1703 results
Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 • Anticipate difficult airway management and
5 cmH20 in non-ARDS ... Gradually lower Fi02 ... recruitment • FiO2 ... desaturation prioritise FiO2 ... IAP - 13)/2 in ARDS
PROSEVA definition of ARDS
Thus, the PROSEVA trial essentially modifies the Berlin definition of ARDS, with the
definition of ARDS ... definition of ARDS ... that the PaO2/FiO2 ... that the PaO2/FiO2 ... #CriticalCare #ARDS
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Distress Syndrome (ARDS ... severity of the ARDS ... mm Hg < PaO2 / FiO2 ... mm Hg < PaO2 / FiO2 ... >= 5cm H2O #ARDS
Understanding & Treating ARDS - Acute Respiratory Distress Syndrome

•  Timing - within one week of
Understanding & Treating ARDS ... Oxygenation PaO2/FiO2 ... @nickmmark #ARDS
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
A-a gradient = [FiO2 ... chest) • Low PiO2 ... Elevation, Low Fio2 ... : Atelectasis, ARDS
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Distress Syndrome – ARDS ... or CXR ● PaO2/FiO2 ... sepsis-associated ARDS ... days after dx of ARDS ... RespiratoryDistress #Syndrome #ARDS
Pronator Drift (Pyramidal Drift) on Physical Exam

Testing showed pronator drift on the left side in this
position of the arms ... Drift #Pyramidal #PhysicalExam ... #clinical #video
Wing-Beating Tremor of Wilson's Disease

Characterized by low frequency, high amplitude, near arm tremor caused by continuous
abduction of the arms ... Disease #clinical #video ... neurology #copper #physicalexam
Pemberton's Sign caused by a Retrosternal Thyroid Goiter

Elevating the arms causes the previously flat neck veins
Elevating the arms ... Thyroid #Goiter #PhysicalExam ... #clinical #video
Jaw Clonus on Physical Exam

A 24-year-old man presented with progressive dysphagia, dysarthria, and weakness in his
weakness in his arms ... #Jaw #Clonus #PhysicalExam ... #Clinical #Video