1703 results
Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 • Anticipate difficult airway management and
6 mL'kg PBW in ARDS ... Gradually lower Fi02 ... and non-ARDS) ... recruitment • FiO2 ... desaturation prioritise FiO2
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
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
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
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