Traumatic Brain Injury (TBI) Prognosis
Traumatic Brain Injury (TBI) is a devastating condition in terms of personal, societal and wider economic impact
Category CCC
The LITFL Critical Care Compendium is a comprehensive collection of pages concisely covering the core topics and controversies of critical care.
Traumatic Brain Injury (TBI) Monitoring
The core physiological monitor used in TBI is ICP monitoring, in addition to standard monitoring used for any critically ill patient
Permissive hypotension
Permissive hypotension is also known as hypotensive resuscitation and low volume resuscitation. The concept remains controversial and is primarily applicable to the penetrating trauma patient
STEMI Management
STEMI is a type of acute coronary syndrome that requires emergency reperfusion therapy. Definition and assessment of STEMI is described in Acute Coronary Syndromes
Hyperthermia-associated toxidromes
Toxidromes associated with hyperthermia may be difficult to distinguish: serotonin syndrome; anticholingeric syndrome; sympathomimetic syndrome; neuroleptic malignant syndrome; malignant hyperthermia
Liver Transplantation
Liver transplantation is almost a routine procedure in ICU now, with >90% 1-year survival. Orthotopic liver transplantation (OLT) involves recipient hepatectomy, revascularisation of the donor graft and biliary reconstruction
Tracheal displacement
Tracheal displacement from the midline may occur towards or away from the causative lesion.
Diagnostic Tests in Research
Diagnostic tests and terms: sensitivity; specificity; positive predictive value; negative predictive value; likelihood ratio; receiver operator characteristic curve (ROC curve)
Auto Triggering of the Ventilator
OVERVIEW CAUSES Flow distortions caused by: -> always consider patient actually breathing! PRESSURE VERSUS FLOW TRIGGERING ASSESSMENT Suspect if Identify cause MANAGEMENT Prevent Auto-triggering VIDEO References and Links
Driving pressure
Driving pressure has been suggested by Amato and colleagues to be the key variable for optimisation when performing mechanical ventilation in patients with acute respiratory distress syndrome (ARDS)
Hyperchloraemia
Hyperchloraemia is usually associated with sodium and inversely to HCO3
Lung Abscess
CLINICAL FEATURES fever cough SOB sputum nonresolving pneumonia RISK FACTORS dental caries foreign body aspiration (tooth, peanut) severe necrotising pneumonia altered LOC dysphagia IV drug use (septic emboli) septic thrombophlebits (pelvic or internal jugular) tumour Tb vasculitis MANAGEMENT identify organism…