15 results
Confirmation that central line is placed on the venous side by visualizing echogenic air bubbles in
echogenic air bubbles ... in right atrium ... Echocardiogram #POCUS ... #Clinical #criticalcare ... #S4C
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
CONSIDER: a trial ... Society of Critical ... #schema #criticalcare ... #hypoxia #failure ... #algorithm #survivingsepsis
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
and Management ... shunt (Type 2) Clinical ... injected agitated saline ... cycles after right atrial ... blood gas (ABC)
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
-Serial evaluation ... the patient's diagnosis ... pneumonia vs. heart failure ... #Management #CriticalCare ... RespiratorySupport #Selection #Algorithm
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Effect in Right Atrium ... opacification by agitated saline ... #cardiology #clinical ... echocardiogram #s4c ... #pocus #bubble
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
causing heart failure ... • Aggressive management ... Internet Book of Critical ... Endocarditis #checklist #criticalcare ... #diagnosis #management
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
ICU Liberation Bundle ... will vary with clinical ... bradycardia. renal/liver failure ... Delirium #PAD #ICU #CriticalCare ... #diagnosis #management
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
Proning is a front-line ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure ... #algorithm
The crusade against “Ab”Normal Saline continues.  This is a non-physiologic fluid that can harm our
against “Ab”Normal Saline ... this post will focus ... risk of renal failure ... #foamed #criticalcare ... #management #diagnosis
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
you see on this saline ... Early transit of bubbles ... as RAP>LAP as atrial ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary