Hyperbaric Oxygen for the ICU Patient
Hyperbaric oxygen for ICU patients: intensive care indications, practical issues in critical care, and referral considerations.
Category ICU
Documenting on an ICU Ward Round
This is an approach to documenting on the ICU Ward Round.
Desmopressin (DDAVP)
Desmopressin (DDAVP) is a drug used primarily for diabetes insipidus, haemophilia type A, and von Willebrand's disease.
Clevidipine
Clevidipine is a drug used as an infusion for severe hypertension or patients who require narrow blood pressure parameters.
Dexamethasone good? Science by press release bad!
Why science by press release is bad, despite optimism about the findings of the Recovery trial and the role of dexamethasone in the management of COVID-19.
Liver Service Transfer / Referral
Remember the 3s and EncephalopaTHREE (ph 7.3, INR>3, BSL of 3.9 less, Encephalopathy) RIPE
Underwater Seal Chest Drainage System
A system that allows drainage of the pleural space using an airtight system to maintain subatmospheric intrapleural pressure; the underwater seal acts a one-way valve
Intercostal Catheter (Chest Drain)
Intercostal Catheter (Chest Drain) tube inserted into pleural space to allow drainage of contents
Central Venous Catheters
Central Venous Catheter (CVC) is a cannula placed in a central vein (e.g. subclavian, internal jugular or femoral)
Cardiac Output Measurement
Cardiac output; Adolf Eugen Fick (1829-1901) in 1870, was the first to measure cardiac output; assumes oxygen consumption is a function of rate of blood flow and rate of oxygen pick pick up by RBC’s.
Capnography and CO2 Detectors
Capnography and CO2 Detectors: help confirm endotracheal intubation; monitor ventilation during procedural sedation (e.g. via Hudson mask) without mechanical ventilation; monitoring during mechanical ventilation
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