38 results
Original ARDSNet Mechanical Ventilation Protocol

Acute Respiratory Distress Syndrome Network (ARDSNet)

NIH NHLBI ARDS Clinical Network 

#Management #CriticalCare
Ventilation Protocol Acute ... Respiratory Distress Syndrome ... Clinical Network #Management ... #CriticalCare # ... : Marino's The ICU
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver ... • Obstructive: Pulmonary ... Abdominal compartment syndrome ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
• Drugs • ICP ... blocking agent • Shock ... Hyperkalemia Pulmonary ... Heart block Medications ... Chagas disease • Acute
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... Insufficiency, Liver ... Failure, Toxins/Medications ... , CVP > 12 • Pulmonary ... Diagnosis #Types #criticalcare
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... common in OR; in MICU ... Vasopressors #Inotropes #management ... #criticalcare # ... #pharmacology #indications
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... - Indications ... - 2% risk of ICH ... Treatment #AcutePE #Management ... #CriticalCare
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
CCB, BB, BRASH syndrome ... Cardiac Tamponade, Pulmonary ... cytokine release syndrome ... neuraxial anesthesia), Liver ... guyton #curves #criticalcare
Airway Pressure Release Ventilation (APRV) - Early application of airway pressure release ventilation may reduce the
ventilation in acute ... respiratory distress syndrome ... ventilation and ICU ... VisualAbstract #Pulmonary ... #EBM #CriticalCare
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
insufficiency, acute ... failure from massive pulmonary ... embolism or severe pulmonary ... types #diagnosis #management ... #criticalcare #
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... and/or digoxin level ... drained if causing acute ... treatment for acute ... HeartFailure #Cardiology #Management