Category CCC

The LITFL Critical Care Compendium is a comprehensive collection of pages concisely covering the core topics and controversies of critical care.

CCC Critical Care compendium 340

Infections in the Immunocompromised

immunosuppression is increasingly common in the ICU and in the community; due to conditions such as chemotherapy and stem cell transplantation for cancer, solid organ transplantation, and therapies for autoimmune and rheumatological diseases; such patients are susceptible to the common pathogens seen as well as opportunistic pathogens

CCC Critical Care compendium 340

Pneumonia in the Immunocompromised

The numbers of immunocompromised patients is increasing c/o improved solid-organ and haemopoietic transplants and the expanded use of immunomodulatory therapies. Pulmonary infections = most frequent complication with high mortality

CCC Critical Care compendium 340

Open Lung Biopsy

Biopsy should be taken from a representative area, not one with a high likelihood of non-specific fibrosis (eg. dependent segments of RML)
Biopsy should not be performed too late in disease process
Risks versus utility of information gathered must be weighed carefully

CCC Critical Care compendium 340

High Altitude illness

High altitude illness includes: acute mountain sickness; high altitude cerebral edema (HACE); high altitude pulmonary edema (HAPE); high altitude retinal haemorrhages

CCC Critical Care compendium 340

Dogma and Pseudoaxioms

Dogma is a belief generally held to be true by a group, organisation or professional body that is put forth as authoritative without adequate grounds. Axioms are universally accepted principles or rules. Pseudoaxioms, like pseudoscience, are "false principles or rules often handed down from generation to generation of medical providers and accepted without serious challenge or investigation"

CCC Critical Care Compendium 680

Small bowel obstruction
 DDx

Key radiological features of small bowel obstruction are dilated bowel loops that are central, contain valvulae conniventes, and are pliable (“bent finger”).

CCC Critical Care compendium 340

Sepsis Definitions and Diagnosis

The original definitions of sepsis and related conditions (SIRS, severe sepsis and septic shock) are now more than 20 years old (Sepsis- 1 originated from the ACCP/SCCM consensus meeting in 1991 and Sepsis 2 from 2001)

CCC Critical Care compendium 340

Progressive Pneumonia

Nonresolving or Progressive Pneumonia: failure to normalize the clinical features (eg, fever, cough, sputum production), or nonresolving image in chest radiograph