10 results
Managing Pain, Anxiety and Delirium in the ICU

Nick Mark MD @nickmmark

#Pain #Anxiety #Delirium #CriticalCare #Comparison #Management
Managing Pain, Anxiety ... and Delirium in ... the ICU Nick ... #CriticalCare # ... Comparison #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 ... #PAD #ICU #CriticalCare ... #diagnosis #management
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
analgesics - Delirium ... treatments - Delirium ... ) - Pain assessment ... PICS #diagnosis #management ... #criticalcare #
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
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
in the ICU Remove ... - Review the medication ... if uncontrolled pain ... #Management #Treatment ... #MICU #CriticalCare
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
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
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
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
Orthopedic Dressing Materials
1. Opsite - semi-permeable-thin, adhesive transparent polyurethrane film 
 • Indications: Superficial wounds as
evaporation, reduce pain ... debridement, thermal insulation ... wound bed, reduce pain ... Dressings #Materials #management ... #wound #comparison