Category: Critical Care
Keywords: noninvasive ventilation (PubMed Search)
Posted: 7/15/2008 by Mike Winters, MD
(Updated: 9/21/2023)
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Noninvasive Ventilation Pearls
Garpestad E, Brennan J, Hill NS. Noninvasive ventilation for critical care. Chest 2007;132:711-20.
Category: Critical Care
Keywords: hypotension, trauma, elderly (PubMed Search)
Posted: 7/7/2008 by Mike Winters, MD
(Emailed: 7/8/2008)
(Updated: 9/21/2023)
Click here to contact Mike Winters, MD
Hypotension begins at 110 mmHg?
Eastridge BJ, Salinas J, McManus JG, et al. Hypotension begins at 110 mmHg: redefining hypotension with data. J Trauma 2007;63:291-9.
Category: Critical Care
Keywords: passive leg raising, fluid responsiveness (PubMed Search)
Posted: 6/17/2008 by Mike Winters, MD
(Updated: 9/21/2023)
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Passive Leg Raising (PLR)
Monnet X, Teboul JL. Passive leg raising. Intensive Care Med 2008;34:659-63.
Category: Critical Care
Keywords: sepsis, intravenous fluids, chronic kidney disease, end stage renal disease (PubMed Search)
Posted: 6/10/2008 by Amal Mattu, MD
(Updated: 9/21/2023)
Click here to contact Amal Mattu, MD
Submitted on behalf of Dr. Winters:
Sepsis, Fluids, and ESRD
-ESRD patients are at increased risk of sepsis and bacteremia secondary to
indwelling devices
-Many of are hesitant to aggresively fluid resuscitate patients with ESRD
-Several studies have concluded that volume resuscitation should proceed the
same as patients without ESRD, even if that means more patients are eventually
intubated.
Reference:
Otero RM, et al. Chest 2006;130:1579-95.
Category: Critical Care
Keywords: acinetobacter, polymixin, ventilator-associated pneumonia, bacteremia (PubMed Search)
Posted: 6/3/2008 by Mike Winters, MD
(Updated: 9/21/2023)
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Acinetobacter in the Critically Ill
Munoz-Price LS, Weinstein RA. Acinetobacter infection. NEJM 2008;358:1271-81.
Category: Critical Care
Keywords: jlactated Ringer's solution, dextrose, cerebral edema (PubMed Search)
Posted: 5/27/2008 by Mike Winters, MD
(Updated: 9/21/2023)
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Fluids in Acute Liver Failure
Auzinger G, Wendon J. Intensive care management of acute liver failure. Curr Opin Crit Care 2008;14:179-88.
Category: Critical Care
Keywords: bicarbonate, pH, COPD, mechanical ventilation (PubMed Search)
Posted: 5/20/2008 by Mike Winters, MD
(Updated: 9/21/2023)
Click here to contact Mike Winters, MD
COPD and mechanical ventilation
Ward NS, Dushay KM. Clinical concise review: Mechanical ventilation of patients with chronic obstructive pulmonary disease. Crit Care Med 2008;36:1614-9.
Category: Critical Care
Keywords: PEEP, acute lung injury, acute respiratory distress syndrome (PubMed Search)
Posted: 5/13/2008 by Mike Winters, MD
(Updated: 9/21/2023)
Click here to contact Mike Winters, MD
Acute Lung Injury (ALI) / Acute Respiratory Distress Syndrome (ARDS)
Category: Critical Care
Keywords: propofol (PubMed Search)
Posted: 5/7/2008 by Mike Winters, MD
(Updated: 9/21/2023)
Click here to contact Mike Winters, MD
Propofol Infusion Syndrome
Kam PCA, Cardone D. Propofol infusion syndrome. Anaesthesia 2007;62:690-701.
Category: Critical Care
Keywords: intra-aortic balloon pump counterpulsation, cardiogenic shock (PubMed Search)
Posted: 4/29/2008 by Mike Winters, MD
(Updated: 9/21/2023)
Click here to contact Mike Winters, MD
Intra-aortic balloon pump counterpulsation
Kim JT, Lee JR, Kim JK, et al. The carina as a useful radiographic landmark for positioning the intra-aortic balloon pump. Anesth & Analg 2007;105:735-8.
Category: Critical Care
Keywords: glucose, critically ill (PubMed Search)
Posted: 4/22/2008 by Mike Winters, MD
(Updated: 9/21/2023)
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Bedside Glucometry in the Critically Ill
Desachy A, et al. Accuracy of Bedside Glucometry in Critically Ill Patients: Influence of Clinical Characteristics and Perfusion Index. Mayo Clin Proc 2008;83:400-5.
Category: Critical Care
Keywords: vasopressin, septic shock (PubMed Search)
Posted: 4/15/2008 by Mike Winters, MD
(Updated: 9/21/2023)
Click here to contact Mike Winters, MD
Vasopressin for Sepsis
Category: Critical Care
Keywords: ACTH stimulation test, adrenal insufficency, corticosteroids (PubMed Search)
Posted: 4/8/2008 by Mike Winters, MD
(Updated: 9/21/2023)
Click here to contact Mike Winters, MD
ACTH Stimulation Test
Category: Critical Care
Keywords: dialysis disequilibrium syndrome, mannitol, cerebral edema (PubMed Search)
Posted: 4/1/2008 by Mike Winters, MD
(Updated: 9/21/2023)
Click here to contact Mike Winters, MD
Dialysis Disequilibrium Syndrome (DDS)
Category: Critical Care
Keywords: central venous catheter, guidewire (PubMed Search)
Posted: 3/25/2008 by Mike Winters, MD
(Updated: 9/21/2023)
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Guidewire length for central venous catheterization
Category: Critical Care
Keywords: phosphate, hypotension, hypomagnesemia (PubMed Search)
Posted: 3/18/2008 by Mike Winters, MD
(Updated: 9/21/2023)
Click here to contact Mike Winters, MD
Potassium Phosphate ("K-phos")
Over the weekend, I had a patient with Dr. Scott that had a phosphate of 0.8 mmol/L. Phosphate < 1.0 mmol/L is an indication for IV repletion. IV repletion involves giving potassium phosphate. An important clinical question, therefore, is how much potassium does the patient actually get?
Category: Critical Care
Keywords: fresh frozen plasma, coagulopathy, PRBC (PubMed Search)
Posted: 3/11/2008 by Mike Winters, MD
(Updated: 9/21/2023)
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Coagulopathy and Trauma
Category: Critical Care
Keywords: aspiration pneumonitis (PubMed Search)
Posted: 3/4/2008 by Mike Winters, MD
(Updated: 9/21/2023)
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Aspiration Pneumonitis
Category: Critical Care
Keywords: d-dimer (PubMed Search)
Posted: 2/26/2008 by Mike Winters, MD
(Updated: 9/21/2023)
Click here to contact Mike Winters, MD
D-Dimer in the Critically Ill
Crowther MA, et al. Neither baseline tests of molecular hypercoagulability nor D-dimer levels predict deep venous thrombosis in critically ill medical-surgical patients. Intensive Care Med 2005;31(1):48-55.
Category: Critical Care
Keywords: central venous pressure (PubMed Search)
Posted: 2/19/2008 by Mike Winters, MD
(Updated: 9/21/2023)
Click here to contact Mike Winters, MD