Fluid Responsiveness
Fluid responsiveness is an increase of stroke volume of 10-15% after the patient receives 500 ml of crystalloid over 10-15 minutes (as defined by Paul Marik). The definitive test for fluid responsiveness is a Fluid challenge
Month January 2019
Nutrition of the Critically Ill Obese Patient
High protein hypocaloric feeding is preferred for critically ill obese patients (supported by SCCM/ ASPEN joint Consensus statement)
Obesity and Pharmacokinetics
Obesity affects all four aspects of pharmacokinetics. As drug administration based on total body weight can result in in underdosing or overdosing, depending on the characteristics of the drug, weight-based dosing scalars must be considered. Lean body weight is the optimal scalar for most IV opioids and anaesthetics
Obesity and Critical Illness
Reviewed and revised 31 December 2015 OVERVIEW Obesity is the chronic abnormal or excessive accumulation of fat in adipose tissue to the extent that health may be impaired degrees of obesity are defined by body mass index (BMI) OBESITY PARADOX…
Drug Withdrawal States in ICU
Drug withdrawal in ICU is more common than generally appreciated.
Haemoperfusion
Haemoperfusion: Renal replacement therapy (RRT) using an adsorbent cartridge to remove circulating toxins
Extracorporeal Elimination in Toxicology
Extracorporeal Elimination recommended for the following intoxications: methotrexate, procanamide, lithium, metformin, ethanol, methanol, ethylene glycol, salicylates, theophylline, sodium valproate.
Gastrointestinal Decontamination
The role for digestive tract decontamination depends on: severity of poisoning; time from ingestion; risk of intervention
CICM SAQ 2015.2 Q29
Question You are the Intensivist looking after a 30-year-old male, with no significant past medical history, who has been in the Intensive Care Unit for eight days with severe community acquired pneumonia and septic shock. Although there are no overt…
CICM SAQ 2015.2 Q27
A 60-year old male with no significant past medical history has been treated in your ICU for 21 days for severe staphylococcal sepsis and multi-organ failure, for which he is receiving linezolid.
CICM SAQ 2015.2 Q25
You are called to assist with a 12-year-old child, brought in to the Emergency Department unconscious, following near drowning at a local beach. Outline your immediate management.
Monoamine Oxidase Inhibitor Toxicity
Monoamine Oxidase Inhibitor (MAOI) Toxicity produces a hyperadrenergic syndrome from inability to inactivate noradrenaline; may contribute to serotonin toxidrome