DELIRIUM IN CRITICALLY ILL MEDICAL
PATIENTS WHO RECEIVE HALOPERIDOL OR ATYPICAL
ANTIPSYCHOTICS: A PHARMACOEPIDEMIOLOGIC
EVALUATION
EVALUATION OF EFFECT OF ELECTRONIC DECISION
TREE ELECTROLYTE REPLACEMENT PROTOCOL ON
NUMBER OF ELECTROLYTE LABS ORDERED FOR
PATIENTS IN CRITICAL CARE
IMPACT OF ETHNICITY ON VASOPRESSOR
REQUIREMENTS FOR SEPTIC SHOCK PATIENTS IN THE
INTENSIVE CARE UNIT.
Rachel Kruer, Annette Rowden,
Haley Goodwin, Dale Needham
977
980
981
982
983
987
989
995
1001
1002
POTENTIALLY INAPPROPRIATE MEDICATION USE IN
CRITICALLY ILL ELDERLY PATIENTS WITH
NEUROLOGICAL INJURY
IMPACT OF PHARMACY CONSULT AND APPROPRIATE
ANTIBIOTICS ON ICU SURVIVAL IN PATIENTS WITH
SEVERE SEPSIS OR SEPTIC SHOCK
NURSING CLINICAL DISCRETION AND DECISIONS IN
THE PROVISION OF PHARMACOTHERAPY IN THE
INTENSIVE CARE UNIT (ICU)
PHARMACOBEZOAR IN A LIFE-THREATENING
INGESTION: A ROLE FOR
ESOPHAGOGASTRODUODENOSCOPY (EGD)
Scott Bolesta, Fanhui Kong
Mathew Jones, Jessica Crow, Haley
Goodwin, John Lewin, John Lindsley
Jeffrey Cies, Laura Santos, Arun
Chopra
Jeffery Spray, Marcia Brackbill,
Patricia Baker
Keith Killu, Megan Rech, Jenna
Bernabei, Alina Tovbin, Victor Coba,
Patti Kunkel, Zachary Bauman, Mark
Mlynarek
Catherine Floroff, Patricia Slattum,
Spencer Harpe, Perry Taylor,
Gretchen Brophy
Farid Sadaka, Matthew Korobey,
Alex Bryant, Jacklyn O’Brien, Martin
Musumbi, Vinaya Sermadevi, Firas
Abubaker, Bhavana Choudhary,
John Logan, Danielle Doerr
Erin Nagle, Manasa Murthy, Miguel
Medina, Kevin Floyd, Dawn Love,
Jeremiah Duby
Frederick Tecklenburg, A.
Thompson, Sally Webb
Volume 12 Issue 4
Abstract
Number
December 2012
Title
Authors
1005
LURASIDONE FOR THE MANAGEMENT OF INTENSIVE
CARE UNIT (ICU)-ASSOCIATED DELIRIUM
Rebecca Anderson, Marlena Fox,
Garrett Curtis, Mark Vollenweider
1013
TRANSFUSIONS IN SEPTIC PATIENTS ARE
ASSOCIATED WITH ARDS AND INCREASED
MECHANICAL VENTILATION DAYS
SEPSIS RESUSCITATION BUNDLE COMPLIANCE AND
OUTCOMES IN SEPTIC SHOCK PATIENTS.
Paul Dobesh, Donald Klepser,
Timothy McGuire, Janelle Weber,
Sloane Schneider, Keith Olsen
Farid Sadaka, David Tannehill,
Steven Trottier, Robert Taylor,
Jacklyn O’Brien, Matthew Korobey,
Alex Bryant, Vinaya Sermadevi
Mallory Fiorenza, Erin Frazee,
Heather Personett, Garrett
Schramm
Farid Sadaka, David Tannehill,
Steven Trottier, Robert Taylor,
Jacklyn O’Brien, Matthew Korobey,
Alex Bryant, Vinaya Sermadevi
Heidi Brink, Gregory Peitz, Donald
Klepser, Keith Olsen
1018
1019
1025
1027
1030
1031
1035
1044
1049
1064
ASSESSMENT OF A MODIFIED SCORING SYSTEM FOR
THE DIAGNOSIS OF HEPARIN-INDUCED
THROMBOCYTOPENIA IN CRITICALLY ILL PATIENTS
DO SURVIVING SEPSIS CAMPAIGN BUNDLES BENEFIT
ELDERLY PATIENTS WITH SEVERE SEPSIS OR SEPTIC
SHOCK?
