Sept. 8, 2025

Antibiotic CRI’s: Better Than Bolus? With Prof Steve Epstein. Bonus - Live At IVECCS

Antibiotic CRI’s: Better Than Bolus? With Prof Steve Epstein. Bonus - Live At IVECCS

If you caught my conversation with Prof. Steve Epstein from IVECCS 2024, you already know this:

When it comes to septic patients, timing of antibiotics is everything. Ok, maybe not EVERYTHING, because in our follow-up discussion 1 year later at IVECCS 25, Prof Steve explored an idea that might just shift your ICU protocols: duration of administration matters. 

That’s the idea behind the concept is prolonged infusion - giving time-dependent antibiotics over extended periods for more sustained bacterial kill time. (Spoiler alert: it works. BUT...with a few caveats.)

Jump in to this one for a straight-forward data backed action you can take with your critical patients that will save more lives.


Topics We Unpacked:

  • Time-dependent vs. concentration-dependent antibiotics
  • Prolonged infusion vs. continuous rate infusion (CRI)
  • Human evidence: findings from the BLING III trial
  • Applicability of human data to veterinary patients
  • Dosing challenges and pharmacokinetics in septic animals
  • Practical recommendations for veterinary ICU settings

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