Month January 2019
CCC Critical Care compendium 340

Capnography Waveform Interpretation

Capnography waveform interpretation can be used for diagnosis and ventilator-trouble shooting. The CO2 waveform can be analyzed for 5 characteristics:–Height–Frequency–Rhythm–Baseline–Shape

CCC Critical Care compendium 340

AHA/ACC Guidelines (2007)

AHA/ACC Guidelines (2007) – Perioperative Cardiovascular Evaluation of the Patient undergoing Non-cardiac Surgery Take Home Message = if assessment and evaluation not indicated irrespective of perioperative context then just crack on (its all about symptoms). 3 factors involved in risk…

CCC Critical Care compendium 340

Bubble CPAP

USES neonatal respiratory failure (surfactant deficiency) asthma bronchiolitis DESCRIPTION METHOD OF INSERTION 3 basic parts: (1) supply humidified and heated air(2) nasal cannula or face mask(3) positive pressure provided by depth of immersion of the expiratory air flow in water…

CCC Critical Care compendium 340

Blood Warmer

Blood Warmer: Used with rapid transfusion rates (e.g. >50 mL/kg/hr), in already hypothermic patients or rare conditions where cold fluid delivery is problematic (e.g. cold agglutinins); massive transfusion (avoid hypothermia)

CCC Critical Care compendium 340

Blood gas syringe

Blood gas syringe: used for blood gas analysis; collection of a blood sample for accurate analysis by a blood gas machine

CCC Critical Care compendium 340

Blood filter

Blood filter: removal of microaggregates during blood transfusion; platelet, leucocyte and fibrin aggregates form in stored blood and are thought to produce pulmonary microembolism -> pulmonary dysfunction

CCC Critical Care compendium 340

Emergent Valve Disorders

Emergent Valve Disorders: regurgitation most common; acute or acute on chronic valve dysfunction; acute on chronic often precipitated by increase in metabolic or haemodynamic requirements (sepsis, bleeding, pregnancy).

CCC Critical Care compendium 340

Aortic Regurgitation

Aortic regurgitation is diastolic reflux of blood from aorta to LV due to malposition of the aortic cusps. RISK FACTORS age enlarged aortic root diameter: Marfans, Enhlers-Danlos, oesteogenesis imperfecta, connective tissue disorders bicuspid AV atherosclerosis infective endocarditis rheumatic heart disease…

CCC Critical Care compendium 340

Contractility

Contractility = the change in force generated independent of preload. Inotropy and contractility are essential synonymous — inotropes are agents that increase contractility.