COMPARISON OF DEXMEDETOMIDINE AS ADJUNCT
THERAPY TO BENZODIAZEPINES VS. STANDARD
BENZODIAZEPINE THERAPY IN TREATMENT OF
ALCOHOL WITHDRAWAL SYNDROME
SAFETY OF MONITORING UNFRACTIONATED HEPARIN
INFUSIONS IN CRITICALLY ILL PATIENTS: ANTI-FACTOR
XA VERSUS ACTIVATED PARTIAL THROMBOPLASTIN
TIME (APTT)
QUALITY IMPROVEMENT AND COST SAVING
ASSOCIATED WITH IMPLEMENTING A SEIZURE
PROPHYLAXIS PROTOCOL IN CRITICALLY ILL
NEUROSURGICAL PATIENTS
SAFETY OF A LOADING DOSE OF PRASUGREL FOR
ACUTE CORONARY SYNDROME IN PATIENTS WHO
HAVE ALREADY RECEIVED CLOPIDOGREL
HYPERCALCEMIA IN THE CRITICALLY ILL:
PAMIDRONATE VS NO PAMIDRONATE
A RETROSPECTIVE EVALUATION ON THE USAGE OF
IODINATED CONTRAST MEDIA IN AN URBAN HOSPITAL
SETTING
MATHEMATICAL MODELING OF ALTERED
INFLAMMATORY RESPONSE AFTER TRAUMATIC
SPINAL CORD INJURY IN BLUNT TRAUMA
1074
HEPARIN USAGE IN POST CARDIAC ARREST PATIENTS
UNDERGOING THERAPEUTIC HYPOTHERMIA
1080
MANAGEMENT OF UPPER AERO DIGESTIVE TRACT
BLEEDING IN ECMO PATIENTS
Abigail Burka, Michael Cunningham,
Neil Ernst, Chris Droege, Kristen
Hillebrand, Lindsey Clark, Betty
Tsuei, Eric Mueller
Julie Chen, Richard Savel, Danny
Lizano
James Hollands, Richard Bach
Lauren Riley, Janie Faris, Linda
Park, Heather Dolman, Lisa Hall
Zimmerman
Joseph Samide, Nasser Saad,
Teena Abraham, Eric Balmir
Akram Zaaqoq, Rami Namas, Khalid
Almahmoud, Shilpa Krishnan, Nabil
Azhar, Cordelia Ziraldo, Qi Mi,
Ruben Zamora, David Brienza,
Yoram Vodovotz
Jennifer Corrigan, Cassandra
Bellamy, Amanda Ball, Mark
Mikkelsen, Jeanmarie Salonia,
Marion Leary, Barry Fuchs
Meredith Harrison, Adam Baker,
Sudeep Roy, Hitoshi Hirose,
Nicholas Cavarocchi
Volume 12 Issue 4
Abstract
Number
1084
1093
December 2012
Title
COMPARISON OF SELF-DESCRIBED AND ACTUAL
PRESCRIBING PATTERNS OF HYDROCORTISONE IN
SEPTIC SHOCK IN AN ACADEMIC MEDICAL CENTER
THE EFFECT OF A SEDATION PROTOCOL
INCORPORATING EARLY MOBILIZATION ON PRACTICE
PATTERNS OF SEDATIVES AND ANALGESICS IN
MEDICAL INTENSIVE CARE UNIT PATIENTS
1094
PATIENT REPORTED OUTCOMES (PROS) FOR QUALITY
OF SEDATION AND THE CORRELATION WITH THE
SEDATION AGITATION SCALE (SAS)
1095
COMPARISON OF SEDATION PRACTICES IN
MECHANICALLY VENTILATED PATIENTS BETWEEN DAY
AND NIGHT-TIME SHIFTS IN A MEDICAL/SURGICAL
INTENSIVE CARE UNIT
EVALUATION OF DEXMEDETOMIDINE USAGE AND
ADVERSE EVENTS PRE- AND POST- RESTRICTION
IMPLEMENTATION
