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#icurounds | Critical discussions on critical care

Critical discussions on critical care

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#icurounds | Critical discussions on critical care | icurounds65.wordpress.com Reviews

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Critical discussions on critical care

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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.

2

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...

3

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.

4

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.

5

#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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thinkingcriticalcare.com thinkingcriticalcare.com

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...

thinkingcriticalcare.com thinkingcriticalcare.com

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...

thinkingcriticalcare.com thinkingcriticalcare.com

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.

thinkingcriticalcare.com thinkingcriticalcare.com

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...

thinkingcriticalcare.com thinkingcriticalcare.com

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.

thinkingcriticalcare.com thinkingcriticalcare.com

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...

thinkingcriticalcare.com thinkingcriticalcare.com

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.

thinkingcriticalcare.com thinkingcriticalcare.com

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 ...

thinkingcriticalcare.com thinkingcriticalcare.com

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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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...

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