13 results
Randomized Clinical Trial of IV Acetaminophen as an Analgesic Adjunct for Older Adults with Acute Severe
Clinical Trial of IV ... an Analgesic Adjunct ... Conclusion: IV ... an adjunct analgesic ... Hydromorphone #Dilaudid #EBM
Proposed analgesic ladder for critically ill patients
Above is one possible revision to the analgesic ladder.
Proposed analgesic ... #Management #CriticalCare ... #Pain #Analgesic ... #Ladder #Acetaminophen ... #Ketamine
Randomized Controlled Trial of Intravenous Acetaminophen Versus Intravenous Hydromorphone for the Treatment of Acute Pain in
provides greater analgesia ... than IV acetaminophen ... dhcisewski #EBM ... #Pharmacology #IV ... #Acetaminophen
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
with scheduled acetaminophen ... and pain-dose ketamine ... Ascorbic acid I .5g IV ... thiamine 200 mg IV ... Diagnosis #Management #CriticalCare
Acute Pain Management in Patients on Buprenorphine
Continue Maintenance Buprenorphine (Divide dose q4-8hrs)
Non-opioid analgesia: 
 - Promote
8hrs) Non-opioid analgesia ... Anesthesia - Acetaminophen ... -2 Agonists - Ketamine ... & Magnesium - IV ... SL Bup / Start IV
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
Adjunctive therapies: IV ... Mg, Heliox, Ketamine ... , IV beta agonists ... #Exacerbation #CriticalCare
A prospective randomized, double-dummy trial comparing IV push low dose ketamine to short infusion of low
trial comparing IV ... push low dose ketamine ... difference in analgesic ... efficacy compared to IV-push ... Management #Pain #EBM
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
Consider scheduled acetaminophen ... thiamine 500 mg IV ... Treatment #MICU #CriticalCare
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
first 24h • Analgesia ... Scheduled APAP, IV ... consider pain-dose ketamine
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
indicate inadequate analgesia ... bradycardia • Ketamine ... causes amnesia and analgesia ... Delirium #PAD #ICU #CriticalCare