34 results
Managing Pain, Anxiety and Delirium in the ICU

Nick Mark MD @nickmmark

#Pain #Anxiety #Delirium #CriticalCare #Comparison #Management
Delirium in the ICU ... Anxiety #Delirium #CriticalCare ... #Comparison #Management ... #Diagnosis #ICU
Disorders of the Hepatic and Mesenteric Circulation

Platelets in Cirrhosis
Hypercoagulability in Cirrhosis
Bleeding in Cirrhosis
Portal Vein Thrombosis (PVT)
Mesenteric
Cirrhosis Portal Vein Thrombosis ... Vein Thrombosis ... Syndrome (BCS) ... Gastroenterology #diagnosis ... #Management
Heparin Induced Thrombocytopenia (HIT) - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Plts ↓50% (nadir
and Management ... 5-10d, venous (DVT ... Factors: • SICU ... > MICU, ♀, ↑Age ... #Management #Treatment
Comparison - Serotonin Syndrome, Neuroleptic Malignant Syndrome, and Malignant Catatonia

- BWH Medicine Chiefs @BrighamChiefs

#Serotonin #Syndrome #Neuroleptic
Comparison - Serotonin ... Malignant Syndrome ... Catatonia #NMS #SS #comparison ... #diagnosis #management ... #treatment #table
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
Post-Intensive Care Syndrome ... guide targeted treatments ... IntensiveCare #Syndrome ... #PICS #diagnosis ... #management #criticalcare
Treatment of Thrombotic Thrombocytopenic Purpura (TTP)
Diagnosis of TTP:
 • Rare and severe, ADAMTS13 deficiency
 • Autoimmune
Treatment of Thrombotic ... Purpura (TTP) Diagnosis ... admission to the ICU ... soon as TTP is diagnosed ... Thrombocytopenic #Purpura #management
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism Treatment ... - 2% risk of ICH ... Pulmonary #Embolism #Treatment ... #AcutePE #Management ... #CriticalCare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
- Differential Diagnosis ... Abdominal compartment syndrome ... #criticalcare # ... algorithm #treatment ... #management
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
- Differential Diagnosis ... anaphylaxis, release syndrome ... #Differential #Diagnosis ... #table #comparison ... #criticalcare
Fever vs Hyperthermia
Fever:
 • Regulated in the hypothalamic thermoregulatory center
 • "Set point" raised by prostaglandin
Neuroleptic malignant syndrome ... ; Serotonin syndrome ... #Hyperthermia #comparison ... #diagnosis #management ... #treatment