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Pearls on Intensive Care Medicine Practice - Project "Critical Care A Day"
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Pearls on Intensive Care Medicine Practice - Project "Critical Care A Day"
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icuroom.net Archive
http://icuroom-futurearchive2.blogspot.com/2015/07/q-what-is-111-approach-in-patients-may.html
Pearls on Intensive Care Medicine Practice. Friday, July 24, 2015. What is the "1:1:1 approach" in trauma patients who may require massive transfusion. Studies have shown that patients who have sustained severe trauma and may require massive transfusion do better if they receive a 1:1:1 ratio of FFP to platelets to RBCs. At the outset of resuscitation. Patients with 1:1:1 transfusion strategy are more likely to have adequate hemostasis and fewer exsanguination deaths at 24 hours. 5 de Biasi AR, Stansbury...
icuroom.net Archive
http://icuroom-futurearchive2.blogspot.com/2015/08/q-58-year-old-male-admitted-to-icu-with.html
Pearls on Intensive Care Medicine Practice. Saturday, August 1, 2015. 58 year old male admitted to ICU with acute Cholecystitis. CT scan of abdomen showed additional finding of infra-rena. L Abdominal Aortic Aneurysm with diameter of 5 cm. In asymptomatic patients, what is the usual cut-off point to consider surgical intervention in AAA? Ervation for asymptomatic AAA 5.5 cm in diameter. For female gender, a lower threshold of 5 cm is also recommended. Posted by ICU room Pearls. Asst Prof. of Medicine.
icuroom.net Archive
http://icuroom-futurearchive2.blogspot.com/2015/08/q-in-acute-pancreatitis-which-ivf-is.html
Pearls on Intensive Care Medicine Practice. Thursday, August 6, 2015. In acute Pancreatitis which IVF is preferred? Though evidence is weak but at least one small study of 40 patients showed that fluid resuscitation with lactated Ringer's in acute pancreatitis may be more beneficial. Patients who received lactated Rin. Posted by ICU room Pearls. Subscribe to: Post Comments (Atom). Iqbal Ratnani MD, FCCP, FCCM. DeBakey Heart and Vascular Center,. Asst Prof. of Medicine. In Clinical Anesthesiology,.
icuroom.net Archive
http://icuroom-futurearchive2.blogspot.com/2015/08/q-2-3-year-old-male-presented-to-er.html
Pearls on Intensive Care Medicine Practice. Sunday, August 9, 2015. 3 year old male presented to ER with shortness of breath. Patient history is significant with mediastinal mass and had radiation and chemotherapy 2 months ago. Following is the CXR. What is your probable diagnosis? Radiation Pneumonitis occurs at dose beyond. 4500 rads and is likely to happen if dose. 6000 R for duration of 5-6 weeks. C. Oncurrent or later chemotherapy increases the risk. It starts with e. Xudative phase, progress to o.
icuroom.net Archive
http://icuroom-futurearchive2.blogspot.com/2015/07/classification-of-pulmonary.html
Pearls on Intensive Care Medicine Practice. Wednesday, July 29, 2015. Classification of Pulmonary Hypertension (PH). The World Health Organization (WHO) classifies patients with PH into five groups based upon etiology - and may carry different management plan due to. Underlying cause of the PH. 8212; Patients with group 2 have PH secondary to left heart disease including valvular heart disease. This requires underlying cardiac disease management. Upplemental oxygen may be a mainstay of treatment. Subscri...
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Previous Pearls 2011
http://iqbalratnani.tripod.com/id68.html
CRITICAL CARE A DAY". Kindle download - previous pearls. Related Critical Care sites. Email / Contribute / Feedback. About us / Editorial team. Pearls from - January 2011. Pearls from - February 2011. Pearls from - March 2011. Pearls from - April 2011. Pearls from - May 2011. Pearls from - June 2011. Pearls from - July 2011. Pearls from - August 2011. Pearls from - September 2011. Pearls from - October 2011. Pearls from - November 2011. Pearls from - December 2011.
Previous Pearls 2011
http://www.icuroom.net/id68.html
CRITICAL CARE A DAY". Kindle download - previous pearls. Related Critical Care sites. Email / Contribute / Feedback. About us / Editorial team. Pearls from - January 2011. Pearls from - February 2011. Pearls from - March 2011. Pearls from - April 2011. Pearls from - May 2011. Pearls from - June 2011. Pearls from - July 2011. Pearls from - August 2011. Pearls from - September 2011. Pearls from - October 2011. Pearls from - November 2011. Pearls from - December 2011.
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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...
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.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 ...
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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...
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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...
icuroom.net - June, 2009 Archive
Icuroom.net - June, 2009 Archive. Tuesday, June 30, 2009. Tuesday June 30, 2009. Gastrointestinal Beriberi: A Previously Unrecognized Syndrome. I read your recent pearl about thiamine and lactic acidosis (. I have attached another pearl about this which talks about the high Sv02 seen in such cases. Recently, I actually saw two cases of this and both improved after I gave 100 mg of IV thiamine. Tony Halat, MD. Clinical Instructor in Medicine. Department of Medicine, The Methodist Hospital. 52 year old mal...
icuroom.net May 2009 Archive
Icuroom.net May 2009 Archive. Sunday, May 31, 2009. Sunday May 31, 2009. Give atleast one advantage and disadvantage of Chlorhexidine as an antiseptic? Chlorhexidine has good residual activity with more than 6 hours once applied. But it has very poor activity against gram-negative bacilli and fungi. Chlohexidine is recommended as an antiseptic before any procedure due to presence of gram-positive (staph. Epidermis) on skin (90%). Posted by ICU room Pearls. Saturday, May 30, 2009. Saturday May 30, 2009.
icuroom-november-2008.blogspot.com
icuroom.net November 2008 Archive
Icuroom.net November 2008 Archive. Sunday, November 30, 2008. Sunday November 30, 2008. Embolization of Cerebral Aneurysm. Posted by ICU room Pearls. Saturday, November 29, 2008. Saturday November 29, 2008. Emerging literature in Critical Care nutrition shows that Glutamine supplement improves survival from Multi Organ Failure. Low plasma glutamine has been shown to be an independent predictive factor for a poor outcome. Glutamine is linked to improved immune function and fewer infections. Glutamine in t...
October 2010 Archive
Archive of Critical Care pearls from www.icuroom.net. Sunday, October 31, 2010. 54 year old male is in ICU after Traumatic Brain Injury. Follow up CT scan shows cerebral edema. Resident ordered Mannitol. After 4 doses of Mannitol patient oxygen requirement on ventilator increased and CXR shows pulmonary edema. Resident ask you: If we are using mannitol to relieve cerebral edema than why does it cause the pulmonary edema? Posted by ICU room Pearls. Saturday, October 30, 2010. RESULTS: We analyzed 396 pati...
icuroom-pearls-0806.blogspot.com
icuroom pearls - August 2006
Icuroom pearls - August 2006. Thursday August 31, 2006. As you are reviewing the labs from patient, you noticed a note at the end of UA (urinalysis) - Ictotest positive. Do you know what is Ictotest? Test should be performed on fresh urine specimen and specimen should be protected from excessive light exposure. On standing, bilirubin is oxidized to biliverdin and may not react with diazonium salt tablet. Presence of Pyridium in urine may give a false positive Ictotest. Posted by ICU room Pearls @ 10:47 PM.
