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August 2008 Archive

Sunday, August 31, 2008. Sunday August 31, 2008. Venous Air Embolism - VAE - immediate maneuvers. If Venous Air Embolism is suspected during line procedure with symptoms of sudden occurrence of cardiopulmonary dysfunction like hypotension, hypoxia or churning murmur over left sternal border ( "millwheel murmur" ) - following 7 steps are essential:. 1 Clamp the line (do not withdraw) - to prevent further air. 3 Place patient in Trendelenburg position - to help air trap in the apex of the ventricle. Very i...

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August 2008 Archive | icuroom-0808.blogspot.com Reviews
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Sunday, August 31, 2008. Sunday August 31, 2008. Venous Air Embolism - VAE - immediate maneuvers. If Venous Air Embolism is suspected during line procedure with symptoms of sudden occurrence of cardiopulmonary dysfunction like hypotension, hypoxia or churning murmur over left sternal border ( millwheel murmur ) - following 7 steps are essential:. 1 Clamp the line (do not withdraw) - to prevent further air. 3 Place patient in Trendelenburg position - to help air trap in the apex of the ventricle. Very i...
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1 venous air embolism
2 emedicine com
3 gas embolism
4 no comments
5 results
6 conclusion
7 propylene glycol
8 srmd and pud
9 srmd
10 vasoconstrictor extravasation
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venous air embolism,emedicine com,gas embolism,no comments,results,conclusion,propylene glycol,srmd and pud,srmd,vasoconstrictor extravasation,mechanism of action,lhscon ca,treating extravasation injuries,extravasation org,related previous pearls,methods
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August 2008 Archive | icuroom-0808.blogspot.com Reviews

https://icuroom-0808.blogspot.com

Sunday, August 31, 2008. Sunday August 31, 2008. Venous Air Embolism - VAE - immediate maneuvers. If Venous Air Embolism is suspected during line procedure with symptoms of sudden occurrence of cardiopulmonary dysfunction like hypotension, hypoxia or churning murmur over left sternal border ( "millwheel murmur" ) - following 7 steps are essential:. 1 Clamp the line (do not withdraw) - to prevent further air. 3 Place patient in Trendelenburg position - to help air trap in the apex of the ventricle. Very i...

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icuroom-0808.blogspot.com icuroom-0808.blogspot.com
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August 2008 Archive icuroom.net

http://icuroom-0808.blogspot.com/2008/08/friday-august-29-2008-propylene-glycol.html

August 2008 Archive icuroom.net. Friday, August 29, 2008. Friday August 29, 2008. Being an intensivist it is imperative to understand the dangers of propylene glycol in ICU particularly with Lorazepam drip. Risks are too high if drip is continued beyond 48 hours and dose more than 10 mg/hr. Any unexplained high anion gap metabolic acidosis with elevated osmol gap, should prompt the diagnosis of propylene gylcol toxicity. It may also cause CNS depression, arrhythmias and renal dysfuntion.

2

August 2008 Archive icuroom.net

http://icuroom-0808.blogspot.com/2008/08/friday-august-22-2008-case-52-year-old.html

August 2008 Archive icuroom.net. Friday, August 22, 2008. Friday August 22, 2008. 52 year old home bound male with chronic history of seizure presented with hyperreflexia, confusion and nystagmus. You are worried about phenytoin toxicity but level is reported as 18 mcg/mL (normal is 10-20 mcg/mL). You secure ABC (airway, breathing and circulation). You start treating patient with IV Lorazepam. What should be your next step? Check free phenytoin level. Corrected Dilantin = measured level / [ (0.1 x al...

3

August 2008 Archive icuroom.net: 08/19/08

http://icuroom-0808.blogspot.com/2008_08_19_archive.html

August 2008 Archive icuroom.net. Tuesday, August 19, 2008. Tuesday August 19, 2008. Does Xigris help in ALI? See this interesting work done on sheeps. Acute lung injury (ALI) often complicates severe sepsis. Recombinant human activated protein C (rhAPC) - Xigris, with its anti-coagulant, anti-inflammatory, fibrinolytic and anti-apoptotic effects, reportedly reduces respirator-dependent days and mortality of patients with severe sepsis. One group received only LPS throughout (n = 8) and. Endotoxemia led t...

