Liver Transplantation
Liver transplantation is almost a routine procedure in ICU now, with >90% 1-year survival. Orthotopic liver transplantation (OLT) involves recipient hepatectomy, revascularisation of the donor graft and biliary reconstruction
Month January 2019
Tracheal displacement
Tracheal displacement from the midline may occur towards or away from the causative lesion.
Diagnostic Tests in Research
Diagnostic tests and terms: sensitivity; specificity; positive predictive value; negative predictive value; likelihood ratio; receiver operator characteristic curve (ROC curve)
Alan Lyell
Alan Lyell (1917-2007) was a Scottish Dermatologist. Lyell Syndrome (1956) AKA toxic epidermal necrolysis.
Pseudo lung point
An anxious young man presents with left sided chest discomfort. After some internet research he is convinced he has a pneumothorax. What does this scan show?
Methylhexanamine
Methylhexaneamine C7H17N was originally intended to be used as a nasal decongestant but in recent times it has found its way into dietary supplements marketed with thermogenic or stimulant properties.
Auto Triggering of the Ventilator
OVERVIEW CAUSES Flow distortions caused by: -> always consider patient actually breathing! PRESSURE VERSUS FLOW TRIGGERING ASSESSMENT Suspect if Identify cause MANAGEMENT Prevent Auto-triggering VIDEO References and Links
Driving pressure
Driving pressure has been suggested by Amato and colleagues to be the key variable for optimisation when performing mechanical ventilation in patients with acute respiratory distress syndrome (ARDS)
Hyperchloraemia
Hyperchloraemia is usually associated with sodium and inversely to HCO3
Pulmonary Embolus pondering
A 52 year old bricklayer is transferred from another hospital with an acute episode of dizziness, palpitations and tachycardia. 2 days prior, he had bilateral total knee replacements for osteoarthritis.
Lung Abscess
CLINICAL FEATURES fever cough SOB sputum nonresolving pneumonia RISK FACTORS dental caries foreign body aspiration (tooth, peanut) severe necrotising pneumonia altered LOC dysphagia IV drug use (septic emboli) septic thrombophlebits (pelvic or internal jugular) tumour Tb vasculitis MANAGEMENT identify organism…
Obstructive Sleep Apnoea
Obstructive sleep apnea (OSA) syndrome: cessation of airflow from nose/mouth for >10s
resulting in intermittent respiratory arrests with hypoxaemia; interruption of REM sleep; >5 episodes/h