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Aaron Skolnik is an Assistant Professor of Emergency Medicine at the Mayo Clinic Alix School of Medicine and Consultant in the Department of CriticalCare Medicine at Mayo Clinic Arizona. He is board certified in Emergency Medicine, Medical Toxicology, Addiction Medicine, Internal Medicine-CriticalCare, and Neurocritical Care.
Aaron Skolnik is an Assistant Professor of Emergency Medicine at the Mayo Clinic Alix School of Medicine and Consultant in the Department of CriticalCare Medicine at Mayo Clinic Arizona. Saline Solution on Mortality in Critically Ill Patients: The BaSICS Randomized Clinical Trial. Reference: Zampieri et al.
Welcome back to the tasty morsels of criticalcare podcast. Read More » Welcome back to the tasty morsels of criticalcare podcast. However in ICM there is a need to have a broad understanding of what some of the haematological acronyms might mean given that a fair number of these patients end up in the ICU.
Welcome back to the tasty morsels of criticalcare podcast. It is with trepidation that I approach any topic that involves the negative feedback loops of endocrine control as I really struggle to keep it all straight in my head, Read More » Welcome back to the tasty morsels of criticalcare podcast.
Welcome back to the tasty morsels of criticalcare podcast. Today we’re covering the ambitious topic of CRRT in the ICU. At its simplest the yellow ultrafiltrate has all the same concentrations in it as the plasma minus the large molecules like albumin. The final ICU specific mode of RRT is probably SLED.
Welcome back to the tasty morsels of criticalcare podcast. Plasmapheresis (or PLEX) is one of the machines we tend not to have responsibility for in the ICU. Read More » Welcome back to the tasty morsels of criticalcare podcast. Unlike CRRT we tend to defer to another specialty to do this.
Best practices in care of the critically ill patient with COVID-19 pneumonia are not known at this time. Worsening tachypnea, distress, and ventilatory (not hypoxic) failure are a marker to upgrade care and/or intubate a borderline COVID patient.* Check a D-dimer to stratify hypercoagulability.*
Welcome back to the tasty morsels of criticalcare podcast. A meandering monologue through criticalcare fellowship exam preparation. GBS management can be nicely split into disease specific management and ICU supportive care. Read More » Welcome back to the tasty morsels of criticalcare podcast.
Welcome back to the tasty morsels of criticalcare podcast. TTP is a lovely ICU diagnosis. Read More » Welcome back to the tasty morsels of criticalcare podcast. TTP is a lovely ICU diagnosis. Not so much for the patient but it’s one of those ones that is niche enough to not have been picked up via the.
Welcome back to the tasty morsels of criticalcare podcast. We talk a lot about cerebral protective measures in the ICU and hopefully this will give you a little of the basic physiological background. Welcome back to the tasty morsels of criticalcare podcast. We’ll start with a few basic factoids.
Plasma free hemoglobin levels may be a useful marker that changing your oxygenator could improve gas exchange.* Decannulate at the bedside when ready, watch them for 24 hours, then boot them out of the ICU; they’re ready.* In such cases, beta blockade may actually improve systemic oxygenation.*
Have a look to see how their osmolarity and tonicity across the cell membrane compare to plasma. Renal (= urine output) : anti-diuretic hormone (ADH) release from the posterior pituitary is stimulated by microchanges in plasma osmolarity. Intensive Care Med. Intensive Care Med. What loss mechanisms do we need to consider?
Welcome back to the tasty morsels of criticalcare podcast. A meandering monologue through criticalcare fellowship exam preparation. GBS is a clinically important diagnosis for both the emergency department and the ICU. Read More » Welcome back to the tasty morsels of criticalcare podcast.
Later phase : As plasma levels fall, vasoconstriction decreases. This makes it a valuable adjunct in multimodal sedation and analgesia strategies, particularly in paediatric criticalcare and procedural sedation. Pediatr Crit Care Med. Dexmed then reduces sympathetic outflow, which can lead to hypotension. Eur J Pediatr.
This graph shows the gaseous equivalent volume of oxygen stored in the lungs, bound to hemoglobin, and dissolved in the plasma for people breathing room air (far left) vs the same people pre-oxygenated by breathing 100% O2 (far right), and then after they have desatted to 90% while apneic (center). ” Australian CriticalCare 20.4
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