ICU intensive care unit

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

---

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
• fat emboli syndrome can manifest as shock and nonconvulsive seizure
• icu delirium scales

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
• FAST exam is specific but not sensitive

ACLS

• use left lateral uterus displacement in pregnant patient ACLS

Airway

• intubation in the ICU
• use bronchoscopy to advance ET if concern of cuff leak with high ET tube
• check tryptase for anaphylaxis

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
• do not use bipap for rescue failed extubation
• DahLIA trial found precedex helps earlier extubation in agitated patients
• spice III found higher mortality in younger patients with precedex
• small ETT can cause secretion accumulation
• use higher PEEP for SBT in obese patients

Ventilators

• 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
• decrease flow rate in status asthmaticus over increasing PEEP
• prone ventilation improves RV hemodynamics
• use of esophageal manometry to guide PEEP
• recruitment maneuvers cause lung injury

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, cyanide, carbon monoxide blood gas differences
• methemoglobinemia has reduced O2 saturation with normal PaO2
• cyanide toxicity
• carbon monoxide poisoning
• pulse oximeters inaccuracy in hypoperfusion state and in darker skin tones

Toxicology

• toxic ingestions
• cyanide toxicity leads to elevated lactate
• carbon monoxide toxicity can be diagnosed by ABG
• methemoglobinemia has reduced O2 saturation with normal PaO2
• local anesthetic systemic toxicity LAST

Hematology

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

Trauma

• trauma resuscitation mtp
• massive transfusion protocol
• traumatic brain injury overview
• use TXA in massive trauma resuscitation
• scuba diving and decompression sickness
• how to clear cervical collar
• use CTA neck to assess for blunt cerebrovascular injury
• FAST exam is specific but not sensitive
• bladder uterus FAST exam
• REBOA increases bleeding and mortality

Procedures

• sizes in french and gauge
• use trendelenburg position for air embolism from central line placement

MSK

• PT OT reduces ICU delirium
• post surgical necrotizing soft tissue infection can develop into toxic shock

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

• SBT and SAT spontaneous awakening and breathing trials

  • related: ICU intensive care unit

• Murray and Nadel Textbook of Respiratory Medicine

  • related: ICU intensive care unit, Pulmonology

• toxic ingestions

  • related: ICU intensive care unit

• understanding of ventilators

  • related: ICU intensive care unit, Pulmonology

• ARDS acute respiratory distress syndrome

  • related: ICU intensive care unit

• fluid management in the ICU

  • related: ICU intensive care unit

• design features of modern mechanical ventilators

  • related: ICU intensive care unit

• methemoglobinemia has reduced O2 saturation with normal PaO2

  • related: Step 3, Medicine, General Medicine, ICU intensive care unit

• Asynchrony Consequences and Management

  • related: ICU intensive care unit, DeepCrit Cycle Dessynchrony

• vasopressors in ICU

  • related: ICU intensive care unit, shock in icu

• ICU sedation

  • related: ICU intensive care unit

• ECMO extracorporeal membrane oxygenation

  • related: Cardiology, ICU intensive care unit

• shock in icu

  • related: ICU intensive care unit

• cyanide toxicity leads to elevated lactate

  • related: ICU intensive care unit

• stress dose steroid

  • related: Endocrine, ICU intensive care unit

• fluid responsiveness assessment in icu

  • related: ICU intensive care unit, Cardiology

• cardiac supportive devices

  • related: Cardiology, ICU intensive care unit

• triggers, targets, cycles of ventilators

  • related: ICU intensive care unit, understanding of ventilators

• elevated shock index can suggest shock

  • related: Management of Life-Threatening Asthma, ICU intensive care unit

• use osmolar gap for mannitol administration for hypernatremia

  • related: ICU intensive care unit

• lactic acidosis types

  • related: anion gap metabolic acidosis, ICU intensive care unit

• intubation in the ICU

  • related: ICU intensive care unit

• post surgical necrotizing soft tissue infection can develop into toxic shock

  • related: ICU intensive care unit

• icu lecture coagulopathy and bleeding

  • related: ICU intensive care unit, massive transfusion protocol

• traumatic brain injury overview

  • related: ICU intensive care unit

• cyanide toxicity

  • Keywords: Medicine, ICU intensive care unit

• trauma resuscitation mtp

  • related: ICU intensive care unit

• tpa contraindications

  • related: ICU intensive care unit

• enteral feeding in icu

  • related: Medicine, ICU intensive care unit

• decrease flow rate in status asthmaticus over increasing PEEP

  • related: ICU intensive care unit, Asthma reactive airway disease

• sizes in french and gauge

  • related: ICU intensive care unit

• ICU MAP targets of 65

  • related: ICU intensive care unit

• use CTA neck to assess for blunt cerebrovascular injury

  • related: ICU intensive care unit, use CTA to look for large vessel occlusion in ischemic stroke patients

