CONTENTS Rapid Reference: Optimization & items to consider prior to extubation 🚀 Spontaneous Breathing Trial (SBT) If the patient fails the SBT Causes of failed SBT Investigation If the patient passes the SBT A trial of extubation Post-extubation support Timing of tracheostomy Some additional concepts Unplanned extubation Nocturnal extubation Understanding & navigating the obesity quagmire […]
Search Results for: cardiac arrest
Analgesia and sedation for the critically ill patient
CONTENTS Spectrum of medications available: Pure analgesics Acetaminophen Ketamine, pain-dose ➡️ (Lidocaine) (NSAIDs) Analgosedatives (analgesia > sedation) Opioids Opioid PCA Avoiding opioid infusions Tizanidine Gabapentinoids Sedalgesics (sedation > analgesia) Dexmedetomidine, Clonidine Ketamine, high-dose infusion ➡️ Pure sedatives Propofol ➡️ Guanfacine Phenobarbital ➡️ Melatonin (Benzodiazepines) (Hydroxyzine) Antipsychotics / anti-agitation Butyrophenones (haloperidol & droperidol) ➡️ Olanzapine ➡️ Quetiapine […]
COVID 19 Complete Chapter
CONTENTS Basic biology Infection control Transmission Personal protective equipment (PPE) Diagnosis Signs & symptoms Labs Imaging CXR & CT scan Lung ultrasonography General approach to imaging Bronchoscopy Diagnostic approach for admitted patients Treatment: General protocols ED patients getting admitted to the hospital Inpatient management of hypoxemic, non-intubated patients Intubated patients Treatment: Specific anti-viral & immunosuppressive […]
GI Bleeding
CONTENTS Rapid Reference: Overview & Checklist 🚀 Investigations Diagnosis & bedside evaluation Risk stratification Resuscitation basics Causes Specific bleeding location/types Approach to upper GI bleed Variceal bleed Hematochezia and (presumed) lower GI bleed Podcast Questions & discussion Pitfalls history & physical History: NSAID use? Abdominal pain? Alcoholism? Liver disease? Surgical history: Gastric bypass surgery? AAA […]
Pulmonary involvement in connective tissue diseases
CONTENTS Overview of connective tissue disease-related ILD (CTD-ILD) History & physical Autoantibodies Autoantibody panel Autoantibody profiles of specific diseases ANA (antinuclear antibody) Interstitial pneumonia with autoimmune features (IPAF) Rheumatoid arthritis (RA) Interstitial lung disease Rheumatoid nodules Scleroderma Interstitial lung disease Pulmonary hypertension Lupus Diffuse alveolar hemorrhage Acute lupus pneumonitis Chronic ILD Pulmonary hypertension Shrinking lung […]
Idiopathic pulmonary fibrosis (IPF)
CONTENTS Basics Epidemiology Clinical presentation Laboratory studies Radiology IPF vs. NSIP (nonspecific interstitial pneumonia) ➡️ Bronchoscopy Biopsy (surgical vs. cryobiopsy) Differential diagnosis Approach to diagnosis Treatment Antifibrotic therapy Pirfenidone Nintedanib Management of pulmonary hypertension Transplantation ➡️ Prognosis Other related topics: Combined pulmonary fibrosis and emphysema (CPFE) Short telomere syndromes Progressive pulmonary fibrosis (PPF) Questions & […]
Acute Pancreatitis (including hypertriglyceridemic pancreatitis)
CONTENTS Rapid Reference 🚀 Diagnosis Clinical findings Laboratory studies (lipase) Radiology Diagnostic criteria Evaluating the cause of pancreatitis Risk stratification – who needs ICU? Treatment General principle: pancreatoseptic equivalence Treatment of causative factors ERCP? Resuscitation Analgesia Nutrition Non-hypertriglyceridemic pancreatitis Hypertriglyceridemic pancreatitis Prophylactic & early antibiotics Fluid collections & infected necrosis Abdominal compartment syndrome Hemorrhage Hypertriglyceridemic […]
Management of COVID-19 patients admitted to stepdown or ICU
CONTENTS Rapid Reference 🚀 Initial tests to guide management Chest CT findings Organ support Cardiovascular Respiratory Noninvasive respiratory support Invasive mechanical ventilation Infectious disease – antibiotics Renal Hematology Neurology Immunomodulation Steroid Tocilizumab Baricitinib Tofacitinib Things that don’t work Remdesivir Convalescent plasma Questions & Discussion References checklist for COVID admission to ICU/stepdown ✅ Review medication list […]
Critical care nutrition
CONTENTS Rapid Reference: Creating a tube feeding prescription 🚀 General Nutritional physiology in critical illness Nutritional assessment Macronutrient needs Caloric requirement Protein requirement Carbohydrate administration Macronutrient requirements in obesity Enteral nutrition: getting started When to initiate enteral nutrition Enteric tube type & location Selecting a tube feed formulation Intermittent vs. continuous feeding Troubleshooting enteral nutrition […]
Approach to pulmonary infection
CONTENTS tests & approaches Approach to pulmonary infections Infectious disease history 12 organisms to consider Selected radiological associations Noninvasive infectious evaluation Bronchoscopy: tests to consider Antibiotic selection Animal exposures Selected diagnostic tests: Beta-D-glucan Galactomannan Atypical lymphocytosis specific immunocompromising disorders HIV Kaposi sarcoma (KS) Pulmonary hypertension due to HIV ➡️ IRIS (immune reconstitution inflammatory syndrome) Transplantation […]
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