Remember that there are two “Neos” Nancy Sokal Hagerman MD In our current culture of patient safety, it is important to avoid commonly used medical abbreviations so that medical errors…

Consider Using Cisatracurium for Neuromuscular Paralysis in Patients with Hepatic and Renal Failure Muhammad I. Durani MD The ideal neuromuscular blocking (NMB) drug would be rapid in onset, have a…

Do Not Use Succinylcholine in Patients with Burns, Paralysis, or Other High Potassium States Eugenie S. Heitmiller MD Succinylcholine is a depolarizing muscle relaxant used for urgent endotracheal intubation in…

Specifically Query for Previous Steroid Use Lisa Marcucci MD Prasert Sawasdiwipachai MD Human steroids are produced by the adrenal gland and are under the direct or indirect control of the…

Use Prophylaxis for the Immediate Side Effects of Steroids D. Joshua Mancini MD Rajan Gupta MD Glucocorticoids are most commonly used to mitigate an inflammatory response. They are used in…

Avoid Concomitant Use of Steroids, Neuromuscular Blockade, and Aminoglycosides to Lessen the Risk of Critical Illness Myopathy Timothy M. Moore MD, PhD Acute myopathy has been increasingly recognized as a…

Strongly Consider Prophylaxis for Alcohol Withdrawal Bradford D. Winters MD, PhD Withdrawal from alcohol is a serious and common complication associated with hospitalization that can result in the condition known…

Consider Clonidine to Combat Effects of Drug Withdrawal Melvin K. Richardson MD Clonidine is an alpha-2 receptor agonist that down regulates the sympathetic nervous system. By stimulating alpha-2 adrenergic receptors…

Know the Characteristics of the Narcotics You Prescribe Nirav G. Shah MD Pain control is an important aspect of critical care medicine and the use of opiate medications has typically…

Monitor Patients who have Received Intrathecal Preservative-Free Morphine Melvin K. Richardson MD The intrathecal administration of opioids has emerged as a popular and effective form of postoperative pain control. Intrathecal…