Intralipid and lipid rescue therapy
Intralipid and lipid rescue therapy as an antidote of last resort in cardiotoxic overdoses of lipophilic agents (best described for bupivacaine)
The LITFL Critical Care Compendium is a comprehensive collection of pages concisely covering the core topics and controversies of critical care.
Intralipid and lipid rescue therapy as an antidote of last resort in cardiotoxic overdoses of lipophilic agents (best described for bupivacaine)
Vancomycin: glycopeptide derivative; impairs cell wall synthesis of gram +ve bacteria
Warfarin: anticoagulant; prevents the synthesis of vitamin K dependent clotting factors; II, VII, IX & X in liver; prevents the reduction of vitamin K 2, 3-epoxide -> vitamin K
Intracardiac Masses Echocardiography
Left ventricular Function and Haemodynamic Assessment Echocardiography
TOE superior to TTE (90% vs 50% sensitive); echocardiographic findings are part of the major and minor criteria for diagnosis of infective endocarditis
Echocardiography = a group of interrelated ultrasound applications used to examine the heart and great vessels.
Echocardiography in Intensive Care allows direct visualisation of the heart, vessels and pleura
Cardiomyopathy Echocardiography
Aortic Stenosis Echocardiography
TOE is better than but TTE, but TTE can be performed first; TTE cannot exclude aortic dissection; TOE is comparable to CT and MRI for diagnostic accuracy