therapy Kenneth Nugent MD
PaO2 50 mmHg or SaO2 88% Chronic hypoxemia with PaO2 55mmHg Monitoring Goals SaO2 88% (measured with pulse oximetry)
pressure alarms Eva Nourbakhsh MD
Peak pressure with normal plateau pressure Monitor will show a peak pressure >40 cm H2O and a plateau pressure <30 cm H2O Possible causes: secretions, bronchospasm, kinked tube Solution:…
drugs used in ventilated patients Gilbert Berdine MD
Albuterol Ipratropium Levalbuterol (Xopenex) Budesonide (only Pulmicort Respule) MDI • Only aerosol system MDI can be used; drugs in powder form such as Advair diskus cannot be used. The therapist must…
Kenneth Nugent MD
40%, PEEP 5 Primary indication for mechanical ventilation improving Adequate Hb ( 10 g/dL), adequate K 3.5 mEq/L Discontinue sedation Plan sedation management during the prior hospital day Start…
pneumonia Kenneth Nugent MD
Vancomycin or linezolid plus extended-spectrum penicillinbeta lactam inhibitor combination plus an aminoglycoside or a fluoroquinolone. Vancomycin or linezolid plus carbapenem plus an aminoglycoside or a fluoroquinolone. Vancomycin or linezolid plus…
to cases Rishi Raj MD
6. Answer: B Rationale: Patient discomfort and agitation causes “Patient Ventilator Dys-synchrony,” reducing the effective ventilation. Appropriate sedation improves ventilation in these patients. Paralysis may be required briefly early on…
case reviews Rishi Raj MD
Chapter 30 Short case reviews 1. Indications for mechanical ventilation A 32 year otherwise healthy female is admitted for dysuria and fever. She is admitted to the floor for…
bibliography of selected studies by the ARDS Network Kenneth Nugent MD
This pivotal study reported the outcome in 861 patients in a randomized controlled trial which compared a low tidal volume strategy (6ml/kg IBW) with a plateau pressure < 30 cm…
Gilbert Berdine MD
Chapter 27 Tracheostomy Indications Emergency tracheostomy It is performed due to an anatomic obstacle preventing the establishment of a secure airway. Planned tracheostomy Prolonged endotracheal intubation can result in tracheal…
sedation and pain management Frederick Hugh Pharm D
Chapter 20 ICU sedation and pain management 2001 American College of Critical Care Medicine (ACCM) Sedation Guidelines were developed to help guide the practitioner in the usage of sedatives and…