AN INTERDISCIPLINARY PROJECT TO INCREASE USE
AND COORDINATION OF THE SPONTANEOUS
AWAKENING AND BREATHING TRIALS
EVALUATION OF QUETIAPINE FOR TREATMENT OF
AGITATION IN THE SURGICAL INTENSIVE CARE UNIT
1097
1100
1101
1104
Authors
Alley Killian, Katlynd Contrael, Sara
Gregg, Timothy Buchman, Craig
Coopersmith
Amy Dzierba, Joseph Dasta, Natalie
Yip, Subani Chandra, Katherine
Pavlovich, Patricia Rychcik, Ernesto
Perez-Mir, Suzanne Boyle, Justin
Muir, Daniel Brodie
Neal Benedict, Matthew Felbinger,
Ty Ridenour, Ananth Anthes,
Shoroq Altawalbeh, Sandra KaneGill
Lauren Igneri, Craig Whitman, Quinn
Czosnowski, Mithil Gajera, Barry
Milcarek, Krystal Hunter, Christa
Schorr, Antoinette Spevetz
Keena Segre, Neha Doshi
Joanna Stollings, Patrick Davenport,
Julie Foss, Anna Ambrose, Todd
Rice, E. Wesley Ely, Arthur Wheeler
Tara Holt, Prasad Abraham,
Sebastian Perez
SLEEP, COGNITIVE AND PSYCHOLOGICAL MORBIDITY
FOLLOWING SEDATION PROTOCOL AND DAILY
SEDATIVE INTERRUPTION VS SEDATION PROTOCOL
ALONE IN CRITICALLY ILL, MECHANICALLY
VENTILATED ADULTS (SLEAP-SCP)
IMPACT OF SEDATION AND ANALGESIA GUIDELINES
FOR CRITICALLY ILL PATIENTS ON THE DURATION OF
MECHANICAL VENTILATION AND INTENSIVE CARE UNIT
STAY
CONTINUOUS INFUSION KETAMINE FOR ADJUNCTIVE
SEDATION IN MEDICAL ICU PATIENTS
Louise Rose, Robert Maunder, Jon
Hunter, Alex Day, Marilyn Steinberg,
Margaret Herridge, John Devlin,
Peter Dodek, Lisa Burry, Sangeeta
Mehta
Vanessa Gleason, Akta Patel, Leslie
Schechter, Michael Weinstein
1108
A RETROSPECTIVE ANALYSIS OF ANTI-DELIRIUM
MEDICATION USE IN A MEDICAL INTENSIVE CARE UNIT
Basi Sanuth, Karen Trenkler, Rose
Jung
1110
TRANSITIONING PATIENTS TREATED WITH
DEXMEDETOMIDINE TO ENTERAL CLONIDINE: A
RETROSPECTIVE STUDY
DEXMEDETOMIDINE VS. MIDAZOLAM FOR
FACILITATING EXTUBATION IN MEDICAL AND
SURGICAL ICU PATIENTS: A RANDOMIZED, DOUBLEBLIND STUDY
EVALUATION OF A BENZODIAZEPINE BASAL-BOLUS
MODEL VERSUS CONTINUOUS INFUSION FOR
SEDATION IN CRITICALLY ILL PATIENTS
Elizabeth Glisic, Richard Riker,
Andrew Kelner, Hilary Perrey, Gilles
Fraser
Candice Preslaski, Scott Mueller,
Tyree Kiser, Douglas Fish, Robert
MacLaren
1106
1107
1111
1112
Heather Arnold, Bethany Tellor,
Nicholas Hampton, Scott Micek
Christy Forehand, Trisha Branan
Volume 12 Issue 4
Abstract
Number
1116
1117
1118
December 2012
Title
CORRELATION OF DEXMEDETOMIDINE DOSE AND
DURATION WITH PHYSIOLOGIC WITHDRAWAL AND
