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Jul 2025

5m 8s

Methylprednisolone vs. Hydrocortisone: W...

Eddy Joe Gutierrez, MD

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Albumin in Critically Ill Patients: Evidence, Indications, and the 5% vs 25% Debate

Albumin is one of those topics where everyone has an opinion, but very few people actually look at the cost-benefit data. In this lecture, I’m breaking down why the 5% albumin you’re hanging might be a waste of money, and where the 25% concentration actually moves the needle in s ... Show More

Peripheral Vasopressors, Practically Safe: What a 250-Patient Prospective Cohort Means for Your Unit

A new prospective multicenter cohort of 250 patients with shock examines the safety and outcomes of peripheral vasopressor administration. Extravasation events were rare and clustered only after several days of infusion, while norepinephrine use and simple physiologic markers cor ... Show More

CCBs and Oxygenation: Why the Sat Falls After the Drip

Intravenous dihydropyridine calcium channel blockers can quietly worsen oxygenation by blunting hypoxic pulmonary vasoconstriction. In this episode, we break down the bedside mechanism, which agents are implicated, who’s at highest risk (post-op atelectasis, obesity, pneumonia, f ... Show More

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