13 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
Mechanical Ventilation: The Basics
In the most basic sense, ventilator modes are defined by their control variable
sense, ventilator modes ... determined by the mode ... there are many modes ... #Comparison #management ... #criticalcare
Overview of Ventilator Modes
VC - Volume Control (a.k.a. assist control volume)
 - Every breath delivered (mandatory
of Ventilator Modes ... - Hybrid PC mode ... #Ventilator #Modes ... #Ventilation #CriticalCare ... #Comparison #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
potentially improving SV ... generate larger VT ... indication for 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
ICU Pre-Rounding Bundle Checklist
VITALS: trends!
 • Important to know if the pt is getting better or
ICU Pre-Rounding ... VENT: mode + settings ... : 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 ... Demand mode. ... Administer sedative & pain ... medication. 3) ... #differential #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