Protective Lung Ventilation
Protective lung ventilation is the current standard of care for mechanical ventilation. It is synonymous with low tidal volume ventilation (4-8 mL/kg) and often includes permissive hypercapnia
Acute Respiratory Distress Syndrome Definitions
definitions of acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) have varied over time. ARDS was first described by Ashbaugh and Petty in 1967 in a case series of 12 ICU patients who shared the common features of unusually persistent tachypnea and hypoxemia accompanied by opacification on chest radiographs and poor lung compliance, despite different underlying causes
Open Lung Approach To Ventilation
The open lung approach (OLA) to ventilation involves increasing the level of Positive End Expiratory Pressure (PEEP) in combination with protective lung ventilation
Airway Pressure Release Ventilation (APRV)
Airway pressure release ventilation (APRV) is inverse ratio, pressure controlled, intermittent mandatory ventilation with unrestricted spontaneous breathing
based on the Open Lung Approach To Ventilation first described by Stock et al 1987
Ventilation Literature Summaries
Ventilation, summaries of key papers from the ventilation literature: NIV; ARDS; Tracheostomy; Weaning
Pressure versus Time Graph
OVERVIEW Pressure versus Time Graph. Information obtained COMMON ABNORMALITIES Normal High Raw High Flow Inadequate inspiratory flow Decreased Lung Compliance Auto PEEP Dynamic Hyperinflation Cardiac oscillations Circuit leaks References and Links
Chorea DDx
Chorea refers to grouped small jerky involuntary random continuous movements, that often blend into (or disguised by) a voluntary movement. Chorea implies a lesion affecting corpus striatum
Dystonia DDx
Overview Dystonia is a movements disorder characterized by abnormal postures or twisting or repetitive movement caused by sustained contractions of opposing muscles Causes Focal Segmental Generalised
Horner syndrome DDx
Horner syndrome is associated with an interruption to the sympathetic nerve supply of the eye. It is characterized by the classic triad of miosis, partial ptosis, and anhidrosis +/- enophthalmos
Movement disorders DDx
Movement disorders can be classified as hypokinesias and hyperkinesias.
Meningism DDx
Meningism is resistance to neck flexion due to painful spasm of extensor muscles resulting from meningeal irritation
CICM SAQ 2010.1 Q1
With respect to the clinical assessment of a patient presenting with a severe burn injury sustained in a house fire: