Month January 2019
CCC Critical Care compendium 340

Paralytics for Intubation of the Critically Ill

Paralytics for Intubation of the Critically Ill. should suxamethonium or rocuronium be used for rapid sequence intubation? is a neuromuscular blocker even necessary for intubation of the critically ill? (facilitated or sedation only intubation)

CCC Critical Care compendium 340

Base Excess vs Standard Base Excess

Base excess is dose of acid or alkali to return in vitro blood to normal pH (7.40) under standard conditions ( at 37C at a PCO2 of 40 mm Hg). Standard base excess is dose of acid or alkali to return the ECF to normal pH (7.40) under standard conditions ( at 37C at a PCO2 of 40 mm Hg)

CCC Critical Care compendium 340

Nasal intubation

nasal intubation may be performed blind or with fiberoptic assistance. Indicated when oral intubation is not feasible

CCC Critical Care compendium 340

Cardiac Output

Cardiac Output (CO) = Stroke Volume (SV) x Heart rate (HR) CO = SV x HR changes based on exercise, age and body size. normal adult = 5L/min Stroke Volume (SV) determined by: Preload Afterload Contractility

CCC Critical Care compendium 340

Cardiac Biomarkers

Biomarkers can potentially be used to detect and monitor a wide range of cardiac conditions in the critical care setting

CCC Critical Care compendium 340

Cardiac Arrest Literature Summaries

THERAPEUTIC HYPOTHERMIA AND TARGETED TEMPERATURE MANAGEMENT Nielsen N, et al. Targeted temperature management at 33°C versus 36°C after cardiac arrest. N Engl J Med. 2013 Dec 5;369(23):2197-206. [PMID 24237006] MCRCT without allocation concealment 36 ICUs in Europe and Australia n…

CCC Critical Care compendium 340

Beta Blockers to Prevent Perioperative MI

The use of Beta-blockers in perioperative medicine has been an issue of intense research in Anaesthesia. Patients that are believed to benefit from beta-blockers are those with risk factors for ischaemic heart disease (HT, DM, hypercholesterolaemia, previous MI, angina, controlled heart failure)

CCC Critical Care compendium 340

Atrial Natriuretic Peptide

Atrial Natriuretic Peptide isolated from the right atrium potent diuretic/natriuretic effect on kidney + vasodilator effects on resistance & capacitance of blood vessels released in response to atrial stretching (ie. fluid overload)

CCC Critical Care compendium 340

Atrial Fibrillation

Atrial fibrillation (AF) is the most common sustained dysrhythmia and is characterised by disorganised atrial electrical activity and contraction resulting in an "irregularly irregular" ventricular response ("fibrillation waves")

CCC Critical Care compendium 340

Arrhythmias

An approach to arrhythmia, causes, classification and factors contributing to arrhythmogenesis