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
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-june2009.blogspot.com
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-may09.blogspot.com
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...
icuroom-oct-10.blogspot.com
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.
icuroom-pearls-december-2006.blogspot.com
Icuroom pearls - December 2006
Icuroom pearls - December 2006. Sunday, December 31, 2006. Sunday December 31, 2006. Lim and colleagues have designed a score called CURB-65 to rate mortality in community acquired pneumonia (CAP) - based on information available at initial hospital assessment. Give one point each for following values. Urea (BUN) if more than 20 mg/dl (7 mmol/l). Respiratory rate if more than / = 30/min,. BP if SBP less than 90 or DBP less than/= 60,. If age more than / = 65 years. With score 2 expected mortality is 13%,.
icuroom-pearls-november-2006.blogspot.com
Icuroom pearls - November 2006
Icuroom pearls - November 2006. Nov 1, 2006. Nov 2, 2006. Nov 3, 2006. Nov 4, 2006. Nov 5, 2006. Nov 6, 2006. Nov 7, 2006. Nov 8, 2006. Nov 9, 2006. Nov 10, 2006. Nov 11, 2006. Nov 12, 2006. Nov 13, 2006. Nov 14, 2006. Nov 16, 2006. Nov 17, 2006. Nov 18, 2006. Nov 19, 2006. Nov 20, 2006. Nov 21, 2006. Nov 22, 2006. Nov 23, 2006. Nov 24, 2006. Nov 25, 2006. Nov 26, 2006. Nov 28, 2006. Nov 29, 2006. Nov 30, 2006. Thursday, November 30, 2006. Thursday November 30, 2006. Let him stay overnight! Impact of int...
icuroom-pearls.blogspot.com
ICU room Pearls
Archive of www.icuroom.net. Tuesday, December 19, 2006. Tuesday December 19, 2006. Today we will take a little break to share this important statement:. And as you accept this as your right, you move further from your patients, even as you penetrate more meticulously and more confidently into their lives.". Perri Klass, M.D. Read more about Dr. Klass. Posted by ICU room Pearls. Monday, August 21, 2006. Monday August 21, 2006. Total dose should be administered over a period not less than 1 hour via centra...
