11 results
Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 • Anticipate difficult airway management and
to the i-STAR Algorithm ... haemodynamic impairment Set ... ARDSnet low-PEEP table ... patients #iSTAR #Algorithm ... obese #Management #CriticalCare
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
Consider HFNC Not ... COVID19 #management #schema ... #criticalcare # ... hypoxia #failure ... #algorithm #survivingsepsis
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Norepinephrine (NE ... where ↑ HR is not ... Vasopressors #Inotropes #comparison ... #table #pharmacology ... #criticalcare
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
the disease and not ... COVID19 #management #schema ... #criticalcare # ... hypoxia #failure ... #algorithm
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
General schema for ... • Typically set ... #criticalcare # ... hypoxia #failure ... #algorithm
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
Berlin Criteria met ... other cause of ARDS ... CVP, left heart failure ... hematology #diagnosis #comparison ... #table
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Medications: K+, ACEi/ARBs ... /crush injury, ischemia ... - Renal Failure ... Elimination (see Table ... Definitive in ESRD or failure
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Decompensated Heart Failure ... This is not uncommon ... #differential #algorithm ... cardiology #treatment #table ... heartfailure #chf #criticalcare
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
risk of renal failure ... PULMONARY A vs B-LINE PATTERN ... predominant lung US pattern ... testing #diagnosis #criticalcare ... #comparison #challenges
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
are typically able ... cannot, coronary ischemia ... Cardiology may not ... #diagnosis #algorithm ... management #clinical #criticalcare