Respiratory Literature Summaries
Respiratory Literature Summaries
Category CCC
The LITFL Critical Care Compendium is a comprehensive collection of pages concisely covering the core topics and controversies of critical care.
Ventilator Associated Pneumonia
Ventilator Associated Pneumonia (VAP) is pneumonia occurring in people who had mechanical ventilation within 48 hours of the onset of infection
Amphetamine Toxicity
Sympathomimetic syndrome with potential for life-threatening vascular complications (ischemia, dissection and haemorrhage). Note: ecstasy is also associated with hyponatraemia
Foley Catheter Balloon Tamponade
Use of a Foley catheter (FC, aka urinary catheter) to achieve hemorrhage control in penetrating trauma to the neck
End-Stage Renal Failure
End-stage renal failure has multiple implications for ICU management
Publication Practices Distort Science
Scientific information is an economic commodity, and that scientific journals are a medium for its dissemination and exchange. As such it is subject to economic factors that affect the value of scientific information and how it is exchanged.
Fluid Responsiveness
Fluid responsiveness is an increase of stroke volume of 10-15% after the patient receives 500 ml of crystalloid over 10-15 minutes (as defined by Paul Marik). The definitive test for fluid responsiveness is a Fluid challenge
Nutrition of the Critically Ill Obese Patient
High protein hypocaloric feeding is preferred for critically ill obese patients (supported by SCCM/ ASPEN joint Consensus statement)
Obesity and Pharmacokinetics
Obesity affects all four aspects of pharmacokinetics. As drug administration based on total body weight can result in in underdosing or overdosing, depending on the characteristics of the drug, weight-based dosing scalars must be considered. Lean body weight is the optimal scalar for most IV opioids and anaesthetics
Obesity and Critical Illness
Reviewed and revised 31 December 2015 OVERVIEW Obesity is the chronic abnormal or excessive accumulation of fat in adipose tissue to the extent that health may be impaired degrees of obesity are defined by body mass index (BMI) OBESITY PARADOX…
Drug Withdrawal States in ICU
Drug withdrawal in ICU is more common than generally appreciated.
Haemoperfusion
Haemoperfusion: Renal replacement therapy (RRT) using an adsorbent cartridge to remove circulating toxins