Category: Critical Care
Posted: 4/7/2009 by Mike Winters, MD
(Updated: 3/29/2024)
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Ventilation in the Brain-injured Patient
Lapinsky SE, Posadas-Calleja JG, Mcullagh I. Clinical review: Ventilatory strategies for obstetric, brain-injured, and obese patients. Crit Care 2009;13:206-13.
Category: Critical Care
Posted: 3/31/2009 by Mike Winters, MD
(Updated: 3/29/2024)
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Mechanical Ventilation of the Obstetric Patient
Lapinsky SE, Posadas-Calleja JG, McCullagh I. Clinical review: Ventilator strategies for obstetric, brain-injured, and obese patients. Crit Care 2009;13:206.
Category: Critical Care
Posted: 3/24/2009 by Mike Winters, MD
(Updated: 3/29/2024)
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Critical Illness-Related Corticosteroid Insufficiency (CIRCI)
So, which critically ill patients do you treat with steroids? Current literature suggests the indications for steroid treatment include vasopressor dependent septic shock and persistent ARDS despite supportive therapy and lung protective ventilation. A patient who requires only an hour or two of a vasopressor while being fluid resuscitated is unlikely to benefit. An accepted dosing schedule is hydrocortisone 50 mg IV every 6 hours.
Marik PE. Critical illness-related corticosteroid insufficiency. Chest 2009;135:181-93.
Category: Critical Care
Posted: 3/17/2009 by Mike Winters, MD
(Updated: 3/29/2024)
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Early Critical Care Management of Aneurysmal SAH
Diringer MN. Managment of aneurysmal subarachnoid hemorrhage. Crit Care Med 2009;37:432-40.
Category: Critical Care
Posted: 3/3/2009 by Mike Winters, MD
(Updated: 3/29/2024)
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Neuromuscular Blocking Agent (NMBA)
Category: Critical Care
Posted: 2/24/2009 by Mike Winters, MD
(Updated: 3/29/2024)
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The Crashing Intubated ED Patient
Category: Critical Care
Posted: 2/17/2009 by Mike Winters, MD
(Updated: 3/29/2024)
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Sepsis in Pregnancy
Guinn DA, Abel DE, Tomlinson MW. Early goal directed therapy for sepsis during pregnancy. Obstet Gynecol Clin N Am 2007;34:459-79.
Category: Critical Care
Keywords: ventilator associated pneumonia, head of bed (PubMed Search)
Posted: 2/10/2009 by Mike Winters, MD
(Updated: 3/29/2024)
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Ventilator Associated Pneumonia (VAP)
Category: Critical Care
Keywords: sedation, analgesia, mechanical ventilation (PubMed Search)
Posted: 2/3/2009 by Mike Winters, MD
(Updated: 3/29/2024)
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Sedation and Analgesia in Mechanical Ventilation
Category: Critical Care
Keywords: pneumonia, sepsis, severe sepsis, septic shock, mrsa, vancomycin (PubMed Search)
Posted: 1/28/2009 by Mike Winters, MD
(Updated: 3/29/2024)
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Pneumonia and Sepsis
Category: Critical Care
Keywords: anaphylaxis, urticaria, angioedema, shock (PubMed Search)
Posted: 1/20/2009 by Mike Winters, MD
(Updated: 3/29/2024)
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Clinical Manifestations of Anaphylaxis
Winters ME. Anaphylaxis. In: Field JM (ed) The Textbook of Emergency Cardiovascular Care and CPR. Philadelphia, Lippincott Williams & Wilkins, 2009:530-7.
Category: Critical Care
Keywords: sepsis, mechanical ventilation, oxygen delivery (PubMed Search)
Posted: 1/13/2009 by Mike Winters, MD
(Updated: 3/29/2024)
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Sepsis and Mechanical Ventilation
Category: Critical Care
Keywords: intracerebral hemorrhage, normal saline, hypertonic saline (PubMed Search)
Posted: 1/7/2009 by Mike Winters, MD
(Updated: 3/29/2024)
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Intracerebral hemorrhage and fluid management
Rincon F, Mayer SA. Clinical review: critical care management of spontaneous intracerebral hemorrhage. Crit Care 2008;12:237.
Category: Critical Care
Keywords: blood pressure, intracerebral hemorrhage (PubMed Search)
Posted: 12/31/2008 by Mike Winters, MD
(Updated: 3/29/2024)
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Blood Pressure Control in ICH
Rincon F, Mayer SA. Clinical review: critical care management of spontaneous intracerebral hemorrhage. Crit Care 2008;12:237.
Category: Critical Care
Keywords: renal replacement therapy, hemofiltration (PubMed Search)
Posted: 12/23/2008 by Mike Winters, MD
(Updated: 3/29/2024)
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Hemofiltration
Category: Critical Care
Keywords: central venous catheter (PubMed Search)
Posted: 12/16/2008 by Mike Winters, MD
(Updated: 3/29/2024)
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Catheter Positioning
Category: Critical Care
Keywords: central venous catheter, tissue plasminogen activator (PubMed Search)
Posted: 12/9/2008 by Mike Winters, MD
(Emailed: 12/11/2008)
(Updated: 3/29/2024)
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Central Venous Catheter Occlusion
Category: Critical Care
Keywords: hemodialysis catheters (PubMed Search)
Posted: 12/2/2008 by Mike Winters, MD
(Updated: 3/29/2024)
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Hemodialysis Catheters
Two weeks ago, we had a PEA arrest of a patient receiving HD. A significant delay occurred in administering fluids and medications as a result of "no iv access". Don't forget that in these situations you can use the hemodialysis catheter.
Category: Critical Care
Keywords: stress related mucosal injury, histamine antagonists, proton pump inhibitors, sucralfate (PubMed Search)
Posted: 11/25/2008 by Mike Winters, MD
(Updated: 3/29/2024)
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Stress Related Mucosal Injury (SRMI)
Category: Critical Care
Keywords: dopamine, hemodynamic medication, vasopressors (PubMed Search)
Posted: 11/18/2008 by Mike Winters, MD
(Updated: 3/29/2024)
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Dopamine in the ED
Marino PL. Hemodynamic drugs. In: The Little ICU Book of Facts and Formulas. 2009 Ed. Lippincott Williams & Wilkins, Philadelphia, PA.