A team-based approach to the management of the post-ROSC patient focuses on initiation of therapeutic hypothermia, treatment of the underlying cause with transfer to the cath lab where appropriate, and management of the post-cardiac arrest syndrome.
Deresuscitation specifically refers to 'Late Goal Directed Fluid Removal (LGFR)', which involves "aggressive and active fluid removal by means of diuretics and renal replacement therapy with net ultrafiltration" (Malbrain et al, 2014)
Systolic Pressure Variation and Stroke Volume Variation between spontaneous breathing and mechanical ventilation
Vasoactive agents include the following: inotropes; vasopressors; inodilators and some that don't fit like dopamine...
Chronic Graft vs Host Disease is organ dysfunction occurring > 100 days post transplantation; distinct clinical syndrome from acute GVHD; pathophysiology poorly understood
Encephalitis an acute encephalopathy due to an inflammatory cause
Underlying causes are numerous and may be infectious or non-infectious, many of which lack effective therapies
Stroke Thrombolysis: thrombolysis for acute ischaemic stroke is a controversial intervention; it is supported by a number of guidelines and in general is viewed favourably by the neurological community
Pablo Luis Mirizzi (1893 - 1964) was an Argentinian surgeon.
Mirizzi syndrome or extrinsic biliary compression syndrome, is a rare complication of cholelithiasis. Mirizzi syndrome is characterised by obstruction of the common bile duct (CBD), secondary to mechanical compression caused by the impaction of one or multiple gallstones in the neck of the gallbladder or cystic duct
Reviewed and revised 26 October 2016 OVERVIEW Obesity has significant implications for the assessment, management, and outcomes of trauma The relationship between obesity and negative outcome from injury has been controversial INJURY PATTERNS Obese patients tend to have lower overall…
Initial Trauma Assessment: ATLS approach
A syndrome caused by systemic embolisation of fat globules released into the circulation following trauma or surgical procedures