Critical Care

 

 
 
Online bronchoscopy tutorial: pie.med.utoronto.ca

Delivery of Oxygen (DO2) = [(1.39 x Hb x SaO2) + (0.003 x PaO2)] x CO (mL/min/m2)

Cardiac Output (CO) = Stroke Volume (SV) x Heart Rate (HR) = Systemic Vascular Resistance (SVR) / Mean Arterial Pressure (MAP)

Cardiac Index (CI) = CO / Total Body Surface Area (TBSA)



THAM for metabolic acidosis

Post-Intubation Care: FAST HUGS IN BED, Please:

  • Fluid therapy and feeding
  • Analgesia, antiemetics and ADT
  • Sedation
  • Thromboprophylaxis
  • Head up position (30 degrees) if intubated
  • Ulcer prophylaxis
  • Glucose control
  • Skin/ eye care and suctioning
  • Indwelling catheter
  • Nasogastric tube
  • Bowel cares
  • Environment (e.g. temperature control, appropriate surroundings in delirium)
  • De-escalation (e.g. end of life issues, treatments no longer needed)
  • Psychosocial support (for patient, family and staff)
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Meyers, Weingart - Critical Care Monitoring in the ED Review 2007  884k v. 1 Sep 18, 2011, 8:28 PM Kit Tainter
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Michelle Lin's Continuous Infusion Dosing PV Card  63k v. 2 Mar 20, 2012, 2:50 PM Kit Tainter
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More conservative fluid strategy + diuresis results in decrease ICU days, vent days. No mortality benefit.   267k v. 1 Sep 2, 2013, 3:07 PM Kit Tainter
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Full Text  11263k v. 3 Sep 23, 2013, 2:28 PM Kit Tainter
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Glucose 81-109 higher mortality vs. < 180   460k v. 1 Jan 28, 2014, 1:14 PM Kit Tainter
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