Hemodynamics
Okay. Now I know what you are thinking: does the title really combine sepsis and cardiogenic shock into a single term? SICS is an important concept, and the diagnostic criteria are a bid muddled for some. I for one don’t recall it being called SICS. It is basically a
It is a sophisticated display when the seasoned intensivist or veteran RT predicts the next arterial blood gas results after conjuring ventilator settings based on current ABG results. Although it may appear as magic to some and confusing to others, it is actually easy math. Learn this post for your
SepticShock
HOW does vasopressin work? • Released by pituitary ➡️ activates V1 receptors on vascular smooth muscle ➡️ increases phospholipase C causing calcium ion release ➡️ causing arterial vasoconstriction ➡️ thus raising blood pressure and SVR. • Promotes water retention via activation of V2 receptors (by adenyl cyclase). Hence ADH effect. • Lowers HR Name the trial that
NIV
Questions that you may be asked on rounds or on rotation. Name 4 indications for Noninvasive Ventilation (NIV) in ICU pts 2. Acute exacerbation of chronic obstructive pulmonary disease (COPD) 3. Acute cardiogenic pulmonary edema 4. Acute hypoxemic respiratory failure in immunocompromised pts 5. Extubation bridge for COPD pts who
MedEd
1. Find the studies which showed MAP of 65 mmHg to be the hemodynamic threshold for perfusion. 2. Are there any conditions in which a MAP goal of 70 mmHg should be targeted? 3. Name the recent study where MAP 60-65 mmHg was explored. Would it change your management? 4.
NeuroICU Q&A
NeuroICU Q&A Does unilateral carotid artery stenosis cause vertigo and syncope? Not usually. If these occur in isolation, consider pt to have asymptomatic carotid atherosclerotic disease. Most common anatomic lesion of ICA stenosis? Origin point v. distal to bifurcation of CCA, involves carotid bulb. What are grades of
