Category: Critical Care
Keywords: dialysis disequilibrium syndrome, mannitol, cerebral edema (PubMed Search)
Posted: 4/1/2008 by Mike Winters, MBA, MD
(Updated: 11/10/2024)
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Dialysis Disequilibrium Syndrome (DDS)
Category: Critical Care
Keywords: central venous catheter, guidewire (PubMed Search)
Posted: 3/25/2008 by Mike Winters, MBA, MD
(Updated: 11/10/2024)
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Guidewire length for central venous catheterization
Category: Critical Care
Keywords: phosphate, hypotension, hypomagnesemia (PubMed Search)
Posted: 3/18/2008 by Mike Winters, MBA, MD
(Updated: 11/10/2024)
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Potassium Phosphate ("K-phos")
Over the weekend, I had a patient with Dr. Scott that had a phosphate of 0.8 mmol/L. Phosphate < 1.0 mmol/L is an indication for IV repletion. IV repletion involves giving potassium phosphate. An important clinical question, therefore, is how much potassium does the patient actually get?
Category: Critical Care
Keywords: fresh frozen plasma, coagulopathy, PRBC (PubMed Search)
Posted: 3/11/2008 by Mike Winters, MBA, MD
(Updated: 11/10/2024)
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Coagulopathy and Trauma
Category: Critical Care
Keywords: aspiration pneumonitis (PubMed Search)
Posted: 3/4/2008 by Mike Winters, MBA, MD
(Updated: 11/10/2024)
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Aspiration Pneumonitis
Category: Critical Care
Keywords: d-dimer (PubMed Search)
Posted: 2/26/2008 by Mike Winters, MBA, MD
(Updated: 11/10/2024)
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D-Dimer in the Critically Ill
Crowther MA, et al. Neither baseline tests of molecular hypercoagulability nor D-dimer levels predict deep venous thrombosis in critically ill medical-surgical patients. Intensive Care Med 2005;31(1):48-55.
Category: Critical Care
Keywords: central venous pressure (PubMed Search)
Posted: 2/19/2008 by Mike Winters, MBA, MD
(Updated: 11/10/2024)
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Category: Critical Care
Keywords: spontaneous pneumomediastinum (PubMed Search)
Posted: 2/12/2008 by Mike Winters, MBA, MD
(Updated: 11/10/2024)
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Spontaneous Pneumomediastinum
Category: Critical Care
Keywords: radial arterial line (PubMed Search)
Posted: 1/29/2008 by Mike Winters, MBA, MD
(Updated: 11/10/2024)
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Invasive Arterial Pressure Monitoring - Complications
In critically ill patients with hemodynamic instability we often place arterial catheters to continuously monitor mean arterial pressure. Since we frequently use the radial artery for cannulation, it is important to know the complications associated with these catheters. Scheer et al performed, perhaps, the largest review of complications of peripheral arterial catheters. The results:
Pearl: Although permanent ischemic damage is rare, when placing a radial artery catheter use the non-dominant hand.
Scheer BV, Perel A, Pfeiffer UJ. Clinical review: Complications and risk factors of peripheral arterial catheters used for haemodynamic monitoring in anaesthesia and intensive care medicine. Crit Care 2002;6:198-204.
Category: Critical Care
Keywords: pulse oximetry (PubMed Search)
Posted: 1/22/2008 by Mike Winters, MBA, MD
(Updated: 11/10/2024)
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Pitfalls in pulse oximetry in the critically ill
Category: Critical Care
Keywords: mean arterial pressure (PubMed Search)
Posted: 1/15/2008 by Mike Winters, MBA, MD
(Updated: 11/10/2024)
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Mean Arterial Pressure
Category: Critical Care
Keywords: pulmonary hypertension, hypotension, calcium channel blockers (PubMed Search)
Posted: 1/8/2008 by Mike Winters, MBA, MD
(Updated: 11/10/2024)
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Pulmonary Hypertension Pearls
We are beginning to see more and more patients with pulmonary hypertension (PAH), many of whom are on continuous IV infusions of new medications. With that in mind, here are a few pearls:
Category: Critical Care
Keywords: adrenal insufficiency, hypotension, glucocorticoids, hydrocortisone (PubMed Search)
Posted: 1/1/2008 by Mike Winters, MBA, MD
(Updated: 11/10/2024)
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Adrenal Insufficiency in the Critically Ill
Category: Critical Care
Keywords: end-tidal CO2, capnography, status asthmaticus, increased intracranial pressure (PubMed Search)
Posted: 12/18/2007 by Mike Winters, MBA, MD
(Updated: 11/10/2024)
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Critical Care Monitoring - End-Tidal CO2
Category: Critical Care
Keywords: pulmonary edema, aortic dissection, heroin (PubMed Search)
Posted: 12/11/2007 by Mike Winters, MBA, MD
(Updated: 11/10/2024)
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Unilateral Pulmonary Edema
Category: Critical Care
Keywords: massive hemoptysis (PubMed Search)
Posted: 12/4/2007 by Mike Winters, MBA, MD
(Updated: 11/10/2024)
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Massive hemoptysis
Category: Critical Care
Posted: 11/27/2007 by Mike Winters, MBA, MD
(Updated: 11/10/2024)
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Acute Liver Failure
Stravitz RT, et al. Intensive care of patients with acute liver failure. Crit Care Med 2007;35:2498-2508.
Category: Critical Care
Keywords: esophageal varices, upper gastrointestinal bleeding, antibiotics (PubMed Search)
Posted: 11/20/2007 by Mike Winters, MBA, MD
(Updated: 11/10/2024)
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A few days ago Dr. Jump and I had a case of an acute variceal hemorrhage. Dr. Bond already sent out a great pearl earlier in the year highlighting the importance of octreotide in acute variceal bleeding. In fact, octreotide alone can result in cessation of hemorrhage in up to 80% of patients. To add onto Dr. Bond's pearl:
Category: Critical Care
Keywords: acute chest syndrome, blood transfusion, respiratory failure (PubMed Search)
Posted: 11/13/2007 by Mike Winters, MBA, MD
(Updated: 11/10/2024)
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Category: Critical Care
Keywords: non-invasive arterial monitoring, radial artery (PubMed Search)
Posted: 11/6/2007 by Mike Winters, MBA, MD
(Updated: 11/10/2024)
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