19 results
Managing Pain, Anxiety and Delirium in the ICU

Nick Mark MD @nickmmark

#Pain #Anxiety #Delirium #CriticalCare #Comparison #Management
Anxiety #Delirium #CriticalCare ... #Comparison #Management
Summary table of types of hypersensitivity reactions. 
Type 1
 - Mediators: lgE
 - Antigen Form: Soluble
hypersensitivity reactions ... lgM antibodies bind ... Acute transfusion reaction ... hypersensitivity #reactions ... classification #comparison
Simplifying Mechanical Ventilation - Modes of Mechanical Ventilation - Comparison Table

You now know many modes whether
Ventilation - Comparison ... #Management #CriticalCare ... Variables #Breaths #Comparison
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Phenylephrine • Ino-Constrictors ... , Dopamine • Ino-Dilators ... inopressors #diagnosis #management ... #comparison #table
Vasopressors Demystified

Shock comes in many flavors and so do vasopressors. Here’s a OnePager summarizing my approach
Vasopressors #Basics #CriticalCare ... #Management #Pharmacology ... #Comparison #Inotropes
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
syndrome, infusion reactions ... Diagnosis #table #comparison ... #criticalcare
Pressors and Inotropes

Norepinephrine
 • alpha1 > beta 1
 • Increase SVR > Inotropy
Vasopressin
 • V1
 •
Pressors #Inotropes #criticalcare ... #pharmacology #comparison ... #shock #management
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors #Inotropes #management ... #criticalcare # ... summary #comparison
THROMBOELASTOGRAPHY (TEG)
General Principle
• A small cuvette is rotated to simulate sluggish venous flow and stimulate clot
numbers • R - reaction ... Thromboelastography #Diagnosis #Management ... #CriticalCare #
Overview of Ventilator Modes
VC - Volume Control (a.k.a. assist control volume)
 - Every breath delivered (mandatory
#Ventilation #CriticalCare ... #Comparison #Management