Intraosseous access
Intraosseous (IO) access can be obtained using manual or drill-inserted devices for insertion of specialised needles; IO access uses the medullary space as a non collapsible entry point into the systemic venous system
CICM SAQ 2015.2 Q19
Question a) Interpret the three pharmacodynamic (PD) profiles, labelled Scenario 1, Scenario 2 and Scenario 3, shown below. b) For each PD profile, describe how you would optimise the dose and/or frequency of antibiotic if prescribing: i) a beta lactam…
Intra-Abdominal Pressure Monitor
Intra-Abdominal Pressure Monitor: device used to assess intra-abdominal pressure (IAP) - the steady state pressure concealed within the abdominal cavity
Intermittent Pneumatic Compression device
Intermittent Pneumatic Compression device; aka sequential compression devices; prevent lower limb DVTs in immobile patients
Humidification
With normal nasal breathing the temperature in the upper trachea is between 30°C and 33°C, with a relative humidity of approximately 98%, providing a water content of 33 mg/L
Heat and Moisture Exchanger
Heat and Moisture Exchanger (HME); those in current use are generally combined with a microbiological filter, hence they are called HME filters (HMEF)
Glidescope
Glidescope: difficult intubation management. Fibreoptic camera on end or laryngoscope blade + high resolution video monitor
Gastric tonometry
Gastric tonometry a method of assessing regional hypoperfusion
Administer Injections
Injections are most commonly administered IM (intramuscular) or SC (subcutaneously)
General Preparation for Procedures
Prepare yourself Familiarise yourself with the procedure, including the indications, contraindications, technique with anatomical landmarks, and the potential complications. Never perform a procedure unless you have first observed. that procedure being performed, and then performed the procedure at least once…
ECMO Literature Summaries
Peek GJ, et al; CESAR trial collaboration. Efficacy and economic assessment of conventional ventilatory support versus extracorporeal membrane oxygenation for severe adult respiratory failure (CESAR): a multicentre randomised controlled trial. Lancet. 2009 Oct 17;374(9698):1351-63.PMID: 19762075. UK MC-RCT n = 180…