icupearls.org Archive

Q: Why "Nitro" drip is always supplied in glass bottle with special tubing? Answer: Nitroglycerin binds to soft pla...

Q: Which 2 factors may increase the risk of Vasoplegia after CABG (Coronary Artery Bypass Graft)? A nswer: 1. On-pump CABG,...

Protamine sulfate is used during coronary artery bypass graft surgery to reverse the anticoagulating effects of heparin. Vasoplegic syn...

Intracranial clot retrieval If video does not play, here is the link: http://youtu.be/7gn96se6j00

Q: For how many days air travel should be avoided after resolution of pneumothorax? Answer: Air travel should be avoided for u...

BACKGROUND: Atelectasis is considered to be the most common cause of early postoperative fever (EPF) but the existing evidence is contradic...

Using the Bougie for Endotracheal Intubation lf video does not play or appear, here is the link http://youtu.be/qcDXZgV3m8I

Q; What is Foster Kennedy syndrome? Answer: Foster Kennedy syndrome   is a group of findings associated with tumors of the fronta...

A short note on Lidocaine therapeutic profile  When the lidocaine dose is increased from 1 mg/kg to 1.5 mg/kg, the risk of CNS toxicity in...

Q: Hematology service ordered IV Iron for an anemic patient who is Jehovah witness by faith. Nurse asked you about test dose? Answ...

Q: Do you need ABG (arterial blood gas) in DKA (Diabetic Ketoacidosis)? Answer:   An Interesting study recently published from UK...

Olanzapine (Zyprexa) is frequently used in ICU for delirium. One of the side effects to be aware of is hyperglycemia. Olanzapine may in...

Q: How early psychosis can hit with steroid therapy ? Answer: As early as 4 days Psychiatric sympto...

Q: Assume if you don't have luxury of time - and - you have to send patient for CT scan with IV contrast, who has listed allergy to IV...

Q:  In which allergy Protamine should be given with caution? Answer: Protamine was originally isolated from the sperm of salmon...

Q:  Which one disease process in ICU may give prolong ACT (Activated Clotting Time) ? Answer:   Lupus ant...

Q: What is Ecarin clotting time (ECT)? Answer:   Clinically not in much use but "Ecarin Clottting Tim...

Q: How to distinguish between traumatic bloody ascitic tap and non-traumatic bloody ascitic fluid? Answer: ...

Q: Give few under recognized reasons of Intra-abdominal compartment syndrome in ICU ? Answer: Massive volume resuscitation...

Q: Why Etomidate should not be pushed fast ? Answer:     Very rapid push of etomidate may cause trismus. Trismus is the r...

On significance of Post Intubation hypotension (PIH) See this interesting poster presentation Introduction Arterial hypote...

Q: What is the indication of hemodialysis in acute ethanol poisoning solely depending on blood level ? Answer:   Ethanol blood ...

Q: Which common conditions encountered in ICU may give falsely normal or higher level of Pre-albumin ? ...

Q: Which lab tests may help in distinguish between Cardiogenic pulmonary edema and TRALI (Transfusion related acute lung injury)  ? ...

Q: 52 year old male presented to ER with chest pain radiating to back. Which one blood test may rule out Aortic ...

Q: How you define Bulla(e) and Giant bulla(e) in lung? Answer: Bulla(e): Larger than 2 cm in distended state Giant bu...

Endoscopic Lung Volume Reduction Further reading: Endoscopic Lung Volume Reduction Link: http://toraks.org.tr/uploadFiles/boo...

(Basics) Q: Formula for Mean Arterial Pressure (MAP) is   MAP = [(2 x diastolic)+systolic] / 3 What is the logic behind it?...

Arterial catheterization (AC) is commonly used in critically ill patients to monitor blood pressure. In Critical care literature, there ...

Q: How much is the pressure usually inflated in the arterial line pressure bag? Answer: 300 mmHg In arterial line monito...

How to setup an Arterial line transducer   http://youtu.be/vJ_anWmQbUM

Q: Haloperidol (Haldol) can be helpful in which 2 non-central (CNS) conditions Answer: Haldol can be be tried if needed in ICU f...