57 results
Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 • Anticipate difficult airway management and
8 mL4(g in non-ARDS ... 5 cmH20 in non-ARDS ... and non-ARDS) ... minimal to keep PaO2 ... and non ARDS, no
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
A-a gradient = PAO2 ... - PaO2 A-a gradient ... (Patm - 47) - (PaCO2 ... Level) [150- (PaCO2 ... : Atelectasis, ARDS
PROSEVA definition of ARDS
Thus, the PROSEVA trial essentially modifies the Berlin definition of ARDS, with the
definition of ARDS ... definition of ARDS ... requirement that the PaO2 ... requires that the PaO2 ... #CriticalCare #ARDS
Understanding & Treating ARDS - Acute Respiratory Distress Syndrome

•  Timing - within one week of
Understanding & Treating ARDS ... Impaired Oxygenation PaO2 ... @nickmmark #ARDS
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Distress Syndrome (ARDS ... severity of the ARDS ... - 200 mm Hg < PaO2 ... - 100 mm Hg < PaO2 ... >= 5cm H2O #ARDS
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Distress Syndrome – ARDS ... on CT or CXR ● PaO2 ... sepsis-associated ARDS ... days after dx of ARDS ... RespiratoryDistress #Syndrome #ARDS
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
transfusion • Criteria: ARDS ... other cause of ARDS ... : 33% • Treatment ... : No • Treatment
Adjuvant therapies in critical care: steroids to treat infectious diseases
 - Severe Community Acquired Pneumonia
mechanical ventilation, ARDS ... Pharmacology #Management #Treatment
Hantavirus
Pathogen: Hantavirus - Rodents are the primary reservoir
Transmission:
 • Shed in the urine, feces, saliva of
Febrile illness + ARDS ... • Autopsy PCR Treatment ... diagnosis #management #treatment
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
pulmonary disease ARDS ... microbiology #diagnosis #treatment