Critical Care Scenarios

TIRBO #25: Two things NOT to hear

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Dec 28, 2022
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INSIGHT

Challenges of Predicting Death Timing

  • Predicting exact timing of death in ICU patients is often inaccurate and unhelpful.
  • Prognostication is less certain than people assume, especially over short timeframes.
INSIGHT

Risks of VIP Syndrome in Care

  • Giving VIP patients different care may lead to worse outcomes, not better.
  • More intervention isn't always beneficial and can cause harm.
ADVICE

Approach to Intubation Decisions

  • Avoid refusing intubation solely due to fear of long-term ventilator dependency.
  • Discuss patient wishes about long-term ventilation instead of assuming outcomes.
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