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#icurounds | Critical discussions on critical care | icurounds65.wordpress.com Reviews
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Critical discussions on critical care
Case 2 concluded: Hypoxemia | #icurounds
https://icurounds65.wordpress.com/2013/10/15/case-2-concluded-hypoxemia
Critical discussions on critical care. Case 2 concluded: Hypoxemia. October 15, 2013. Sincere apologies for the delay in this post. To summarize Case 2, we have a 50 year old woman with ovarian cancer who is extremely hypoxemic despite supplemental oxygen and positive pressure ventilation is being considered. I’d like to use this post to introduce a couple of other great #FOAMed resources. The questions to think about were. 1) What is your approach to undifferentiated hypoxemia? A recent post found here.
icurounds65 | #icurounds
https://icurounds65.wordpress.com/author/icurounds65
Critical discussions on critical care. Venous Access for Fluid Resuscitation – You don’t need a central line! November 7, 2013. Last week we asked, what venous access is the LEAST effective for fluid resuscitation? A 16G antecubital peripheral IV. C Medial port of a triple lumen central line. Before we get into the answer with some numbers to back it up; take a second t go back to undergrad physics. remember Poiseuille’s Law? Now thinking about our options:. Interestingly there are some numbers. The take...
September | 2013 | #icurounds
https://icurounds65.wordpress.com/2013/09
Critical discussions on critical care. Monthly Archives: September 2013. Case 2: Approaching hypoxemia. September 30, 2013. A 50 year old woman with a history of ovarian cancer presents with 3 days of worsening shortness of breath and a dry cough. You are called urgently to the emergency department for intubation and admission to the ICU. On arrival she is working hard to breath with a r espiratory rate of 40. Saturating 87% on a 100% non-rebreather. Her heart rate is 130 with a blood pressure of 170/90.
Case 2: Approaching hypoxemia.. | #icurounds
https://icurounds65.wordpress.com/2013/09/30/case-2-approaching-hypoxemia
Critical discussions on critical care. Case 2: Approaching hypoxemia. September 30, 2013. A 50 year old woman with a history of ovarian cancer presents with 3 days of worsening shortness of breath and a dry cough. You are called urgently to the emergency department for intubation and admission to the ICU. On arrival she is working hard to breath with a r espiratory rate of 40. Saturating 87% on a 100% non-rebreather. Her heart rate is 130 with a blood pressure of 170/90. Case 2 concluded: Hypoxemia.
#icurounds fundamentals – modes of ventilation | #icurounds
https://icurounds65.wordpress.com/2013/09/26/icurounds-fundamentals-modes-of-ventilation
Critical discussions on critical care. Icurounds fundamentals – modes of ventilation. September 26, 2013. One of the most intimidating parts of being in the ICU is hearing something like “PCV, 15 on 10, FiO2 70%” What does that mean? While this post is by no means going to go over the intricacies of ventilation, it should hopefully be enough of a primer to understand what’s being talked about on rounds. Trigger – time based (control) or patient initiated (spontaneous). Delivery – Pressure OR Volume.
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Acute care | thinking critical care
https://thinkingcriticalcare.com/tag/acute-care
A blog for thinking docs: blending good evidence, physiology, common sense, and applying it at the bedside! August 5, 2016. Tom Woodcock: The Revised Starling Principle and The Glycocalyx! So I stumbled upon the whole glycocalyx thing a couple years ago, and this prompted me to try more enteral fluids – the only way fluids normally ever enter the vasculature – but little else. Aware that it’s there, but unsure what to do about it. Is Jon-Emile’s take on it – a must-read. Love to hear some thoughts! I was...
RL | thinking critical care
https://thinkingcriticalcare.com/tag/rl
A blog for thinking docs: blending good evidence, physiology, common sense, and applying it at the bedside! August 5, 2016. Tom Woodcock: The Revised Starling Principle and The Glycocalyx! So I stumbled upon the whole glycocalyx thing a couple years ago, and this prompted me to try more enteral fluids – the only way fluids normally ever enter the vasculature – but little else. Aware that it’s there, but unsure what to do about it. Is Jon-Emile’s take on it – a must-read. Love to hear some thoughts! A rea...
NS | thinking critical care
https://thinkingcriticalcare.com/tag/ns
A blog for thinking docs: blending good evidence, physiology, common sense, and applying it at the bedside! May 31, 2016. Fluids in Sepsis: An EmCrit Webinar! We talk about a bunch of stuff around fluids, which, how much, how to assess, etc. Anyhow, I hope I got a few ideas across, but it was really cool to hear that these gurus do use ultrasound – don’t necessarily strictly adhere to, for instance, EGDT, and also advocate that guidelines are guidelines and not necessarily gold standards. March 24, 2015.
crystalloids | thinking critical care
https://thinkingcriticalcare.com/tag/crystalloids
A blog for thinking docs: blending good evidence, physiology, common sense, and applying it at the bedside! August 5, 2016. Tom Woodcock: The Revised Starling Principle and The Glycocalyx! So I stumbled upon the whole glycocalyx thing a couple years ago, and this prompted me to try more enteral fluids – the only way fluids normally ever enter the vasculature – but little else. Aware that it’s there, but unsure what to do about it. Is Jon-Emile’s take on it – a must-read. Love to hear some thoughts! I was...