NEED FOR ADJUNCTIVE CLONIDINE THERAPY IN
CRITICALLY ILL CHILDREN
IDENTIFICATION OF PATIENT CHARACTERISTICS TO
PREDICT EFFECTIVE SEDATION WITH
DEXMEDETOMIDINE
EFFECTIVENESS OF AN INTEGRATED
MULTIDISCIPLINARY TELE-ICU AND BEDSIDE DELIRIUM
ASSESSMENT PROGRAM
1120
DEXMEDETOMIDINE VERSUS PROPOFOL AND
MIDAZOLAM IN PATIENTS UNDERGOING CORONARY
ARTERY BYPASS GRAFTING SURGERY
1122
EVALUATION OF DEXMEDETOMIDINE (DEX) FOR
PATIENTS WITH RESPIRATORY DISTRESS ON
NONINVASIVE MECHANICAL VENTILATION (NIMV) TO
PREVENT INVASIVE MECHANICAL VENTILATION (IMV):
A RETROSPECTIVE STUDY
1123
CLONIDINE THERAPY IN PEDIATRIC PATIENTS TO
PREVENT WITHDRAWAL SYMPTOMS: A DOSE-FINDING
STUDY
EVALUATING PAIN, SEDATION AND DELIRIUM IN THE
NEUROLOGICALLY CRITICALLY ILL: FEASIBILITY AND
RELIABILITY OF STANDARDIZED TOOLS: A MULTIINSTITUTIONAL STUDY
OUTCOMES OF QUETIAPINE USE IN VENTILATED
INTENSIVE CARE UNIT PATIENTS
1124
1127
1130
1133
1135
1137
1139
1156
1180
ADVERSE EVENTS ASSOCIATED WITH IV SEDATIVE
USE AND RELATED MORTALITY IN THE UNITED STATES
OVER AN EIGHT YEAR PERIOD
EFFECT OF SEDATION MEDICATION AND DAILY
AWAKENING ON DELIRIUM IN THE MECHANICALLY
VENTILATED CRITICALLY ILL PATIENT: A DESCRIPTIVE
PILOT STUDY
EVALUATION AND IDENTIFICATION OF OPPORTUNITIES
FOR IMPROVEMENT OF A DAILY AWAKENING AND
SPONTANEOUS BREATHING TRIAL PROTOCOL IN
CLINICAL PRACTICE
DELIRIUM OR DISEASE?
TREATMENT OF DEXMEDETOMIDINE AND
HALOPERIDOL CARDIAC TOXICITY WITH LIPID
INFUSION THERAPY
ALTERNATIVE MONITORING OF ARGATROBAN USING
PLASMA-DILUTED THROMBIN TIMES
A NOVEL USE OF METHYLENE BLUE IN THE PEDIATRIC
INTENSIVE CARE UNIT
Authors
Rajeev Wadia, David Procaccini,
Sapna Kudchadkar
Pamela Havrilla-Smithburger,
Randall Smith, Philip Empey
Michael DePietro, Erkan Hassan,
Visicu, Omar Badawi, Megan Farraj,
Robin French, Maureen Seckel,
Anita Witzke, Marc Zubrow
Brandi Thoma, Laura Pizzi, Cara
McDaniel, Julius Li, Elizabeth
Mearns, Cindy Wordell, Nicholas
Cavarocchi
Michaelia Dunn, Kiran Devulapally,
James Jenkins
Whitney Moore, Vickie Malloy,
Pradip Kamat, Courtney McCracken
Toan Huynh, Amy Yu, McGill, Gail
Gesin, Jeanne Teitelbaum, Yoanna
Skrobik
Jeffrey Fish, Laura Hubbard, Tyler
Van Schyndel, John Kloke, Michael
Schurr
Nada Al-Qadheeb, Nicholas
O’Donnell, Keith Hoffman, M Dimbil,
John Devlin
Trevor Perry, Julie Moon, Harminder
Sikand
Phil Grgurich, Anthony Gray, Emma
