Category: Critical Care
Keywords: AIDS, intraabdominal hypertension, abdominal compartment syndrome (PubMed Search)
Posted: 9/23/2008 by Mike Winters, MBA, MD
(Updated: 12/9/2024)
Click here to contact Mike Winters, MBA, MD
AIDS: coming to a critically ill patient in your ED
Malbrain M, De laet I. AIDS is coming to your ICU: be prepared for acute bowel injury and acute intestinal distress syndrome. Intensive Care Med 2008;34:1565-9.
Category: Critical Care
Keywords: intraabdominal pressure, intraabdominal hypertension, bladder pressure (PubMed Search)
Posted: 9/8/2008 by Mike Winters, MBA, MD
(Updated: 12/9/2024)
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Intraabdominal Hypertension and the Critically Ill
Cheatham ML. Intraabdominal pressure monitoring during fluid resuscitation. Curr Opin Crit Care 2008;14:327-33.
Category: Critical Care
Keywords: sodium bicarbonate, lactic acidosis, hypoperfusion, shock (PubMed Search)
Posted: 9/3/2008 by Mike Winters, MBA, MD
(Updated: 12/9/2024)
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Bicarbonate for severe lactic acidosis from shock?
Boyd JH, Walley KR. Is there a role for sodium bicarbonate in treating lactic acidosis from shock? Curr Opin Crit Care 2008;14:379-83.
Category: Critical Care
Keywords: norepinephrine, epinephrine, epinephrine, dopamine, phentolamine (PubMed Search)
Posted: 8/26/2008 by Mike Winters, MBA, MD
(Updated: 12/9/2024)
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Phentolamine for vasopressor extravasation
I was recently informed of a case from an another institution in which a patient was started on a vasopressor medication via a peripheral IV while attempts at central access where attempted. The patient unfortunately suffered permanent extremity ischemia due to significant extravasation of the vasopressor medication into the soft tissue.
Category: Critical Care
Keywords: PEEP, respiratory failure, ventilator associated pneumonia (PubMed Search)
Posted: 8/19/2008 by Mike Winters, MBA, MD
(Updated: 12/9/2024)
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PEEP in Nonhypoxemic Respiratory Failure
Manzano F, Fernandez-Mondejar E, Colmenero M, et al. Positive end-expiratory pressure reduces incidence of ventilator-associated pneumonia in nonhypoxemic patients. Crit Care Med 2008;36:2225-2231.
Category: Critical Care
Keywords: PRVC, pressure control, volume control, ventilator-induced lung injury (PubMed Search)
Posted: 8/12/2008 by Mike Winters, MBA, MD
(Updated: 12/9/2024)
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Pressure Regulated Volume Control (PRVC)
Category: Critical Care
Keywords: post-intubation hypoxia, pneumothorax, mechanical ventilation (PubMed Search)
Posted: 8/5/2008 by Mike Winters, MBA, MD
(Updated: 12/9/2024)
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Post-intubation deterioration? Remember DOPE
Category: Critical Care
Keywords: acute lung injury, alveolar overdistention, plateau pressure (PubMed Search)
Posted: 7/29/2008 by Mike Winters, MBA, MD
(Updated: 12/9/2024)
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The Importance of Plateau Pressure
DeGiorgi A, White M. Ventilator management: maximizing outcomes in caring fo asthma, COPD, and pulmonary edema. Emergency Medicine Practice 2008;10(8):1-23.
Category: Critical Care
Keywords: asthma, mechanical ventilation, hyperinflation (PubMed Search)
Posted: 7/22/2008 by Mike Winters, MBA, MD
(Updated: 12/9/2024)
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Mechanical Ventilation in Asthma
DeGiorgi A, White M. Ventilator management: maximizing outcomes in caring fo asthma, COPD, and pulmonary edema. Emergency Medicine Practice 2008;10(8):1-23.
Category: Critical Care
Keywords: noninvasive ventilation (PubMed Search)
Posted: 7/15/2008 by Mike Winters, MBA, MD
(Updated: 12/9/2024)
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Noninvasive Ventilation Pearls
Garpestad E, Brennan J, Hill NS. Noninvasive ventilation for critical care. Chest 2007;132:711-20.
