Tag Hot Case
CCC Critical Care compendium 340

Transplant Patient Hot Case

GENERAL APPROACH Considerations Transplant – liver, heart, lung, heart-lung, bone marrow, renal, pancreatic Phase of care – immediate post op, sepsis, rejection, respiratory failure, renal failure Surgery – graft function, anatomy, anastomoses (leaks and occlusion) Infection – bacterial (early), opportunistic:…

CCC Critical Care compendium 340

Post Cardiac Surgery Patient Hot Case

GENERAL APPROACH Type of surgery Emergency or Elective Post-operative complications (bleeding, tamponade, graft occlusion, CVA) Shock assessment Causes and type of heart disease INTRODUCTION CUBICLE short or long term patient tracheostomy organ support INFUSIONS vasoactives haemostatic agents (tranexamic acid, blood…

CCC Critical Care compendium 340

Polyuria Hot Case

GENERAL APPROACH Causes Alcohol induced diuresis Osmotic diuresis (mannitol therapy) Cerebral salt wasting Diabetes insipidus Hypertonic saline administration Hypertensive diuresis Appropriate response to fluid therapy Hyperglycaemia Volume statusComplicationsTreatment INTRODUCTION CUBICLE INFUSIONS inotropes/vasopressors to maintain CPP IVF boluses hypertonic saline osmotherapies…

CCC Critical Care compendium 340

Jaundice Hot Case

GENERAL APPROACH Acute, Chronic or Acute on Chronic Liver Disease Pre Intra Post INTRODUCTION CUBICLE dialysis machine – evidence of multi-organ failure Level 1 infuser – significant bleeding malena INFUSIONS blood products octreotide 10% dextrose terlipressin VENTILATOR strategy (protective lung…

CCC Critical Care compendium 340

Fever Hot Case

GENERAL APPROACH Infectious community acquired nosocomial (surgical site, lines, chest, urine, sinusitis) ‘hidden’ sepsis (endocarditis, neuraxial infection, retroperitoneum, sinusitis) Non-infectious head injury VTE drug/toxin SIRS (post surgery, trauma, burns, ICH, aspiration, pancreatitis, CTD) Hypermetabolic syndromes (e.g. thyroid storm, NMS, MH, heat stroke, pheochromocytoma) INTRODUCTION…

CCC Critical Care compendium 340

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