Volutrauma
Volutrauma = complication from mechanical ventilation that may manifest as: extra-alveolar air and/or acute ventilator induced lung injury.
The LITFL Critical Care Compendium is a comprehensive collection of pages concisely covering the core topics and controversies of critical care.
Volutrauma = complication from mechanical ventilation that may manifest as: extra-alveolar air and/or acute ventilator induced lung injury.
High Frequency Ventilation ventilation with small tidal volumes at high frequencies
Equipment and Procedure Viva
Advances in intensive care have led to a growing cohort of patients of patients, who would have otherwise succumbed to acute illness, survive in a state dependent on prolonged intensive care therapies including mechanical ventilation
Haematuria in trauma may be microscopic (with or without symptoms) or macroscopic. In general, the greater the degree of hematuria the greater the risk of significant intra-abdominal injury (including non-urinary tract structures)
Increased Intracranial Pressure in TBI; normal ICP 7-15mmHg
sustained increases > 20mmHg is associated with ischaemic brain injury
Extradural ICP monitor: ICP monitoring; catheter inserted though a burr hole but does not penetrate the dura
Codman ICP Monitor: intracranial pressure monitor (aka 'BOLT')
OVERVIEW TBI assessment involves: HISTORY General (AMPLE) Specifically: EXAMINATION Specifically in TBI assess: Evidence of base of skull fracture: Look for evidence of trans-tentorial herniation: Look for evidence of underlying causes and complications INVESTIGATIONS Bedside Laboratory Imaging References and Links
There are multiple reasons why lucent lines may appear in bones, or why bone contours may appear abnormal, mimicking fractures.
The mediastinum may appear widened on a portable chest x-ray even for many reasons (other than the mediastinum actually being widened!)
Bronchiectasis is a suppurative lung disease characterised by the presence of permanently and abnormally widened (dilated) bronchial airways. Bronchiectasis may be the end result of a number of etiological processes.