Category: Critical Care
Keywords: hypotension, trauma, elderly (PubMed Search)
Posted: 7/7/2008 by Mike Winters, MBA, MD
(Updated: 12/9/2024)
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Hypotension begins at 110 mmHg?
Eastridge BJ, Salinas J, McManus JG, et al. Hypotension begins at 110 mmHg: redefining hypotension with data. J Trauma 2007;63:291-9.
Category: Critical Care
Keywords: passive leg raising, fluid responsiveness (PubMed Search)
Posted: 6/17/2008 by Mike Winters, MBA, MD
(Updated: 12/9/2024)
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Passive Leg Raising (PLR)
Monnet X, Teboul JL. Passive leg raising. Intensive Care Med 2008;34:659-63.
Category: Critical Care
Keywords: sepsis, intravenous fluids, chronic kidney disease, end stage renal disease (PubMed Search)
Posted: 6/10/2008 by Amal Mattu, MD
(Updated: 12/9/2024)
Click here to contact Amal Mattu, MD
Submitted on behalf of Dr. Winters:
Sepsis, Fluids, and ESRD
-ESRD patients are at increased risk of sepsis and bacteremia secondary to
indwelling devices
-Many of are hesitant to aggresively fluid resuscitate patients with ESRD
-Several studies have concluded that volume resuscitation should proceed the
same as patients without ESRD, even if that means more patients are eventually
intubated.
Reference:
Otero RM, et al. Chest 2006;130:1579-95.
Category: Critical Care
Keywords: acinetobacter, polymixin, ventilator-associated pneumonia, bacteremia (PubMed Search)
Posted: 6/3/2008 by Mike Winters, MBA, MD
(Updated: 12/9/2024)
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Acinetobacter in the Critically Ill
Munoz-Price LS, Weinstein RA. Acinetobacter infection. NEJM 2008;358:1271-81.
Category: Critical Care
Keywords: jlactated Ringer's solution, dextrose, cerebral edema (PubMed Search)
Posted: 5/27/2008 by Mike Winters, MBA, MD
(Updated: 12/9/2024)
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Fluids in Acute Liver Failure
Auzinger G, Wendon J. Intensive care management of acute liver failure. Curr Opin Crit Care 2008;14:179-88.
Category: Critical Care
Keywords: bicarbonate, pH, COPD, mechanical ventilation (PubMed Search)
Posted: 5/20/2008 by Mike Winters, MBA, MD
(Updated: 12/9/2024)
Click here to contact Mike Winters, MBA, MD
COPD and mechanical ventilation
Ward NS, Dushay KM. Clinical concise review: Mechanical ventilation of patients with chronic obstructive pulmonary disease. Crit Care Med 2008;36:1614-9.
Category: Critical Care
Keywords: PEEP, acute lung injury, acute respiratory distress syndrome (PubMed Search)
Posted: 5/13/2008 by Mike Winters, MBA, MD
(Updated: 12/9/2024)
Click here to contact Mike Winters, MBA, MD
Acute Lung Injury (ALI) / Acute Respiratory Distress Syndrome (ARDS)
Category: Critical Care
Keywords: propofol (PubMed Search)
Posted: 5/7/2008 by Mike Winters, MBA, MD
(Updated: 12/9/2024)
Click here to contact Mike Winters, MBA, MD
Propofol Infusion Syndrome
Kam PCA, Cardone D. Propofol infusion syndrome. Anaesthesia 2007;62:690-701.
Category: Critical Care
Keywords: intra-aortic balloon pump counterpulsation, cardiogenic shock (PubMed Search)
Posted: 4/29/2008 by Mike Winters, MBA, MD
(Updated: 12/9/2024)
Click here to contact Mike Winters, MBA, MD
Intra-aortic balloon pump counterpulsation
Kim JT, Lee JR, Kim JK, et al. The carina as a useful radiographic landmark for positioning the intra-aortic balloon pump. Anesth & Analg 2007;105:735-8.
Category: Critical Care
Keywords: glucose, critically ill (PubMed Search)
Posted: 4/22/2008 by Mike Winters, MBA, MD
(Updated: 12/9/2024)
Click here to contact Mike Winters, MBA, MD
Bedside Glucometry in the Critically Ill
Desachy A, et al. Accuracy of Bedside Glucometry in Critically Ill Patients: Influence of Clinical Characteristics and Perfusion Index. Mayo Clin Proc 2008;83:400-5.