Intensive Blood Pressure Control in Intracerebral Hemorrhage: Dealing with “Low Value” ICU Interventions

It is uncommon in medicine to encounter an intervention that historically was thought of as unsafe, then some evidence suggests potential benefit, and finally the best evidence swings us back to harm. Enter the story of intensive blood pressure lowering for intracerebral hemorrhage (ICH).

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Welcome … and a bit about us

Todd, Dave, and Matt are three intensivist colleagues who have at some time practiced together.  All three of us trained extensively under Dr. Arthur Wheeler, and therefore have been engrained with many of the principles he instilled in the practice and study of critical care medicine. Namely, we are dedicated to improving the care of critically ill patients and have interest in the practicality of critical care.  The three of us conduct clinical research in critically ill patients, with one focus being the conduct of pragmatic clinical trials within the routine care of patients (i.e. the learning healthcare environment)

In this blog, we hope to entertain (and maybe even educate) by discussing all aspects of critical care, from the nuances of taking care of patients, to interpretation of new and emerging literature.  In doing so, we are also paying tribute to Dr. Wheeler, our mentor and colleague, whose dedication to critical care not only saved innumerable patient lives, but also educated so many healthcare professionals and changed the lives of so many people.

In the obligatory disclosure, the views expressed in this blog are solely the opinions of the authors and in no way represent the view of our employers, societies that we hold memberships in, funders, partners, or colleagues.

Dr. Todd Rice Dr. Rice treated Jason Martin, an ICU patient who was seriously ill with H1N1. (Vanderbilt University / Daniel Dubois)
Todd Rice, MD, MSc
david janz
David Janz, MD, MSc
Semler
Matt Semler, MD, MSc