11 results
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
, inflammatory lung ... injury, leading ... objective assessment“ (e.g ... Summary #CheatSheet #Diagnosis ... #Management #CriticalCare
In ARDS, we know that the lungs are so diffusely injured that the remaining total area
In ARDS, we know ... , lung injury may ... pathophysiology #diagnosis ... #management #ards ... #foamed #criticalcare
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
- Differential Diagnosis ... level <100 pg/ml EKG ... distress syndrome (ARDS ... lung injury (TRALI ... #differential #diagnosis
Amiodarone Induced Lung Toxicity Summary

Who?
• 5% of patients
• Dose ≥ 400 mg per day

How?  Possible
injury • Indirect ... organizing pneumonia, ARDS ... toxicity (e.g., ... Chronic toxicity (e.g ... #management #Toxicology
Neuromuscular Blockade (Paralytics) and Monitoring

Neuromuscular blockade caring for patients with severe ARDS and may reduce mortality.
patient induced lung ... injury (e.g. double-stacking ... Monitoring: • EEG ... Monitoring - Use EEG ... #ARDS #management
The Berlin Definition of Acute Respiratory Distress Syndrome (ARDS)

Chest imaging - Bilateral opacities—not fully explained by
effusions, lobar/lung ... objective assessment (eg ... >= 5cm H2O #Diagnosis ... #CriticalCare # ... ARDS #Acute #Respiratory
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... Culture (+): Acute ... Septic Emboli Cause Injury ... ↑ ESR, CRP • EKG ... #management #cardiology
TRALI Diagnostic Criteria
TRALI type 1 - Patients who have no risk factors for ARDS and meet
TRALI Diagnostic ... Acute onset, Hypoxemia ... edema on imaging (eg ... evidence of left atrial ... Criteria #pulmonary #criticalcare
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... unless prior heart/lung ... CARP, DECREASE V trials ... stratification #diagnosis
Blood Product Transfusions One Pager Summary
Type and screen - determines blood type and detects in recipient
in recipient (e.g ... Lung Injury (TRALI ... TRALI resembles ARDS ... #Transfusions #diagnosis ... #management #hematology