volume expansion | thinking critical care
https://thinkingcriticalcare.com/tag/volume-expansion
A blog for thinking docs: blending good evidence, physiology, common sense, and applying it at the bedside! August 25, 2016. MOPOCUS: A great synopsis by Ha and Toh. #FOAMed, #FOAMcc, #FOAMus. Just came across this review and figured I should share. The authors make a great synopsis and review of POCUS in acute illness:. MOPOCUS Review by Ha &To. The only thing I would add to this is a more physiological way to assess the IVC, which I’ve blogged about here. Early goal directed therapy. August 5, 2016.
acute | thinking critical care
https://thinkingcriticalcare.com/tag/acute
A blog for thinking docs: blending good evidence, physiology, common sense, and applying it at the bedside! August 5, 2016. Tom Woodcock: The Revised Starling Principle and The Glycocalyx! So I stumbled upon the whole glycocalyx thing a couple years ago, and this prompted me to try more enteral fluids – the only way fluids normally ever enter the vasculature – but little else. Aware that it’s there, but unsure what to do about it. Is Jon-Emile’s take on it – a must-read. Love to hear some thoughts! I was...
hypovolemia | thinking critical care
https://thinkingcriticalcare.com/tag/hypovolemia
A blog for thinking docs: blending good evidence, physiology, common sense, and applying it at the bedside! August 25, 2016. MOPOCUS: A great synopsis by Ha and Toh. #FOAMed, #FOAMcc, #FOAMus. Just came across this review and figured I should share. The authors make a great synopsis and review of POCUS in acute illness:. MOPOCUS Review by Ha &To. The only thing I would add to this is a more physiological way to assess the IVC, which I’ve blogged about here. Early goal directed therapy. August 5, 2016.
Enteral Fluid Resuscitation (EFR): Third-world medicine in the modern ED/ICU? (ORT part 2) – #FOAMed, #FOAMcc, #FOAMer | thinking critical care
https://thinkingcriticalcare.com/2015/03/21/enteral-fluid-resuscitation-efr-third-world-medicine-in-the-modern-edicu-ort-part-2-foamed-foamcc-foamer
A blog for thinking docs: blending good evidence, physiology, common sense, and applying it at the bedside! March 21, 2015. Enteral Fluid Resuscitation (EFR): Third-world medicine in the modern ED/ICU? ORT part 2) – #FOAMed, #FOAMcc, #FOAMer. Enteral Fluid Resuscitation in the ER/ICU? For those who did’t come across it, part 1 of this series can be found here: http:/ wp.me/p1avUV-e8. Can I use oral hydration as a cutting edge therapy in my life-and-death patients? What’s in it? Well, I like the slow and ...
Uncategorized | thinking critical care
https://thinkingcriticalcare.com/category/uncategorized
A blog for thinking docs: blending good evidence, physiology, common sense, and applying it at the bedside! August 25, 2016. MOPOCUS: A great synopsis by Ha and Toh. #FOAMed, #FOAMcc, #FOAMus. Just came across this review and figured I should share. The authors make a great synopsis and review of POCUS in acute illness:. MOPOCUS Review by Ha &To. The only thing I would add to this is a more physiological way to assess the IVC, which I’ve blogged about here. Early goal directed therapy. August 5, 2016.
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icuroomnet-pearls-october-2006.blogspot.com
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...
icuroomnetapril2010archive.blogspot.com
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 ...
icuroomnetaugust2011archive.blogspot.com
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...
icuroomnetmarch2010archive.blogspot.com
icuroom.net March 2010 Archive
Icuroom.net March 2010 Archive. Wednesday, March 31, 2010. Wednesday March 31, 2010. Long linear bands of atelectasis (Fleischner lines). This is a normal CXR done in an acutely hypoxic patient with PE (pulmonary Embolism). Usually missed are these minor long linear bands of atelectasis called Fleischner lines - may be associated with unilateral or bilateral PE. Unilateral or bilateral pleural effusions may also be present. Posted by ICU room Pearls. Tuesday, March 30, 2010. Tuesday March 30, 2010. Compr...
icuroompearls-september2006.blogspot.com
icuroom pearls - September 2006
Icuroom pearls - September 2006. Saturday, September 30, 2006. Saturday September 30, 2006. You admitted a patient with acetaminophen (Tylenol) overdose and started on 21 hour regimen of IV acetylcysteine / mucomyst (. After a while as passing through the bedside, you noticed the color of liquid in bottle is changed to pink. What would be your next step? Posted by ICU room Pearls @ 9:03 AM. Friday, September 29, 2006. Friday September 29, 2006. Phlebotomy and anemia in ICU. In patients who are in ICU mor...
#icurounds | Critical discussions on critical care
Critical discussions on critical care. Venous Access for Fluid Resuscitation – You don’t need a central line! November 7, 2013. Last week we asked, what venous access is the LEAST effective for fluid resuscitation? A 16G antecubital peripheral IV. C Medial port of a triple lumen central line. Before we get into the answer with some numbers to back it up; take a second t go back to undergrad physics. remember Poiseuille’s Law? Now thinking about our options:. Interestingly there are some numbers. The take...
The International Conference of Undergraduate Research
The International Conference of Undergraduate Research. Two days. Eight Countries. Five Continents. Led and sponsored by the University of Warwick and Monash University, the International Conference of Undergraduate Research (ICUR) is an annual, two-day academic conference. Using video-conferencing technology, ICUR provides undergraduate researchers with a unique opportunity to present and discuss their own research in any discipline in real-time, without having to leave their home university. Placed 6th...
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