Palmer
Vineesha Arelli, Ajit Moghekar
Marcia Brackbill, Jeffery Spray
Matthew Wanat, Sara Hart, David
Putney, Michael Liebl, Wayne
Chandler
Chrystal Rutledge, Brian Brown,
Kimberley Benner, Priya
Prabhakaran, Leslie Hayes
Volume 12 Issue 4
Abstract
Number
1191
December 2012
Title
Authors
LEVOSIMENDAN AND ITS RELATIONSHIP TO BRAIN
NATRIURETIC PEPTIDE LEVELS IN A PEDIATRIC HEART
FAILURE PATIENT
NEUROLEPTIC MALIGNANT SYNDROME ASSOCIATED
WITH HALOPERIDOL IN CRITICAL CARE SETTING
Wayne Moore, Michael McCulloch,
Jeffrey Cies, Deborah Davis
1212
A RARE CASE OF LEMIERRE’S SYNDROME DUE TO
FUSOBACTERIUM NUCLEATUM BACTEREMIA
1215
INTRAVENOUS LIPID EMULSION FOR AMLODIPINE
OVERDOSE
SUSPECTED AND CONFIRMED CASE OF LINEZOLID
TOXICITY WITH SEVERE LACTIC ACIDOSIS
1193
Deepali Dixit, Pranabh Shrestha,
Marc Adelman
1231
TREATMENT OF DABIGATRAN-ASSOCIATED BLEEDING:
CASE REPORT AND REVIEW OF THE LITERATURE
Praveen Jinnur, Viswanath
Vasudevan, Rana Ali, Farhad
Arjomand, Tarkeshwar Tiwary,
Qammar Abbas
Jeffrey Gonzales, Calvin Meaney,
Houtan Sareh
Kristen Manzek, Annemarie Brown,
Kevin Silinskie, Sarah Hossenlopp,
Hajara Yusuf
Lisa Harinstein, Joseph Morgan,
Nicholas Russo
1237
BUPRENORPHINE INGESTION REFRACTORY TO
STANDARD DOSES OF NALOXONE
Elizabeth Mack, Greg
Swartzentruber, William Richardson
1238
HETEROPHILE ANTIBODY INTERFERENCE IN A
GENTAMICIN ASSAY
ACUTE IODINE TOXICITY FROM A SUSPECTED ORAL
METHAMPHETAMINE INGESTION
Lindsay McCann, Cara McDaniel
CASE SERIES OF FIXED LOW-DOSE RECOMBINANT
FACTOR VII FOR WARFARIN REVERSAL IN
NEUROSURGICAL PATIENTS
ECG “NORMALIZATION” FOLLOWING INITIATION OF
THERAPEUTIC HYPOTHERMIA AFTER OUT-OFHOSPITAL CARDIAC ARREST DUE TO BRUGADA
SYNDROME
ACUTE PSYCHOSIS AND STATUS EPILEPTICUS AS THE
INITIAL PRESENTATION OF A 19YO WITH MEDISTINAL
TERATOMA
TREATMENT OF COMPLICATED PARAPNEUMONIC
EFFUSIONS WITH ALTEPLASE + DORNASE ALFA: A
CASE SERIES WITH PHARMACOECONOMIC COMMENT
Gregory Blank, Serena Harris,
Melissa Vandenberg, Karen McAllen
NEBULIZED EPOPROSTENOL (VELETRI) VIA MODIFIED
FACEMASK AS BRIDGE THERAPY FOR SEVERE
PULMONARY HYPERTENSION
Walter James, Catherine Grossman,
Thomas Iden, Lisa Harrison, Katie
Muzevich
1220
1253
1257
1264
1266
1268
1279
Marilyn Bulloch, Vijaya Sundar
Vince Faridani, Bonny Moore,
Michael Bentley
Briana Witherspoon, Justin
Calabrace
Cara McDaniel, Vanjul Agarwal,
Scott Cowan, Boyd Hehn