Diabetes Insipidus following TBI
Diabetes insipidus (DI) results from decreased secretion and action of anti-diuretic hormone (ADH). ADH is produced in the hypothalamus and transported to the posterior pituitary gland
Brain Impact Apnoea
Brain impact apneoa is an under-appreciated cause of morbidity and mortality in traumatic brain injury (TBI)
Minimum Inhibitory Concentration
Minimum Inhibitory Concentration (MIC) is lowest concentration of an antimicrobial that will inhibit the visible growth of a microorganism following overnight incubation, usually reported as mg/L
Rectal mass
Rectal masses may be intra-luminal, mural or palpable through the rectum but arising from outside of it. Differential diagnosis.
Splenomegaly DDx
Splenomegaly refers to enlargement of the spleen. Differential diagnosis
Limitations of CT in Traumatic Brain Injury
Limitations of CT head scan in Traumatic Brain Injury (TBI)
Antibiotic Dosing in Renal Replacement Therapy
Little published data to guide dosing of antibiotics in RRT and the critically ill. therefore we must use first principles and utilize therapeutic drug monitoring if available.
Laboratory Urinalysis
Laboratory urine analysis
Cerebral Perfusion Pressure in TBI
Cerebral Perfusion Pressure (CPP) in Traumatic brain injury (TBI). Cerebral Perfusion Pressure (CPP) = MAP – ICP or CVP (whichever is highest)
Bronchiolitis
Goals: resuscitation severity and stability of disease assessment of possible differentials including cardiac disease, influenzae, pertussis stabilisation and possible transfer to neonatal/SCBU if required
Prone Position and Mechanical Ventilation
Reviewed and revised 19 May 2014 OVERVIEW Prone positioning can be used in mechanically ventilated patients with severe hypoxic respiratory failure to optimise oxygenation Refer to Prone Positioning for Hypoxic Respiratory Failure on INTENSIVE for the Alfred ICU guideline, cognitive…
Ventilator Associated Lung Injury
Mechanical ventilation with application of pressure to the lung, whether positive or negative, can cause damage known as ventilator-associated lung injury (VALI)