Impact on Blood Product Utilization with Thromboelastography Guided Resuscitation for Gastrointestinal Hemorrhage.

Background: Thromboelastography (TEG) can guide transfusion therapy in trauma and has been associated with decreased transfusion requirements. This population differs from the medical population where the most common bleeding source is gastrointestinal hemorrhage (GIB). The utility of TEG in patients with acute GIB is not well described.

The Growth of Palliative Practice and End of Life Care in an Academic Teaching Intensive Care Unit.

Objective: Dying in the intensive care unit (ICU) has changed over the last twenty years due to increased utilization of palliative care. We sought to examine how palliative medicine (PM) integration into critical care medicine has changed outcomes in end of life including the utilization of do not resuscitate (no cardiopulmonary resuscitation but continue treatment) and comfort care orders (No resuscitation, only comfort medication). Retrospective observational review of critical care patients who died during admission between two decades, 2008 to 09 and 2018 to 19.

Sedation, narcotic and neuromuscular blockade in mechanically ventilated patients with COVID-19.

Objective: To describe the sedation, narcotic and neuromuscular blockade usage in ventilated patients with COVID-19 pneumonia.

Design: Single-Center Retrospective Review.

Setting: George Washington University Hospital in Washington, D.