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

An acute diffuse, inflammatory lung injury, leading to
injury, leading ... Berlin criteria ... 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
Overview of approach to brain death

Pursuing a diagnosis of brain death too early may lead to
patient should focus ... a mechanism of injury ... death (e.g. cardiac ... death (e.g. herniation ... #Diagnosis #CriticalCare
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... when possible (eg ... dysrhythmias (eg ... reverse the insult (eg ... #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 ... Transfusion-related acute lung ... edema (Traumatic brain
The Berlin Definition of Acute Respiratory Distress Syndrome (ARDS)

Chest imaging - Bilateral opacities—not fully explained by
The Berlin Definition ... effusions, lobar/lung ... objective assessment (eg ... >= 5cm H2O #Diagnosis ... #CriticalCare #
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
Amiodarone Induced Lung Toxicity Summary

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

How?  Possible
injury • Indirect ... organizing pneumonia, ARDS ... Acute toxicity (e.g ... Chronic toxicity (e.g ... #management #Toxicology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... Libman Sacks) • Atrial ... Septic Emboli Cause Injury ... ↑ ESR, CRP • EKG ... #management #cardiology
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