icupearls.org Archive

Q: 58 year old male with IPF (interstitial Pulmonary fibrosis) became unstable and required intubation. "Swan" is floated with...

Q: Which modality/drug is no more recommended for Asystole per 2010 ACLS guidelines? A) Epinephrine B) Atropine C) Transcutan...

Oxygen dissociation curve If video is not visible click below Here http://youtu.be/HYbvwMSzqdY

Bedside caution on Thrombolytic therapy for central venous catheter occlusion Thrombolytic agents successfully clear central venous cat...

  Skinfold vs Pneumothorax "Absence of lung markings is not sufficient to make diagnosis of pneumothorax as lung may fold on itself...

An interesting way to find "optimum PEEP" (Abstract) This study was conducted to evaluate the effectiveness and safety...

Q: What dose of Versed (midazolam) is optimum for antegrade amnesia? Answer: About 0.05 – 0.1 mg/kg. Reference: B...

Q: What is 80-10-10 distribution in brain? Answer: 80% - Parenchyma 10% - Blood 10% - CSF

 "Compared to oral acetaminophen, IV acetaminophen achieves a rapid elevation in plasma concentration and higher peak levels. The IV f...

Ultrasound Guidance for Thoracentesis     

Q: The Model for End-Stage Liver Disease, or MELD, is a scoring system for assessing the severity of chronic liver disease. Formula for...

Q:    Cardiac output  is the volume of blood being pumped by the  heart , (left or right  ventricle),  in the time interval of ...... ...

Q:   Why it is important to look at CXR for a patient presenting with symptoms consistent with Myasthenia Gravis? Answer:   To Rule out L...

Q:  W hich vaptan is contraindicated in liver failure during treatment of hyponatremia?   Answer: Conivaptan

Quinton Hemodialysis catheter insertion, use and care

Q: What could be the 4 life threatening side effects of Neupogen (Filgrastim)? Answer: 1. Neupogen may bring sickle cell cri...

Q: What is Libman-Sacks endocarditis? Answer: Libman-Sacks endocarditis is the most characteristic cardiac manifestation of syste...

Q: Is Daptomycin dialyzable? Answer: No In renal failure patients on CRRT and HD - every 48 hour dosing is recommended.

On Chylothorax Chylothorax is defined as triglycerides more than 113 mg/dl (1.24 mmol/L) in pleural cavity. A number of therapeutic ...

Q : Why it is not a good idea to add Sorbitol while administrating Katexalate for Hyperkalemia ? Answer:   Concern for Bowel Necrosi...

Q : 57 year old male severe diabetes and ESRD, 'coded' in cath lab. Patient is now in ICU after VA-ECMO (inserted by surgeon afte...

One relatively unknown use of DDAVP (Desmopressin) Desmopressin (DDAVP) can be use in treatment of sleep apnea. Patients prescribed DD...

Q: What is Gray platelet syndrome?   Answer: Gray platelet syndrome is a congenital bleeding disorder caused by a reduction or absence o...

A note on Factor 7 (rVIIa) and thrombocytopenia Factor 7 (rVIIa - Novoseven) is now significantly use as off label in uncontrolled bleedi...

Q: Despite its logistic concerns, prone positioning in severe ARDS still keeps it role. What 3 things have shown to benefits patients in re...

Q: 53 year old female post-operatively developed propofol induced dystonia. What could be a possible treatment beside stopping propofol?...

Q: What is the half life of Precedex (dexmedetomidine), when it is fully on board? Answer : About 2 - 3 hours!

Q: What is "Whoosh test"?  Answer: The whoosh test is done by rapidly injecting air down the NasoGastric tube while auscultati...

Q: Ischemic colitis remained a clinical diagnosis. Despite normal labs or no bloody stools, which one clinical sign should promptly lead...

Q: ID service advise you to consider Octreotide for a patient with Aids related diarrhea. What is the dosing? Answer...

Q : 58 year old male with Renal failure, but not yet on dialysis, is admitted with ST elevation MI and taken to cath lab for PCI and stent p...