Portal Hypertension
Portal Hypertension = increased resistance to flow through liver -> shunted around the other collateral vascular beds; the most common complication of cirrhotic liver disease
Category CCC
The LITFL Critical Care Compendium is a comprehensive collection of pages concisely covering the core topics and controversies of critical care.
Flexible bronchoscope
Flexible bronchoscope may be fibre optic, video or hybrid systems; diagnose diseases of the tracheobronchial tree (e.g. burns, tumours); obtain lung samples
Hypokalaemic Periodic Paralysis
Hypokalaemic Periodic Paralysis; rare channelopathy; muscle weakness/paralysis with a matching fall in K+ levels; starts in adolescence; weakness may be mild -> full body paralysis
Weakness Hot Case
GENERAL APPROACH Unilateral or bilateral weakness Upper vs Lower motor neuron lesion Brain Spinal cord Peripheral nerves NMJ Muscles INTRODUCTION CUBICLE wheelchair walking aids hand weights INFUSIONS IVIG (GB, MG, vasculitis) VENTILATOR high level of pressure support (global weakness) PEEP…
Subarachnoid Haemorrhage Patient Hot Case
Subarachnoid Haemorrhage Patient Hot Case
Leptospirosis
Leptospirosis is an infection caused by the spirochaete genus of Leptospira. Severe forms may result in critical illness, including Weil disease and severe pulmonary haemorrhage
Spinal Injury Patient Hot Case
GENERAL APPROACH INTRODUCTION CUBICLE INFUSIONS VENTILATOR MONITOR EQUIPMENT QUESTION SPECIFIC EXAMINATION -> scars, surgical wounds, drains-> motor level: myotomes, spinal reflexes, limbs and abdominal muscles, return of bulbocaveronsus reflex (resolution of spinal shock)-> sensory level: dermatomes, sensory tracts (dorsal columns,…
Respiratory Failure Hot Case
Respiratory Failure Hot Case
Oliguria and Anuria Hot Case
GENERAL APPROACH Type of renal failure Acute (usually multi-factorial) Chronic (e.g. dialysis dependent) or Acute on Chronic (e.g. post-renal transplant) Causes Pre-renal – hypovolemia, any cause of shock, sepsis, renovascular disease Intra-renal – nephrotoxins, urine for casts + protein, sepsis,…
Obstetric Patient Hot Case
GENERAL APPROACH Illness requiring ICU admission Pregnancy + Baby Delivery – when or already done INTRODUCTION CUBICLE CTG presence of midwives INFUSIONS PET: MgSO4, phenytoin, hydralazine, GTN pre-term labour: tocolytics, steroids thromboembolism: heparin bleeding: blood products, fluid boluses, TXA cardiogenic…
Neutropaenic Fever Hot Case
GENERAL APPROACH Infectious community acquired nosocomial (surgical site, lines, chest, urine, sinusitis) Non-infectious head injury DVT -> PE drug/toxin SIRS (post surgery, trauma, aspiration, pancreatitis) Hypermetabolic syndromes -> thyroid storm-> NMS-> MH-> heat stroke-> phaeo-> liver failure-> burns-> cocaine toxicity->…
Multi-organ Failure Hot Case
GENERAL APPROACH Initial illness and response to treatment Diagnosis correct Organ failures and support for each organ Complications of stay – nosocomial infection… INTRODUCTION CUBICLE number of organs being supported INFUSIONS resuscitation fluid being administered noradrenaline (sepsis) sedation and neuromuscular…