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October 2010 Archive

Archive of Critical Care pearls from www.icuroom.net

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October 2010 Archive | icuroom-oct-10.blogspot.com Reviews
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Archive of Critical Care pearls from www.icuroom.net
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answer,no comments,email this,blogthis,share to twitter,share to facebook,share to pinterest,caution,picture diagnosis,a true,b false,false,c discontinue warfarin,on therapeutic hypothermia,about 7%,be feveer,major,minor,f = fever,v = vascular,findings
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October 2010 Archive | icuroom-oct-10.blogspot.com Reviews

https://icuroom-oct-10.blogspot.com

Archive of Critical Care pearls from www.icuroom.net

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icuroom-oct-10.blogspot.com icuroom-oct-10.blogspot.com
1

October 2010 Archive

http://icuroom-oct-10.blogspot.com/2010/10/q-54-year-old-male-is-in-icu-after.html

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. Subscribe to: Post Comments (Atom). Iqbal Ratnani M.D.

2

October 2010 Archive

http://icuroom-oct-10.blogspot.com/2010/10/mnemonics-for-infective-endocarditis.html

Archive of Critical Care pearls from www.icuroom.net. Friday, October 22, 2010. Mnemonics for Infective endocarditis Duke criteria. Blood culture ve more than 2 times 12 hours part. E = Endocardial involvement from Echo. Echo findings (not fulfilling a major). E = Evidences microbiological. E = Evidences immunological *2. R = Risk factors/predisposing factors - drug abuse, valvular diseases. Clinical criteria for infective endocarditis requires:. Two major criteria, or. Posted by ICU room Pearls.

3

October 2010 Archive

http://icuroom-oct-10.blogspot.com/2010/10/on-therapeutic-hypothermia-q-how-much.html

Archive of Critical Care pearls from www.icuroom.net. Saturday, October 23, 2010. How much cerebral metabolism goes down with reduction of each 1*C? Posted by ICU room Pearls. Subscribe to: Post Comments (Atom). Iqbal Ratnani M.D. DeBakey Heart and Vascular Center, Houston, Texas. Asst Prof. of Medicine. In Clinical Anesthesiology,. Weill Medical College,. Picture Window theme. Powered by Blogger.

4

October 2010 Archive

http://icuroom-oct-10.blogspot.com/2010/10/mechanical-avr-lower-inr-background.html

Archive of Critical Care pearls from www.icuroom.net. Saturday, October 30, 2010. Mechanical AVR - Lower the INR? RESULTS: We analyzed 396 patients (197 in the LOW-INR group and 199 in the CONVENTIONAL-INR group). The mean of INR was 1.94 /- 0.21 and 2.61 /- 0.25 in the LOW-INR and CONVENTIONAL-INR groups, respectively (P less than .001). One versus three thromboembolic events occurred in the LOW-INR and CONVENTIONAL-INR, respectively, meeting the noninferiority criterion (P = .62). LOWERing the INtensit...

5

October 2010 Archive

http://icuroom-oct-10.blogspot.com/2010/10/q-54-year-old-male-is-admitted-to-icu.html

Archive of Critical Care pearls from www.icuroom.net. Saturday, October 16, 2010. 54 year old male is admitted to ICU with Acute renal failure and diagnosed with Adult Polycystic Kidney Disease (ADPKD). 3 hours after his first hemodialysis session patient complains of severe headache. What would be your major concern? Approximately 10% of patients with ADPKD die of a ruptured, intracranial berry aneurysm. Patients also may develop hepatic cysts, pancreatic cysts, splenic cysts and pulmonary cysts.

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Previous Pearls 2010

http://iqbalratnani.tripod.com/id67.html

CRITICAL CARE A DAY". Kindle download - previous pearls. Related Critical Care sites. Email / Contribute / Feedback. About us / Editorial team. Pearls from - January 2010. Pearls from - February 2010. Pearls from - March 2010. Pearls from - April 2010. Pearls from - May 2010. Pearls from - June 2010. Pearls from - July 2010. Pearls from - August 2010. Pearls from - September 2010. Pearls from - October 2010. Pearls from - November 2010. Pearls from - December 2010.

icuroom.net icuroom.net

Previous Pearls 2010

http://www.icuroom.net/id67.html

CRITICAL CARE A DAY". Kindle download - previous pearls. Related Critical Care sites. Email / Contribute / Feedback. About us / Editorial team. Pearls from - January 2010. Pearls from - February 2010. Pearls from - March 2010. Pearls from - April 2010. Pearls from - May 2010. Pearls from - June 2010. Pearls from - July 2010. Pearls from - August 2010. Pearls from - September 2010. Pearls from - October 2010. Pearls from - November 2010. Pearls from - December 2010.

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OTHER SITES

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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...

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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...

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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-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 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-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.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.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...

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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...

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Icuroom-pearls

Saturday, July 01, 2006. 6References: (click to get abstrat/article)1. Comparison of Fondaparinux and Enoxaparin in Acute Coronary Syndromes. Volume 354:1464-1476, NEJM, April 6, 20062. Oasis 5. Clinicaltrials.gov3. Therapy for Patients with Acute Coronary Syndromes - New Opportunities. Volume 354:1524-1527, NEJM April 6, 20064. Effects of Fondaparinux on Mortality and Reinfarction in Patients With Acute ST-Segment Elevation Myocardial Infarction. Neth J Med 2005 May;63(5):1846. Sunday, April 09, 2006.