Category CCC

The LITFL Critical Care Compendium is a comprehensive collection of pages concisely covering the core topics and controversies of critical care.

CCC Critical Care compendium 340

Abdominal CT versus DPL

Abdominal CT versus DPL: DPL has be replaced by FAST scan in nearly all situationspenetrating abdominal injuries -> require laparotomy

CCC Critical Care compendium 340

Central line infections

OVERVIEW A central line-associated bloodstream infection (CLABSI) is a laboratory-confirmed bloodstream infection (BSI) in a patient who had a central line within the 48 hour period before the development of the BSI, and that is not related to an infection…

CCC Critical Care compendium 340

Abdominal aortic aneurysm (AAA)

Abdominal Aortic Aneurysm (AAA) is a permanent localised or diffuse dilatation of the abdominal aorta to 1.5 times its normal diameter that involving all three layers of the vessel wall

CCC Critical Care compendium 340

Hypertension Post AAA Repair

OVERVIEW CAUSES MANAGEMENT Resuscitation A – assess for patency and positionB – give FiO2 1.0, check ABGC – check pulses and BP manually, check accuracy of arterial line measurementD – ensure patient adequately sedation and analgesia -> use propofol and…

CCC Critical Care compendium 340

Renal failure Post AAA Repair

OVERVIEW Numerous possible causes of Renal failure Post Abdominal aortic aneurysm repair CAUSES Pre-renal Hypovolaemia causing pre-renal failure Abdominal compartment syndrome Renal artery trauma Low output state (1) myocardial dysfunction from cross clamping, (2) perioperative ischaemia Post-operative bleeding Ischaemic rhabdomyolysis…

CCC Critical Care compendium 340

Vascath misplacement

Intra-arterial misplacement of a vascath; unfortunate complication with possible serious sequelae for the patient; well recognized but uncommon