• bladder uterus FAST exam

  • related: ICU intensive care unit

• FAST exam is specific but not sensitive

  • related: ICU intensive care unit

• local anesthetic systemic toxicity LAST

  • related: ICU intensive care unit

• arterial line damping

  • related: ICU intensive care unit

• 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

  • related: ICU intensive care unit

• carbon monoxide toxicity can be diagnosed by ABG

  • related: ICU intensive care unit

• check tryptase for anaphylaxis

  • related: ICU intensive care unit

• CO2 capnography

  • related: ICU intensive care unit

• CVP tracing

  • related: Cardiology, ICU intensive care unit

• do not use bipap for rescue failed extubation

  • 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

• extubating patient without cuff leak

  • related: ICU intensive care unit

• extubation contraindications include arrythmia, ACS, hemodynamic instability

  • related: ICU intensive care unit

• fat emboli syndrome can manifest as shock and nonconvulsive seizure

  • related: ICU intensive care unit

• how to clear cervical collar

  • related: ICU intensive care unit

• IBCC neutrophil to lymphocyte ratio

  • related: ICU intensive care unit

• IBCC role of procalcitonin in sepsis

  • related: ICU intensive care unit

• icu delirium scales

  • 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

• PT OT reduces ICU delirium

  • related: ICU intensive care unit

• pulse oximeters inaccuracy in hypoperfusion state and in darker skin tones

  • related: ICU intensive care unit

• REBOA increases bleeding and mortality

  • related: ICU intensive care unit

• recruitment maneuvers cause lung injury

  • 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

• small ETT can cause secretion accumulation

  • 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 bronchoscopy to advance ET if concern of cuff leak with high ET tube

  • related: ICU intensive care unit

• use higher PEEP for SBT in obese patients

  • related: ICU intensive care unit

• use left lateral uterus displacement in pregnant patient ACLS

  • related: ICU intensive care unit

• use of esophageal manometry to guide PEEP

  • related: ICU intensive care unit

• use trendelenburg position for air embolism from central line placement

  • related: ICU intensive care unit

• use TXA in massive trauma resuscitation

  • related: ICU intensive care unit

• using arterial waveform to estimate stroke volume

  • related: Cardiology, ICU intensive care unit

• acute abdominal compartment syndrome

  • related: Nephrology, ICU intensive care unit

• low urine output is less than 0.5 cc per kg

  • related: ICU intensive care unit, Nephrology

• GBS

  • related: Neurology, ICU intensive care unit

• hypertensive emergency

  • related: ICU intensive care unit

• diagnosing ARDS

  • related: ARDS acute respiratory distress syndrome, ICU intensive care unit

  • tags: #permanent ICU intensive care unit

• ventilation strategies for ARDS includes low tidal volume, high peep, target plateau pressure of 30

  • related: ARDS acute respiratory distress syndrome, ICU intensive care unit

• airway management

  • related: emergency medicine, ICU intensive care unit, Pulmonology

• Angiotensin II for the Treatment of Vasodilatory Shock by ATHOS-3 trial

  • related: ICU intensive care unit

• sodium bicarb leads to lower serum K compared to other fluids

  • related: ICU intensive care unit

• ramped position does not improve oxygenation during intubation

  • related: ICU intensive care unit

• aortic dissection

  • related: ICU intensive care unit

• CALS cardiac advanced life support

  • related: Cardiology, ICU intensive care unit

• cardiology with critical care

  • related: Cardiology, ICU intensive care unit

• pulmonary embolism readministration of TPA

  • related: ICU intensive care unit

• CLABSI

  • related: ICU intensive care unit

• Covid trials

  • related: Pulmonology, ICU intensive care unit, Infectious Disease ID

• MRSA nare test has high NPV

  • related: ICU intensive care unit

• vibrio vulnificus can be fatal in liver disease patients

  • related: GI gastroenterology, ICU intensive care unit

• IV and Lines

  • related: Medicine, ICU intensive care unit

• systematic evaluation of shock

  • related: ICU intensive care unit

• CT ICU checklist

  • related: ICU intensive care unit

• early trophic enteral feeding in icu is beneficial

  • related: ICU intensive care unit

• icu intro lecture hypoxia

  • related: ICU intensive care unit