12 results
Managing Pain, Anxiety and Delirium in the ICU

Nick Mark MD @nickmmark

#Pain #Anxiety #Delirium #CriticalCare #Comparison #Management
Managing Pain, Anxiety ... Delirium in the ICU ... @nickmmark #Pain ... Anxiety #Delirium #CriticalCare ... #Comparison #Management
NSAIDs and GI versus CV risk

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#pharmacology #comparison #cardiology #gi #nsaids #pain #medications #management
#pharmacology #comparison ... #cardiology #gi ... #nsaids #pain # ... medications #management
Rich Levitan teaches the VAPORS pneumonic: a quick run-through of the main issues to sort prior
run-through of the main ... st mungo's - ED ... from Scotland #Management ... #CriticalCare # ... Resuscitation #Sequence #Intubation
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
generate larger VT ... CHF, decreases intubation ... COPD, decreases intubation ... #criticalcare # ... management
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Awakening Trial (SAT ... Breathing Trial (SBT ... to facilitate extubation ... #CriticalCare # ... diagnosis #management
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 • Decrease demand — correct metabolic
Setting up for extubation ... Optimize mechanics - sit ... reduce long lasting pain ... #CriticalCare # ... Management
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
Delirium in the ICU ... - Review the medication ... if uncontrolled pain ... Delirium #Checklist #Management ... #CriticalCare
ICU Pre-Rounding Bundle Checklist
VITALS: trends!
 • Important to know if the pt is getting better or
ICU Pre-Rounding ... goal (+/- CAM-ICU ... : what's their main ... Bundle #Checklist #CriticalCare ... #Management
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
from CHF, Chest Pain ... Administer sedative & pain ... medication. 3) ... #differential #management ... #cardiology
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