OVERVIEW CAUSES Flow distortions caused by: -> always consider patient actually breathing! PRESSURE VERSUS FLOW TRIGGERING ASSESSMENT Suspect if Identify cause MANAGEMENT Prevent Auto-triggering VIDEO References and Links
Driving pressure has been suggested by Amato and colleagues to be the key variable for optimisation when performing mechanical ventilation in patients with acute respiratory distress syndrome (ARDS)
Hyperchloraemia is usually associated with sodium and inversely to HCO3
A 52 year old bricklayer is transferred from another hospital with an acute episode of dizziness, palpitations and tachycardia. 2 days prior, he had bilateral total knee replacements for osteoarthritis.
CLINICAL FEATURES fever cough SOB sputum nonresolving pneumonia RISK FACTORS dental caries foreign body aspiration (tooth, peanut) severe necrotising pneumonia altered LOC dysphagia IV drug use (septic emboli) septic thrombophlebits (pelvic or internal jugular) tumour Tb vasculitis MANAGEMENT identify organism…
Obstructive sleep apnea (OSA) syndrome: cessation of airflow from nose/mouth for >10s
resulting in intermittent respiratory arrests with hypoxaemia; interruption of REM sleep; >5 episodes/h
Funtabulously Frivolous Friday Five 102 - Just when you thought your brain could unwind on a Friday, some medical trivia FFFF.
Karl Adolph von Basedow (1799 – 1854) was a German general practitioner, surgeon and obstetrician. Described Basedow (Graves) disease 1840
The general principles are the same as for extubation of ICU patients. However, the criteria for extubation in the ED are generally more stringent as most ED staff are less experienced and less familiar with the process
Welcome to the 356th LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs
Normal swallowing requires: timing and coordination of many muscles and several cranial nerves which are under voluntary and involuntary nervous control.
Difficulty weaning is an important ICU challenge. 20% to 30% of patients are difficult to wean from invasive mechanical ventilation