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0
votes
2answers
43 views

choice of inotropic drugs

i wonder which inotropic drug is 1st choice in critical patients with hypovolemic shock? please tell us the right dose & infusion rate. the available drugs we have here are onl …
0
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1answer
62 views

HYPERTENSION INDUCED ACUTE PULMONARY EDEMA ANYTHING NEW? MORPHINE /LASIX SHOULD BE OR SHOULD NOT BE GIVEN ? WHAT IS THE NITROGlYCERINE DOSES REQUIRED TO TREAT ACUTE PULMONARY EDEMA ?

WE NO MORE DOSING THESE PATIENTS WITH ANY LASIX OR MORPHINE STILL GETTING 100% SUCCESS RATE . WE USE ONLY BiPAP 100% OXYGEN + NITROGLYCERINE BOLOUSES 400 MICRO TO 800 MICRO EAC …
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1answer
44 views

Two more mnemonics , one for difficult mask ventilation and one for sudden collapse of a patient who is on ventilator.

Difficult mask ventilation ( MOANS) M-difficult mask seal O-obstructive symptoms ( obstructive sleep apnoea) A- age more than 55 yrs N- no teeth S- stiff lung( bronchospasm) …
0
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0answers
17 views

XIGRIS (Activated protein C) how many still think that it works ? Is it a dying drug or Xigris works in sepsis ??

what is the evidence ? Enhace trial Prowess trial Address trial APACHE score 25 or more means patients is almost died then why to give? (SSC guideline2008) what does all th …
0
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0answers
15 views

How imoprtant is Therapeutic Hypothermia ? what are the steps ? whom not to cool?

post arrest hypothermia how hot a topic is it? how do you do it? what are the major steps? what are the literatures?
0
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0answers
19 views

what are some new methods identifying volume status in criticall ill ?

SOME OF THE UPCOMMING PARAMETERS ARE - Ultrasound of Inferior venacal diameter and respiratory variation of IVC. CVP will be 5 or less if there is more than 50% variability during …
4
votes
6answers
210 views

Neck mass after Subclavian line insertion !

Interesting case: Immediately after placing a right Subclavian line in a patient with subarachnoid hemorrhage, a 10 X 15 cm mass appeared over the mandible as seen in this picture …
2
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4answers
143 views

What are the ABG rules of thumb?

I heard someone mention the ABG (Arterial blood gas) rules of thumb the other day for use in quickly analaysing an ABG. Anybody know them?
3
votes
2answers
59 views

I have a patient in my ICU with paraquat poisoning - does anyone have any experience with this type of overdose?

We recently admitted a young woman, 22 years old, who reports a suicide attempt 4 days earlier, consuming a "tablespoon" of the herbicide paraquat. She describes vomiting shortly a …
5
votes
3answers
34 views

Does strict blood glucose control improve outcomes in critically ill patients?

Many of the intensive treatment units that I have worked in over the past few years have had very strict protocols for managing the blood sugar concentrations of critically ill pat …
2
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1answer
24 views

Interpreting troponin in septic patients

How does one interpret an elevated troponin level in the septic intensive care patient? This is not an uncommon situation either when working in the intensive care or as an anaest …