icupearls.org Archive

Pearls on Intensive Care Medicine Practice - Project "Critical Care A Day"

Thursday, October 31, 2013

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Q:   When is IV calcium contraindicated in symptomatic hypocalcemia? Answer: Hypocalcaemia induced b...
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Tuesday, October 29, 2013

The ACCP (American College of Chest Physicians) Mnemonic for intubation

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APPROACH A = Assess P = Pre-Oxygenate P = Prepare R = Review  (backup plan) O = Oxygen cut off determination - to re-bag at wh...
Monday, October 28, 2013

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Q: Which one disease process is found to be protective in ARDS? Answer: Sounds weird! but its Diabetes Click on following...
Sunday, October 27, 2013

On Daily weight and fluid balance in ICU

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PURPOSE: Monitoring of fluid balance (FB) can be achieved by subtracting recorded fluid output from input or by measuring changes in b...
Friday, October 25, 2013

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Q: For average patient, Gentamicin should be given per (choose one)? A) Ideal or adjusted body weight or B) Actual body w...
Thursday, October 24, 2013

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Q: What is the optimum way of drawing Vancomycin trough level? Answer:   Usually Vancomycin peak is not required, and Van...
Wednesday, October 23, 2013

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Q: What care should be taken on giving Linezolid (Zyvox) to patients who are on HD (hemodialysis)? Answer: ...
Tuesday, October 22, 2013

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Q: Why Glycopyrrolate is always used with Neostigmine for 'reversal' of neuromuscular blockade after surgery? Answer:     G...
Monday, October 21, 2013

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Q: What is the target PETCO2 (Capnography) value during CPR? Answer: Between 10 and 20 mm Hg. If PETCO2 values less than 10 ...
Friday, October 18, 2013

Recommended Cuff Sizes for Accurate Measurement of Blood Pressure

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PATIENT RECOMMENDED CUFF SIZE Adults (by arm circumference) 22 to 26 cm 12 × 22 cm (small adult) 27 to 34 cm 16...
Thursday, October 17, 2013

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Q:  To obtain venous blood gas (VBG), what is the minimum time for the tourniquet to be off?  Answer:  At least a minute  If...
Wednesday, October 16, 2013

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Q: How much is the average fluid deficit in Hyperosmolar hyperglycemic state (HHS), previously known as hyperosmolar hyperglycemic nonke...
Tuesday, October 15, 2013

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Q: What is hemiballismus? Answer: Ballism was defined as " Repetitive, but constantly varying, large amplitude involuntary ...
Monday, October 14, 2013

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Q: What is the major clinical difference between Parkinson's disease and tardive dyskinesia patients on examination? Answer : ...
Sunday, October 13, 2013

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Q: Hypermagnesemia  causes  (choose one) A) Increase anion gap   or B) Decrease Anion Gap? Answer: B  Few common etiol...
Saturday, October 12, 2013

A note on role of magnesium in Digoxin toxicity induced tachyarrhythmia

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Digi-Bind, a direct antidote in digoxin toxicity,  is not always readily available from hospital pharmacy. Moreover, it takes time to k...
Friday, October 11, 2013

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Q: Define Endarterectomy procedure? Answer : Endarterectomy is a surgery to clean out an artery and restore normal blood flow. It clear...
Sunday, October 6, 2013

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Q: Fomepizole can be use in methanol or ethylene glycol poisoning, but not in Ethanol poisoning. Why? Answer:   Fomepizole not onl...
Saturday, October 5, 2013

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Q: Which one electrolyte could be a marker of morbidity and mortality in Organophosphate (OP) poisoning? Answer:   Potassium (Hypo...
Friday, October 4, 2013

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Q: What is the hazard of using sub-optimal dose of Atropine in Bradycardia? Answer:   Minimum dose of Atropine in Bradycardia i...
Thursday, October 3, 2013

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Q: Why Esmolol is called Esmolol? Answer:      The answer lies in the name Es - M olol Esmolol has ester-methyl side chain. ...
Wednesday, October 2, 2013

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Q: How long does it take to see the maximum effect after IV administration of Labetalol? Answer: 5 minutes Labetalol bo...
Tuesday, October 1, 2013

Cardene vs Labetol

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Introduction: Our purpose was to compare the safety and efficacy of food and drug administration (FDA) recommended dosing of IV nicardipine...
Monday, September 30, 2013

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Q: Why "Nitro" drip is always supplied in glass bottle with special tubing? Answer: Nitroglycerin binds to soft pla...
Sunday, September 29, 2013

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Q: Which 2 factors may increase the risk of Vasoplegia after CABG (Coronary Artery Bypass Graft)? A nswer: 1. On-pump CABG,...
Saturday, September 28, 2013

Methylene blue to treat vasoplegia due to a severe protamine reaction: a case report.

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Protamine sulfate is used during coronary artery bypass graft surgery to reverse the anticoagulating effects of heparin. Vasoplegic syn...
Friday, September 27, 2013

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Intracranial clot retrieval If video does not play, here is the link: http://youtu.be/7gn96se6j00
Thursday, September 26, 2013

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Q: For how many days air travel should be avoided after resolution of pneumothorax? Answer: Air travel should be avoided for u...
Wednesday, September 25, 2013

Atelectasis as a cause of postoperative fever: where is the clinical evidence?

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BACKGROUND: Atelectasis is considered to be the most common cause of early postoperative fever (EPF) but the existing evidence is contradic...
Monday, September 23, 2013

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Using the Bougie for Endotracheal Intubation lf video does not play or appear, here is the link http://youtu.be/qcDXZgV3m8I
Saturday, September 21, 2013

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Q; What is Foster Kennedy syndrome? Answer: Foster Kennedy syndrome   is a group of findings associated with tumors of the fronta...
Thursday, September 19, 2013

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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...
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