Patient preparation is vital for performing bronchoscopy safely in the ICU. Key considerations include: time out, consent, and patient monitoring, patient and equipment positioning, consideration of awake versus intubated & sedated bronchoscopy, medications, ventilator settings, and effective teamwork including prebrief.
Hyperbaric oxygen for ICU patients: intensive care indications, practical issues in critical care, and referral considerations.
This is an approach to documenting on the ICU Ward Round.
Desmopressin (DDAVP) is a drug used primarily for diabetes insipidus, haemophilia type A, and von Willebrand's disease.
Clevidipine is a drug used as an infusion for severe hypertension or patients who require narrow blood pressure parameters.
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.
Remember the 3s and EncephalopaTHREE (ph 7.3, INR>3, BSL of 3.9 less, Encephalopathy) RIPE
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) tube inserted into pleural space to allow drainage of contents
Central Venous Catheter (CVC) is a cannula placed in a central vein (e.g. subclavian, internal jugular or femoral)
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: help confirm endotracheal intubation; monitor ventilation during procedural sedation (e.g. via Hudson mask) without mechanical ventilation; monitoring during mechanical ventilation