427 results
Coronary Artery Bypass Graft Visualized Intraoperatively - MICS CABG Surgery

- Rodrigo Ribeiro de Souza MD @rodrigo_md_1979

#Coronary
Intraoperatively - MICS ... thoracic #surgery #video ... #MICS #CABG
Asthma Maintenance Therapy - Stepwise Approach 

Low dose ICS 
-> Low dose ICS/LABA or Med/High dose
Approach Low dose ICS ... Med/High dose ICS ... -> High dose ICS ... Corticosteroids (ICS ... at a low dose ICS
First-line therapies for Asthma, Asthma-COPD Overlap and COPD

The diagnosis of COPD, asthma, and ACO initially requires
bronchodilator test ... required, specific tests ... and sensitivity tests ... first-line therapies is ... asthma-COPD overlap; ICS
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
Care Syndrome (PICS ... ) Symptoms of PICS ... RISK FACTORS - ICU ... screening (CAM-ICU ... IntensiveCare #Syndrome #PICS
Chart of Inhalers for Asthma and COPD
 - SABA - Short Acting Beta-2 Agonists
 - SAMA
Combination - ICS ... Combination - ICS ... Corticosteroid - ICS ... chart, this one is
Asthma GINA Guidelines 2019 
If Asthma is uncontrolled, first assess for adherence and inhaler technique -Then,
2019 If Asthma is ... then a low dose ICS ... then step up to ICS ... strength of the ICS ... recommending low dose ICS
Inhaled Corticosteroid Inhaler Strengths
Beclomethasone	Qvar	100-200	>200400	>400
Budesonide	Pulmicort	200-400	>400-800	>800
Ciclesonide	Alvesco	80-160	>160-320	>320
Fluticasone furoate	Arnuity Ellipta	100	n/a	200
Fluticasone dipropionate	Flovent	100-250	>250-500	>500
Mometasone fuorate	Asmanex	110-220	>220-440	>440

Asthma maintenance inhalers should always include an inhaled corticosteroid
corticosteroid (ICS ... step of therapy is ... overview of what ICS ... Corticosteroid #ICS
The 2019 Global Initiative for Asthma (GINA) treatment strategy figure for adults and adolescents, annotated to
ICS: inhaled corticosteroids ... long-acting β2-agonists; OCS
Pharmacologic treatment algorithms by Global Initiative for Chronic Obstructive Lung Disease grade. Highlighted boxes and arrows
further evaluation is ... long-acting β2-agonist; ICS ... GOLD2017 #LAMA #LABA #ICS
Myasthenia Gravis
Signs, Symptoms and Testing - Likelihood Ratios
Does this patient have myasthenia gravis?
JAMA. 2005 Apr 20;293(15):1906-14.
speaking - Sleep Test ... - Ice Test - ... Rest Test - Anticholinesterase ... Test - Quiver