Clinical Core

Treatments on Autopilot

Concurrent Session Moderator(s)

• 

  Marilyn Bulloch, PharmD, BCPS, SPP

  Associate Clinical Professor and Director of Strategic Operations
  Auburn University Harrison School of Pharmacy
  Kimberly, Alabama

  Disclosure(s): No relevant financial relationship(s) to disclose.

Recent attention has focused on tasks we do in healthcare for no good reason or because "that's the way we were trained to do it." While critical care specialists generally hold evidence-based practice as the gold standard, some medications seem to be prescribed almost reflexively in the ICU patient. Although evidence supports the use of these medications, the evidence may not be conclusive or persuasive. In some areas, emerging evidence suggests that prescribing practices that have become almost second nature may not be as beneficial as once believed. This session will focus on five common medications or therapeutic groups and evaluate evidence to support or refute their routine use in the ICU: bronchodilators, empiric anaerobic coverage in pneumonia, preventative bowel regimens in patients not on opioids, maintenance IV fluids, and antipsychotics for ICU delirium.

Presentations:

• NEBulous Use of Bronchodilators
  

  Concurrent Session Faculty: Richard D. Branson, MS, RRT, FCCM – University of Cincinnati Medical Center
• Fermenting on a Decision: Best Practices for Providing Empiric Anaerobic Antibiotic Coverage in the ICU
  

  Concurrent Session Faculty: Kevin Betthauser, BCCCP, PharmD (he/him/his) – Barnes Jewish Hospital
• Curbing Constipation-Centered Concerns
  

  Concurrent Session Faculty: Melissa Santibanez, BCCCP, PharmD, (she/her/hers) – n/a
• Finding Fluid Stewardship In the ICU
  

  Concurrent Session Faculty: W. Anthony A. Hawkins, BCCCP, PharmD, FCCM – UGA College of Pharmacy
• Difficult Delirium Drug Decisions: Should Antipsychotics Be Used or Avoided?
  

  Concurrent Session Faculty: Madissen Humphries, PharmD, – DCH Regional Medical Center