talk slides respiratory acid-base The diagnostic worthlessness of (most) ABGs Converting a VBG into an ABG Extracorporeal CO2 removal vs. extreme permissive hypercapnia metabolic acid-base IBCC core information Diagnosis HAGMA (high anion-gap metabolic acidosis) NAGMA (non-anion-gap metabolic acidosis) Metabolic alkalosis Fluid selection & pH guided resus (with section on how to use bicarbonate) Other stuff […]
Search Results for: acid base
EMCrit 45 – Acid Base – Part II
This second lecture discusses a quantitative approach to acid base management. I lay out the formula I use to approach an acid-base problem.
EMCrit 46 – Acid Base – Part III
In part III, we go through 2 cases of acid base abnormalities step by step.
EMCrit 44 – Acid Base – Part I
This lecture discusses a quantitative approach to acid base management. This is also known as the Fencl-Stewart approach, the strong-ion approach or the physicochemical approach. It provides explanations for why acid base disorders occur in human pathophysiology.
EMCrit 96 – Acid Base – Part V – Enough with the Bicarb Already
More on Bicarb in the Critically Ill and a discussion with John Kellum, MD
EMCrit 50 – Acid Base – Part IV – Choose the Solution Based on the Problem
This is Part 4 of the Acid Base saga. In this episode, I discuss the acid base effects of fluids and when and how to use sodium bicarbonate.
EMCrit 97 – Acid-Base – Part VI – Chloride-Free Sodium
So last podcast, I bashed on sodium bicarbonate or as John Kellum and David Story call it: chloride-free sodium. This episode I talk about all the good reasons to use NaBicarb.
Diagnosis of metabolic acid-base disorders
CONTENTS Rapid Reference 🚀 Getting started: metabolic vs. respiratory abnormalities The anion gap Diagnostic approach to metabolic pH abnormalities Respiratory pH analysis & how much will it help us? Basic principle: Diagnoses are more important than numbers Other approaches to pH analysis Podcast Questions & discussion Pitfalls diagnosis of metabolic acidosis/alkalosis: evaluating compensation: metabolic vs. […]
EMCrit 227 – Acid Base Ep. 7 – Bicarb Updates, Quantitative Approach, and Prof. David Story
Bicar-ICU changes my practice with bicarb infusions and let’s end the great lactate debate on EMCrit 227:
EMCrit 207 – A Case to Acid Test your Resus Logistics
Acid Test your Resus
SMACC-Back – On Marik and Lactate
Banging — My — Head — Against — Wall — Repeatedly…
Fluid selection using pH-guided resuscitation
0 PART 1: Fluid selection for resuscitation of hypovolemic, hyperkalemic renal failure 0 Introduction with a case 0 An elderly man on an ACE inhibitor and NSAIDs presents to the emergency department after a few days of severe norovirus gastroenteritis with a creatinine of 5 mg/dL, a bicarbonate of 15 mEq/L, and a potassium of […]
IBCC chapter & cast – Approach to pH diagnosis
According to Albert Einstein, “Everything should be made as simple as possible, but not simpler.” This is a similar sentiment to Occam’s Razor. Acid-base analysis is a good example of this principle. It’s possible to make things extraordinarily fancy and complex. To analyze pH status we could obtain an ABG, complete blood count, calcium, magnesium, […]
Three myths about Plasmalyte, Normosol, and LR
0 Introduction: Selecting the best balanced crystalloid 0 About six months ago, Genius General Hospital added Normosol to its formulary. For those of you not familiar with Normosol, it is produced by Hospira and is essentially a generic version of Plasmalyte by Baxter (table below). Although most evidence has been obtained with Plasmalyte, this is […]
Mythbusting: Correcting the anion gap for albumin is not helpful
0 Introduction 0 In 1998 Figge reported a strong linear relationship between anion gap and albumin concentration, which has led to the widespread recommendation to correct anion gap for albumin. It was proposed that since albumin is an anion, failing to correct for a low albumin level could allow an anion-gap acidosis to go undetected. […]
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