13 results
ICU Intubation - Severe Complication Rates

Optimise, don't compromise: peri-intubation physiology

- Dr. Steve Mathieu https://twitter.com/stevemathieu75 

#ICU #Intubation
ICU Intubation - ... Severe Complication ... stevemathieu75 #ICU ... #Intubation #Complications ... #Rates #EBM #Comparison
REVISE - Withholding Pantoprazole for Stress Ulcer Prophylaxis in Critically Ill Patients: A Pilot Randomized Clinical
Ill Patients: A Pilot ... #CriticalCare #ICU ... VisualAbstract #EBM
Central line myth #2: location, location, location 

By far the best data we have to guide
in 3027 adult ICU ... overall rates of complications ... The rates of complication ... pubmed/26398070 #EBM ... #Lines #Rates #Complications
Causes of Encephalopathy - Differential Diagnosis Algorithm
Hyperacute:
 - Primary Neurologic: Vascular (IS, ICH), Seizure, Migraine, Trauma
- Differential Diagnosis ... Algorithm Hyperacute ... Vascular (IS, ICH ... TB, parasitic, complications ... #Algorithm #Causes
Major Clinical Trials and Evidence Summary for Transfusion Thresholds in Critical Care

TRICC - NEJM 1999 -
- NEJM 1999 - ICU ... the deadliest complication ... /vmoitra) #EBM
Video Laryngoscopy vs Direct Laryngoscopy on Successful First-Pass Orotracheal Intubation Among ICU Patients

JAMA. 2017;317(5):483-493 https://jamanetwork.com/journals/jama/fullarticle/2598718

Conclusions: Among
Intubation Among ICU ... patients in the ICU ... life-threatening complications ... FirstPass #Success #EBM
Creatine Kinase - Causes of Elevated CK Levels
Acute CK Elevation (Pain > Weakness):
 • RHABDOMYOLYSIS
(COVID19, CMV/EBV ... Illness Myopathy (ICU ... #differential #diagnosis
Hemophagocytic Lymphohistiocytosis (HLH)
Pathophysiology: Triggering factor (infection,...)→Activation of CD8 T cells (IFN-y) → Excessive activation of macrophages
Auto-amplification loop Diagnosis ... Infections+++: Virus (EBV ... biologics (CMV +++, EBV ... of emergency, ICU ... Lymphohistiocytosis #diagnosis
More recently, Anvari 2015 analyzed abdominal pressures among 53 patients admitted to a medical ICU with
admitted to a medical ICU ... #EBM #Diagnosis
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
• Fever: hospitalized pts but
% if severe or ICU ... 28% -> Incr risk complications ... Evaluation #Guide #Diagnosis ... #Algorithm #Protocol