CONTENTS Rapid Reference 🚀 Introduction Early brain death is (still) death Prognostic value of historical information Confounding factors & hypothermia Timing & serial evaluation Prognostic tests Neurological examination EEG Myoclonus SSEPs (Somatosensory evoked potentials) CT scan MRI Neuron-specific enolase Multimodal prognostication Podcast Questions & discussion Pitfalls PDF of this chapter (or create customized PDF) timing of tests […]
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Fluid selection & pH-guided fluid resuscitation
CONTENTS Rapid Reference 🚀 Forward Crystalloids vs. colloids Step I: Balanced Crystalloid Choice of balanced crystalloid Step II: pH-guided resuscitation Hypertonic & isotonic bicarbonate Therapeutic alkalinization to augment permissive hypercapnia Podcast Questions & discussion Pitfalls The illustration above may appear a bit amusing, but this actually mirrors various practices that I’ve encountered during my training […]
Guide to supportive care in critical illness
CONTENTS Rapid Reference 🚀 The understated importance of high-quality supportive care Medications to avoid in ICU Prophylaxis DVT prophylaxis GI prophylaxis Anemia & transfusion targets Glycemic control Nutrition for the intubated patient Pain, agitation, and delirium Analgesia & pain management Sedation of the intubated patient Delirium prevention Volume status & diuresis Electrolyte management Troponin elevation […]
ARDS
CONTENTS Rapid Reference 🚀 Diagnosis of ARDS Definition of ARDS Cardiogenic pulmonary edema vs. ARDS Why is the patient in ARDS? Common causes of ARDS Evaluating the cause of ARDS ARDS pathophysiology: Intrapulmonary shunting Treatment: Basics Treating the cause of ARDS Steroid Conservative fluid strategy Treatment: Non-intubated patient High-flow nasal cannula & CPAP/BiPAP Awake proning […]
Post-cardiac arrest management
CONTENTS Rapid Reference 🚀 Cause & investigation Subsequent management: Targeted temperature management (TTM) Shivering management Cardiovascular interventions Pulmonary optimization ID: Aspiration pneumonia & antibiotics Endocrine: steroid Neurologic issues Podcast Questions & discussion Pitfalls investigations ✅ labs Fingerstick glucose. Basic labs (electrolytes including Ca/Mg/Phos, CBC, INR, PTT). Lactate. Troponin. Blood cultures if concern for sepsis. Pregnancy […]
Asbestosis, pneumoconiosis, and related disorders
CONTENTS Asbestos Asbestos interstitial lung disease (asbestosis) Benign asbestos pleural effusion (BAPE) ➡️ Pleural plaques Diffuse pleural thickening Mesothelioma Silicosis Coal workers pneumoconiosis Berylliosis Talcosis Intravenous talcosis Inhalational talcosis Silicone embolism syndrome Questions & discussion abbreviations used in the pulmonary section: 8 ABPA: Allergic bronchopulmonary aspergillosis 📖 AE-ILD: Acute exacerbation of ILD 📖 AEP: Acute […]
Liberation from the ventilator
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 […]
Atypical pneumonias
CONTENTS Nonzoonotic atypical pneumonias: Legionella Mycoplasma Chlamydia pneumoniae Zoonotic atypical pneumonias: Chlamydia psittaci (psittacosis) Francisella tularensis (tularemia)* Coxiella burnetii (Q fever)* *May fail to respond to azithromycin; doxycycline will cover. Leptospirosis Questions & discussion diagnostic clues 🔍 Lack of upper respiratory features. 🔍 Extrapulmonary involvement (e.g., gastrointestinal, neurological). 🔍 Labs: Procalcitonin is usually moderately elevated. […]
Right Ventricular failure
CONTENTS Rapid Reference: Approach to RV failure 🚀 Preamble: Don’t forget the right ventricle! Pathophysiology of RV failure RV death spiral RV myocardial perfusion Falling off the Starling curve Occult systemic hypoperfusion Diagnosis of RV failure Defining RV failure Physical exam findings Lab findings Radiology EKG Echocardiography Causes of right ventricular failure Chronic pulmonary hypertension […]
Neuroprognostication after cardiac arrest
CONTENTS Introduction Early brain death is (still) death Prognostic value of historical information Confounding factors & hypothermia Timing & serial evaluation Prognostic tests Neurological examination EEG EEG background Findings superimposed on the background Myoclonus SSEPs (Somatosensory evoked potentials) CT scan Qualitative CT scan Quantitative CT scan MRI Neuron-specific enolase Multimodal prognostication Related topics Delayed post-hypoxic […]
Histoplasmosis
CONTENTS Epidemiology Different forms of clinical disease: Acute (& subacute) pulmonary histoplasmosis Granulomatous mediastinitis Broncholithiasis Fibrosing mediastinitis Chronic cavitary pulmonary histoplasmosis (CCPH) Progressive disseminated histoplasmosis CNS histoplasmosis Diagnostic studies Histoplasma antigen test Histoplasma antibody (serology) Bronchoscopy Tissue biopsy (Fungal culture) Management Pathophysiology Questions & discussion abbreviations used in the pulmonary section: ABPA: Allergic bronchopulmonary aspergillosis […]
Mold infections (aspergillosis, mucormycosis)
CONTENTS Invasive pulmonary aspergillosis: Rapid Reference – Overall approach to the diagnosis 🚀 Basics Epidemiology Presentation Investigations Galactomannan Beta-D-Glucan Sputum culture & fungal stain PCR Radiology Bronchoscopy Tissue diagnosis Treatment Other forms of aspergillus infection: Aspergillus tracheobronchitis Aspergilloma Chronic cavitary pulmonary aspergillosis Other mold infections: Invasive pulmonary mucormycosis Podcast Questions & discussion Pitfalls #1/3: some […]
Cystic Lung Diseases
CONTENTS Definitions of cystic & cavitary lung lesions Approach to diffuse/multiple lung cysts Clinical features Radiologic features List of causes of pulmonary cysts Specific cystic lung diseases: PLCH (Pulmonary Langerhans Cell Histiocytosis) LAM (Lymphangioleimyomatosis) Tuberous sclerosis BHD (Birt-Hogg-Dube syndrome) LCDD (Light chain deposition disease) CPAM (Congenital pulmonary airway malformation) Pneumatocele Incidental cyst(s) Questions & discussion […]
Pneumothorax and bronchopleural fistula (BPF)
CONTENTS Definitions & classifications Symptoms Signs Radiology: POCUS for diagnosis and monitoring Chest radiograph Signs of pneumothorax Size determination CT scan Causes of pneumothorax Management of various situations: Primary spontaneous pneumothorax Secondary spontaneous pneumothorax Indications for pleurodesis Management of persistent air leak Traumatic pneumothorax (including iatrogenic) Tension pneumothorax Oxygen to encourage nitrogen reabsorption? Pigtail versus […]
Pulmonary complications from malignancy and its treatments
CONTENTS Approach to pulmonary dysfunction in a patient with cancer Specific disorders Parenchymal lung metastases Leukostasis Pulmonary leukemic infiltrates Airway metastases Malignant pleural effusion (MPE) ➡️ Lymphangitic carcinomatosis Pulmonary tumor emboli Pulmonary tumor thrombotic microangiopathy (PTTM) Pulmonary tumor macroemboli ➡️ Benign metastasizing leiomyoma (BML) Iatrogenic: Radiation pneumonitis Checkpoint inhibitor pneumonitis Other topics: Pulmonary complications from […]
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