So Does Tight BP Management Matter in Preventing AKI?

Interesting paper in the specific setting of CABG: the baseline pulse pressure, but not the duration of hypo/hypertension correlates with risk of post op AKI. Similarly, in another study (involving a much wider variety of patients), even though tight BP management versus standard therapy may overall reduce complications, it doesn't seem so specifically for AKI (only having a trend towards RIFLE injury criteria, and not significant for R/L/need for RRT); but cardiac/infective/CNS complications are certainly higher .

This really flies in the face of the dogma saying that keeping tight hemodynamics prevents AKI. Like usual, maybe patients just improve/deteriorate regardless of what you do/don't do (though you could be happy that your efforts help with preventing cardiac/infective/CNS complications).

James Harden is Special

He really lit up. A triple double with 60 points? And played almost the entire game? MVP candidate for sure.

By the way, you really have to feel bad for Kevin Love. The Cavs' drama continues on, but now he'll be spared of any (undeserved) blame.

ACCRAC Podcasts

A few months ago I finally started to look for anesthesia/critical care specific podcasts to listen to, as I become more and more time-pressed to cram stuff into my brain, thus the need for higher efficiency (so that I can learn something while commuting here and there). So one of them I found was the ACCRAC podcast (Anesthesia and Critical Care Reviews and Commentary).

It's hosted by Jed Wolpaw from the Johns Hopkins University School of Medicine. His podcasts are specifically geared for resident's preparations for board exams, but not necessarily discussed in an exam format; especially with guests on, the podcasts have a much more conversational feel, which I like. And like most podcasts on the net, it's free and you can subscribe through iTunes.

I've heard about the Dr Podcast series, but it's not free (I do buy some podcasts though nothing as expensive) and you can't find it on iTunes (maybe it's not like a true serial podcast). Another I've found is the OpenAnesthesia Multimedia podcasts. It seems to have serial TEE discussions which I might be interested in diving deep into. In fact, I'll subscribe to it now, and see if I like it.

But I do recommend ACCRAC.