icuroom.net October 2007 archive

Wednesday October 31, 2007 Epinephrine for septick shock: Why not ? "............................ In my practice, I use epinehrine as a...

Tuesday October 30, 2007 Q: what is "cryo reduced plasma"? A; One unit of cryoprecipitate is derived from one unit of fresh fro...

Monday October 29, 2007 Hydrocortisone and Dexamethasone What are the 3 major differences between Hydrocortisone and Dexamethasone ? 1. Pote...

Sunday October 28, 2007 A-line Tip Suturing of arterial line particularly at femoral site may be tricky as catheter may get twist, turn and...

Saturday October 27, 2007 Digoxin Toxicity Question: Once patient receive Digoxin Fragmented Antibody (DIGIFAB or Digibind), how frequent d...

Friday October 26, 2007 Scenario: 48 year old male, hemodialysis dependent, admitted with gastro-intestinal bleed. Last dialysis was 3 days...

Thursday October 25, 2007 Adjustment of Anion Gap (AG) for albumin A big majority of patients particularly in medical-ICU are hypoalbumenic....

Wednesday October 24, 2007 Scenario: You have a patient with intracranial bleed. ICP monitor has been inserted by neurosurgical service. Yo...

Tuesday October 23, 2007 Critical Care Survey Please help our international colleagues by completing following Critical Care survey. It is a...

Sunday October 21, 2007 Re. our video pearl from yesterday - Ultrasound guided venous catheter placement , we received following feedback: ...

Saturday October 20, 2007 Ultrasound guided venous catheter placement - video (click here , if you can't watch video on this page)

Friday October 19, 2007 Acute A. fib. and Digoxin Q: 44 year old male with CHF went into Atrial fibrillation with RVR (Rapid Ventricular Ra...

Thursday October 18, 2007 2 ways of CVP measurement Central Venous Pressure can be measured in 2 units - cm H2O and mm Hg, depending on whic...

Wednesday October 17, 2007 Q; What is the physiologic amount of cortisol secreted by adrenals per day? A; Adults secrete about 20 mg of co...

Tuesday October 16, 2007 Q: What is your diagnosis ? Tuesday October 16, 2007 Q: What is your diagnosis ? Answer: Tension gastrothorax Ten...

Monday October 15, 2007 Look for leukoreduced RBCs ? Studies after studies are now pointing towards conservative practice of transfusion in ...

Sunday October 14, 2007 LASA drugs Many studies have shown so far that errors in administration of drugs remain high and actually twice in I...

Saturday October 13, 2007 Dopamine dosing on pump ! Beauty of Critical Care Medicine is in details In contrast to dosing of other vasopresso...

Friday October 12, 2007 Scenario: Nurse call you as patient 's SVRI (Systemic Vascular Resistance Index) is only 372. As you asked furt...

Thursday October 11, 2007 Carbon Dioxide Angiography Carbon dioxide (CO2) gas is used as an alternative contrast to iodinated contrast mater...

Wednesday October 10, 2007 Significance of venous blood gas Venous blood gasses are easy to obtained but very under-utilized in ICUs. In ICU...

Tuesday October 9, 2007 "Locked-in" Syndrome (coma vigilante) Patient is a silent and unresponsive witness to everything that is h...

Monday October 8, 2007 Comparison of two dose regimens of arginine vasopressin in advanced vasodilatory shock. Even though not an establis...

Sunday October 7, 2007 Carvedilol (Coreg) Q: How Carvedilol (Coreg) is different from other B-blockers? A; Coreg is a triple blocker. It b...

Saturday October 6, 2007 On reintubation rate Here is a little twist if you are proud of your too low reintubation rate !! "A reintubat...

Friday October 5, 2007 Our progress card on Venous Thromboembolism Prophylaxis in Acutely Ill Hospitalized Medical Patients "Chest...

Thursday October 4, 2007 Hypothermia and hypocapnia ! Editors' note: Many time objective of our pearls is to introduce concepts which m...

Wednesday October 3, 2007 Rocephin and calcium ! The safety labeling for IV ceftriaxone (Rocephin) has been updated by FDA to describe the ...

Tuesday October 2, 2007 Ethanol drip in Ethylene Glycol Q; How you write Ethanol drip in Ethylene Glycol poisoning assuming you don't h...

Monday October 1, 2007 Scenario: A patient was transferred to Critical Care Unit in septic shock. 4 out of 4 blood cultures were positive f...