ICU intensive care unit

• related: vasopressors in ICU, Medicine
• tags: #literature

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Fluid Management

• fluid responsiveness assessment in icu
• fluid management in the ICU
• metabolic alkalosis from diuresis

Neurology

• ICU sedation
• brain death exams
• use minimum of 4 mg ativan for seizures?
• traumatic brain injury overview
• use osmolar gap for mannitol administration for hypernatremia
• neuroprognostication after cardiac arrest

Hemodynamic monitoring

• arterial line damping
• arterial line transducer positioning in relation to heart
• using arterial waveform to estimate stroke volume
• elevated shock index can suggest shock
• cardiac hemodynamics and pressures
• left axillary arterial line for invasive monitoring
• pulse pressure variation and systolic pressure variation predicts fluid responsiveness
• arterial line shapes
• CVP tracing
• ICU MAP targets of 65
• Treat digit gangrene in patients with pressors

Airway

• intubation in the ICU

Intubation and Extubation

• RASS 0 to -1 includes opening eyes to commands for 10 seconds
• extubation contraindications include arrythmia, ACS, hemodynamic instability
• SBT and SAT spontaneous awakening and breathing trials
• Big Vt, 2x than baseline is a good sign for SBT
• extubating patient without cuff leak

Ventilators

• basic understanding of ventilators
• capnography
• Asynchrony Consequences and Management
• driving pressure is plateau pressure minus PEEP
• ventilator induced lung injury VILI happens from over distention of normal lung?
  • electric impedance tomography can help with avoiding VILI
• self induced lung injury SILI can occur because of large inspiratory tidal volume

Hypoxemia and Hypercapnia

• NIV settings in acute respiratory failure
• ARDS acute respiratory distress syndrome
• use AVAPS over bipap for better minute ventilation
• noninvasive PAP ventilation does not prevent reintubation in ICU
• CO2 capnography
• benefits of NIV
• methemoglobinemia has reduced O2 saturation with normal PaO2

Toxicology

• toxic ingestions
• cyanide toxicity leads to elevated lactate
• carbon monoxide toxicity can be diagnosed by ABG

Hematology

• transfuse patients with thrombocytopenia prior to CVC placement leads to less bleeding
• tpa contraindications

Trauma

• trauma resuscitation mtp
• use TXA in massive trauma resuscitation
• scuba diving and decompression sickness

MISB

• sizes in french and gauge

MSK

• PT OT reduces ICU delirium
• post surgical necrotizing soft tissue infection can have shock and dishwasher fluid appearance

Others

• multisystem inflammatory syndrome MIS

Lecture Notes

• icu lecture hypoxia
• icu lecture resuscitation fluid
• icu lecture procedural sedation
• icu lecture coagulopathy and bleeding
• IBCC role of procalcitonin in sepsis
• IBCC neutrophil to lymphocyte ratio

Textbook

• Murray and Nadel Textbook of Respiratory Medicine
• The Walls Manual of Emergency Airway Management
• design features of modern mechanical ventilators

Others

• Critical Care Goals

Links to this note

• SEEK Questionnaires

  • related: ICU intensive care unit, Pulmonology

• Medicine

  • ICU intensive care unit

• Murray and Nadel Textbook of Respiratory Medicine

  • related: ICU intensive care unit, Pulmonology

• SBT and SAT spontaneous awakening and breathing trials

  • related: ICU intensive care unit

• ARDS acute respiratory distress syndrome

  • related: ICU intensive care unit

• basic understanding of ventilators

  • related: ICU intensive care unit, Pulmonology

• toxic ingestions

  • related: ICU intensive care unit

• fluid management in the ICU

  • related: ICU intensive care unit

• vasopressors in ICU

  • related: ICU intensive care unit, shock in icu

• Asynchrony Consequences and Management

  • related: ICU intensive care unit, DeepCrit Cycle Dessynchrony

• design features of modern mechanical ventilators

  • related: ICU intensive care unit

• ICU sedation

  • related: ICU intensive care unit

• shock in icu

  • related: ICU intensive care unit

• stress dose steroid

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• fluid responsiveness assessment in icu

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• methemoglobinemia has reduced O2 saturation with normal PaO2

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• use osmolar gap for mannitol administration for hypernatremia

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• cardiac supportive devices

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• traumatic brain injury overview

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• elevated shock index can suggest shock

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• icu lecture coagulopathy and bleeding

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• trauma resuscitation mtp

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• tpa contraindications

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• intubation in the ICU

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• ECMO extracorporeal membrane oxygenation

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• sizes in french and gauge

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• ICU MAP targets of 65

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• extubating patient without cuff leak

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• arterial line damping

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• arterial line shapes

  • related: ICU intensive care unit

• arterial line transducer positioning in relation to heart

  • related: ICU intensive care unit

• benefits of NIV

  • related: ICU intensive care unit

• brain death exams

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• carbon monoxide toxicity can be diagnosed by ABG

  • related: ICU intensive care unit

• CO2 capnography

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• CVP tracing

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• cyanide toxicity leads to elevated lactate

  • related: ICU intensive care unit

• driving pressure is plateau pressure minus PEEP

  • related: ICU intensive care unit

• electric impedance tomography can help with avoiding VILI

  • related: ICU intensive care unit

• extubation contraindications include arrythmia, ACS, hemodynamic instability

  • related: ICU intensive care unit

• IBCC neutrophil to lymphocyte ratio

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• IBCC role of procalcitonin in sepsis

  • related: ICU intensive care unit

• icu lecture procedural sedation

  • related: ICU intensive care unit

• icu lecture resuscitation fluid

  • related: ICU intensive care unit

• left axillary arterial line for invasive monitoring

  • related: ICU intensive care unit

• metabolic alkalosis from diuresis

  • related: ICU intensive care unit

• multisystem inflammatory syndrome MIS

  • related: ICU intensive care unit

• neuroprognostication after cardiac arrest

  • related: ICU intensive care unit

• NIV settings in acute respiratory failure

  • related: ICU intensive care unit

• noninvasive PAP ventilation does not prevent reintubation in ICU

  • related: ICU intensive care unit

• post surgical necrotizing soft tissue infection can have shock and dishwasher fluid appearance

  • related: ICU intensive care unit

• PT OT reduces ICU delirium

  • related: ICU intensive care unit

• scuba diving and decompression sickness

  • related: ICU intensive care unit

• self induced lung injury SILI can occur because of large inspiratory tidal volume

  • related: ICU intensive care unit

• transfuse patients with thrombocytopenia prior to CVC placement leads to less bleeding

  • related: ICU intensive care unit

• Treat digit gangrene in patients with pressors

  • related: ICU intensive care unit

• use AVAPS over bipap for better minute ventilation

  • related: ICU intensive care unit

• use TXA in massive trauma resuscitation

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• using arterial waveform to estimate stroke volume

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