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ICU room Pearls

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ICU room Pearls | icuroom-pearls.blogspot.com Reviews
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ICU room Pearls | icuroom-pearls.blogspot.com Reviews

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1

ICU room Pearls

http://icuroom-pearls.blogspot.com/2006/01/saturday-january-21-2006-noise-level.html

Archive of www.icuroom.net. Friday, January 20, 2006. Saturday January 21, 2006. Noise level in ICU! Unnecessary noise in ICU can mask vital alarms, verbal communications and may be an unseen added cause of mental stress for staff itself. There are 2 kinds of noise in ICU - one you can't control like "ventilator and IV pump alarms" and other you can modify like "conversations and TV". One interesting and landmark work was done by Kahn and coll. which showed that:. References: click to get abstrat/article.

2

ICU room Pearls: SC CVC in IJ

http://icuroom-pearls.blogspot.com/2006/07/sc-cvc-in-ij.html

Archive of www.icuroom.net. Friday, July 14, 2006. SC CVC in IJ. Friday July 14, 2006. If SC central line ends up in IJ vein? It is always a possibility that central venous catheter placed in subclavian (SC) vein may take path upward and travel in internal jugular (IJ) vein. Incidence is about 5.4% and does not vary with side of insertion or with the head position during the procedure. First 2 preventive measures,. Internal Jugular Vein Occlusion Test. Flush about 3 -5 cc of saline and put your sthethosc...

3

ICU room Pearls

http://icuroom-pearls.blogspot.com/2005/10/sunday-october-30-2005-back-to-basics.html

Archive of www.icuroom.net. Sunday, October 30, 2005. Sunday October 30, 2005. Back to Basics - essential trace elements. Importance of seven essential trace elements is relatively way higher in ICUs due to hypermetabolic state of patients. Being an intensivist it is important to have some know how of them. Except for iron and iodine all others need to be provided with enteral and parentral formulae to satisfy atleast their RDA. Necessary for normal glucose utilization. Part of Ca /phos metabolism. 5 EAR...

4

ICU room Pearls: Cuff leak test

http://icuroom-pearls.blogspot.com/2006/03/cuff-leak-test.html

Archive of www.icuroom.net. Tuesday, March 28, 2006. Tuesday March 28, 2006. Cuff leak test - to anticipate post-extubation stridor. There are atleast 3 common ways to do cuff leak test to anticipate postextubation stridor but none has been really tested in a big scientific randomized trial. And literature is full of conflicting studies. Bedside crude method: Deflate the cuff, /- occlude the ETT and put your hand at mouth to feel exhaled air. (isn't it brutal? Some other methods like laryngeal ultrasound...

5

ICU room Pearls: Rule of 20s

http://icuroom-pearls.blogspot.com/2006/04/rule-of-20s.html

Archive of www.icuroom.net. Sunday, April 16, 2006. Monday April 17, 2006. Progressive rule of 20s. What is "progressive rule of 20s" during Pulmonary Artery Catheter insertion? During Pulmonary Artery catheter insertion from Right Internal Jugular approach:. Right atrium (or SVC) should be entered within 20 cm from skin. Right ventricle should be entered within 40 cm from skin. Pulmonary artery should be entered within 60 cm from skin. Procedure Tip - Does that waveform look ‘wedged’?

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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...

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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...

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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.

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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%,.

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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.

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Related Critical Care sites. Ethics / End of life care. Toxicology / Drug overdose. Email / Contribute / Feedback. About us / Editorial team. CRITICAL CARE A DAY". Sunday August 9, 2015. Q: 2 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. This site is a...

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icuroom.net pearls - October 2006

Icuroom.net pearls - October 2006. Tuesday, October 31, 2006. Tuesday October 31, 2006. Hyperchloremic acidosis is common in ICU patients secondary to IVF boluses with 0.9 NS and usually get ignored unless it becomes critical as we all take it as a benign phenomenon. But is it? In group 1 lactated Ringer solution was given. In group 2 an IV infusion of 0.1 N HCl given to reduce the standard base excess (SBE) by 5 to 10 mEq/L. Clinical significance / Editors' note:. In camparison to surgical ICUs, medical...

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icuroom.net April 2010 Archive

Icuroom.net April 2010 Archive. Friday, April 30, 2010. Friday April 30, 2010. Treatment of TB by inducing Artificial Pneumothorax. To determine the usefulness of artificial pneumothorax (AP) in the management of pulmonary tuberculosis (PTB) patients when anti-tuberculosis treatment is ineffective. Culture negativity was achieved in patients treated with AP in all new cases and in 81.1% of retreatment cases. Cavity closure occurred in 94.6% and 67.9% respectively. Posted by ICU room Pearls. A- lines not ...

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August 2011 Archive

Archive of Critical Care Medicine Website icuroom.net. Wednesday, August 31, 2011. Apixaban Beat Warfarin Regardless of Warfarin-Treatment Quality. Apixaban treatment produced better outcomes in atrial fibrillation patients compared with warfarin in the ARISTOTLE trial, regardless of the quality of warfarin treatment the comparator patients received, raising the possibility that all atrial fibrillation patients might benefit by switching from warfarin to apixaban. From Family Practice News). Studies have...