Tissue Oxygenation Assessment
Tissue Oxygenation Assessment
Electrical Impedance Tomography
Electrical impedance tomography (EIT) is a noninvasive, radiation-free monitoring tool that allows real-time imaging of ventilation
EIT has medium spatial resolution and a very high temporal resolution
CICM ASM 2013
This page coordinates the reference materials and resources for my talks at the 2013 Annual Scientific Meeting of the College of Intensive Care Medicine. The theme for the conference is 'Down with Dogma — Challenging the Fundamentals of Critical Care'
Tissue Donation
many more tissue donors available than organ donors; less time critical; early notification allows collection of blood specimens for nucleic acid testing and screening for viral infections; more exclusion criteria (may require full post-mortem to exclude CJD)
Palliative Care
Palliative care is distinct from curative care, which is primarily disease-specific and focused on restoration of health; Palliative care is not synonymous with end of life care, but is an important part of end of life care; As 10-20% of ICU patients will die, the transition from cure to comfort is a common and important decision to make
Medical Management of Potential Donors
Medical Management of Potential Donors
End-of-Life Care Family Meeting
The End-of-Life Care Family Meeting is a core component of ICU care; Evidence suggests that communication with families is often inadequate; The principles apply to end-of-life discussions in other settings (e.g. ED) as well
Donation after Circulatory Death (DCD)
Donation after Circulatory Death (DCD) refers to organ donation taking place once circulatory arrest has occurred following treatment withdrawal
Contraindications to Solid Organ Donation
DBD = donation after brain death; DCD = donation after cardiac death; WIT = time from treatment withdrawal until cold perfusion (most important phase = when SBP < 60mmHg)
Coma-like Syndromes
Coma-like Syndromes
ANZICS Statement on Death and Organ Donation
Changes in Brain Death Consensus Statement (V3.2 2013)
Brain Death Hot Case
Brain death is the irreversible loss of all functions of the brain, including the brainstem. The three essential findings in brain death are coma (unresponsiveness), absence of brainstem reflexes, and apnoea