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Managing Pain, Anxiety and Delirium in the ICU

Nick Mark MD @nickmmark

#Pain #Anxiety #Delirium #CriticalCare #Comparison #Management
Pain, Anxiety and Delirium ... in the ICU Nick ... #CriticalCare # ... Comparison #Management ... #Diagnosis #ICU
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Agitation, and Delirium ... Awakening Trial (SAT ... Breathing Trial (SBT ... #PAD #ICU #CriticalCare ... #diagnosis #management
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
for Treatment of Delirium ... in the ICU Remove ... - Review the medication ... #Management #Treatment ... #MICU #CriticalCare
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 • Decrease demand — correct metabolic
the Ventilator - Algorithm ... • Optimize mechanics ... - sit patient up ... #Extubation #CriticalCare ... #Management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
High CO / Low SVR ... Failure, Toxins/Medications ... Differential #Diagnosis #criticalcare ... #algorithm #treatment ... #management
Overview of Ventilator Modes
VC - Volume Control (a.k.a. assist control volume)
 - Every breath delivered (mandatory
triggered ) is a set ... pressure (IP) for a set ... #Ventilation #CriticalCare ... #Comparison #Management ... #Mechanical
Mechanical Ventilation: The Basics
In the most basic sense, ventilator modes are defined by their control variable
Mechanical Ventilation ... with the full set ... pressure for set ... Basics #Modes #Comparison ... #management #criticalcare
Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 • Anticipate difficult airway management and
to the i-STAR Algorithm ... difficult airway management ... haemodynamic impairment Set ... patients #iSTAR #Algorithm ... #CriticalCare
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
common in OR; in MICU ... Vasopressors #Inotropes #management ... #criticalcare # ... summary #comparison ... #pharmacology #indications
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
• Typically set ... ideal) Invasive Mechanical ... support #COVID19 #management ... #schema #criticalcare ... hypoxia #failure #algorithm