4

August 2008 Archive icuroom.net

http://icuroom-0808.blogspot.com/2008/08/saturday-august-23-2008-case-22-year.html

August 2008 Archive icuroom.net. Saturday, August 23, 2008. Saturday August 23, 2008. 22 year old male recently migrated from mexico, presented with seizure to ER. Following radiological imaging obtained. Your diagnosis? Posted by ICU room Pearls. Subscribe to: Post Comments (Atom). Http:/ www.icuroom.net. Iqbal Ratnani M.D. The Methodist Hospital,Houston, Texas. Asst Prof. of Med.,. In Clinical Anesthesiology,. Weill Med. Coll., Cornell Univ.

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August 2008 Archive icuroom.net

http://icuroom-0808.blogspot.com/2008/08/monday-august-18-2008-choice-of-first.html

August 2008 Archive icuroom.net. Monday, August 18, 2008. Monday August 18, 2008. Choice of first dose of antibiotic makes difference! A very important article from Barnes-Jewish Hospital, St. Louis, MO. To identify predictors of 30-day mortality and hospital costs in patients with ventilator-associated pneumonia (VAP) attributed to potentially antibiotic-resistant Gram-negative bacteria (PARGNB) [Pseudomonas aeruginosa, Acinetobacter species, and Stenotrophomonas maltophilia]. High rates of VAP attribut...

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Previous Pearls - 2008

http://iqbalratnani.tripod.com/id29.html

CRITICAL CARE A DAY". Kindle download - previous pearls. Related Critical Care sites. Email / Contribute / Feedback. About us / Editorial team. This is the most worthwhile part of whole website. Each pearl is followed with enough references which have been made linked directly to articles. Pearls from - January 2008. Pearls from - February 2008. Pearls from - March 2008. Pearls from - April 2008. Pearls from - May 2008. Pearls from June 2008. Pearls from July 2008. Pearls from August 2008.

icuroom.net icuroom.net

Previous Pearls - 2008

http://www.icuroom.net/id29.html

CRITICAL CARE A DAY". Kindle download - previous pearls. Related Critical Care sites. Email / Contribute / Feedback. About us / Editorial team. This is the most worthwhile part of whole website. Each pearl is followed with enough references which have been made linked directly to articles. Pearls from - January 2008. Pearls from - February 2008. Pearls from - March 2008. Pearls from - April 2008. Pearls from - May 2008. Pearls from June 2008. Pearls from July 2008. Pearls from August 2008.

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OTHER SITES

icuroom-01-11.blogspot.com icuroom-01-11.blogspot.com

January 2011 archive

Archive of www.icuroom.net. Monday, January 31, 2011. 52 year old male developed intracranial hemorrhage after receiving thrombolytic therapy for CVA. What is the treatment? Prepare for administration of 6 to 8 units of cryoprecipitate containing factor VIII. It is not a bad idea to also adminster 6 to 8 units of platelets. Posted by ICU room Pearls. Sunday, January 30, 2011. What is Delta-p value in extremity's Compartment syndrome? Posted by ICU room Pearls. Saturday, January 29, 2011. What is the equi...

icuroom-01-2010.blogspot.com icuroom-01-2010.blogspot.com

icuroom.net January 2010 Archive

Icuroom.net January 2010 Archive. Sunday, January 31, 2010. Sunday January 31, 2010. What is Osler-Weber-Rendu syndrome? Osler-Weber-Rendu syndrome is an inherited condition. People with this condition develop abnormal blood vessels called arteriovenous malformations (AVMs) in several areas of the body. If they are on the skin, they are called telangiectasias. The AVMs can also develop in other areas of the body, such as the brain, lungs, liver, or intestines. Posted by ICU room Pearls. Patients experien...

icuroom-02-2010.blogspot.com icuroom-02-2010.blogspot.com

icuroom.net February 2010 Archive

Icuroom.net February 2010 Archive. Sunday, February 28, 2010. Sunday February 28, 2010. Posted by ICU room Pearls. Saturday, February 27, 2010. Saturday February 27, 2010. Read interesting article from University of Calgary, Alberta, Canada :. Dialysis Disequilibrium Syndrome: Brain death following hemodialysis for metabolic acidosis and acute renal failure. A case report followed with discussion and different management modalities (Ref.: BMC Nephrol. 2004; 5: 9.). Posted by ICU room Pearls. CHF Hx = 1.

icuroom-04-2011.blogspot.com icuroom-04-2011.blogspot.com

icuroom.net April 2011 Archive

Icuroom.net April 2011 Archive. Saturday, April 30, 2011. Which lab is most reliable in following the effect of plasmapheresis in resolution of TTP (Thrombotic thrombocytopenic purpura)? Declining LDH level is a pretty good indicator that plasma exchange is working to treat TTP. Posted by ICU room Pearls. Friday, April 29, 2011. What is Fat Embolism Syndrome? Fat embolism syndrome usually occur 1-3 days after a traumatic injury and are predominantly. Pulmonary - shortness of breath, hypoxemia,. Hot as a ...

icuroom-07-20110.blogspot.com icuroom-07-20110.blogspot.com

icuroom.net July 2010 archive

Icuroom.net July 2010 archive. Saturday, July 31, 2010. Saturday July 31, 2010. Your nerdy ER doc called you to admit a 54 year old male with Mackler's triad. (Hint) Patient has previous history of alcohol abuse and perforated duodenal ulcer. What is Mackler's triad? Lower chest pain,. It is a classic presentation of esophageal rupture (Boerhaave's syndrome) but present only in few patients (14%). To note, the triad has been reported without esophageal perforation too. Posted by ICU room Pearls. 37 year ...

icuroom-0808.blogspot.com icuroom-0808.blogspot.com

August 2008 Archive

Sunday, August 31, 2008. Sunday August 31, 2008. Venous Air Embolism - VAE - immediate maneuvers. If Venous Air Embolism is suspected during line procedure with symptoms of sudden occurrence of cardiopulmonary dysfunction like hypotension, hypoxia or churning murmur over left sternal border ( "millwheel murmur" ) - following 7 steps are essential:. 1 Clamp the line (do not withdraw) - to prevent further air. 3 Place patient in Trendelenburg position - to help air trap in the apex of the ventricle. Very i...

icuroom-10-10.blogspot.com icuroom-10-10.blogspot.com

September' 2010 Archive

Archive of Critical Care pearls from icuroom.net. Thursday, September 30, 2010. Name at least 3 antibiotics/medicines which may be use as adjuvent in treament of C.diif. Colitis along with Flagyl or Vancomycin? Actually there are many antibiotics which have shown partial or full activity again C. Diff. To name few for use particularly in suspected resistant out breaks are. Cholestyramine (anion-exchange resin agents),. Posted by ICU room Pearls. Wednesday, September 29, 2010. Posted by ICU room Pearls.

icuroom-12-09.blogspot.com icuroom-12-09.blogspot.com

icuroom.net December 2009 Archive

Icuroom.net December 2009 Archive. Thursday, December 31, 2009. Th ursday December 31, 2009. Define chylothorax and describe different treatment modalities? Chylothorax is defined as triglycerides more than 113 mg/dl (1.24 mmol/L) in pleural cavity. Posted by ICU room Pearls. Wednesday, December 30, 2009. Wednesday December 30, 2009. 38 year male presented to ER with severe chest pain. Patient informed you that he carries the diagnosis of Loeys-Dietz syndrome. What is your concern? No previous study has ...

icuroom-december08.blogspot.com icuroom-december08.blogspot.com

December 2008 Archive

Wednesday, December 31, 2008. Wednesday December 31, 2008. What are the usual clues on chest X-ray to suggest subpulmonic effusions? Following few suggests subpulmonic effusions. Apparent elevation of the hemidiaphragm,. Lateral displacement of the dome of the diaphragm,. Increased distance between the apparent left hemidiaphragm and the gastric air bubble. With the patient imaged with their right side down (B), fluid flows by gravity out from under the diaphragm and layers along the chest wall. Drotreco...

icuroom-futurearchive2.blogspot.com icuroom-futurearchive2.blogspot.com

icupearls.org Archive

Pearls on Intensive Care Medicine Practice - Project "Critical Care A Day". Thursday, March 29, 2018. TBI patients and dialysis. Which of the following modality is preferred in hemodynamically stable patients with traumatic brain injury (TBI)? A) Intermittent Hemodialysis (HD). Renal Replacement Therapy (CRRT). Intermittent HD can harm patients with TBI via two mechanisms. 1 Rapid removal of urea causes a rapid shift of water to the intracellular space resulting in worsen cerebral edema. In ICU, high out...