icupearls.org Archive

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

Monday, March 31, 2014

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Q: Which type of lung cancer is mostly associated with lung abcess? Answer: Squamous Cell Carcinoma When a pulmonary abscess d...
Saturday, March 29, 2014

IABP

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Link: http://youtu.be/RU1gEBNK1pY  
Friday, March 28, 2014

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Q: What is the treatment of unresolved hepatic encephalopathy following transjugular intrahepatic portosystemic s...
Thursday, March 27, 2014

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Q: Methylene Blue can be use as a treatment in which infectious disease?   Answer: Malaria   Actually Methylene Blue has been used as a...
Wednesday, March 26, 2014

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Thromboelastogram Link: http://youtu.be/SjH05uGSGv0
Tuesday, March 25, 2014

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Q: Coumadin (warfarin) is contraindicated in pregnancy, except in one condition. Which one Answer:   prosthetic mehanical heart...
Monday, March 24, 2014

A Note of Proton Pump Inhibitors (PPIs) use in ICU

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" There is increasing concern that IV PPI is being prescribed inappropriately in the hospital and community setting. The use of IV...
Sunday, March 23, 2014

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Q: What causes Transfusion-Related Acute Lung Injury (TRALI) via pRBC transfusion? Answer:   TRALI is mostly associated with plasma...
Saturday, March 22, 2014

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Q: How Transfusion-Associated Circulatory Overload (TACO) can be clinically distinguished from Transfusion-Related Acute Lung Injury (TRA...
Friday, March 21, 2014

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Q: No adjustment is needed for Linezolid in ESRD (Renal failure) patients. But what is the recommendation for patients on Hemodialysis (H...
Thursday, March 20, 2014

Procalcitonin versus C-reactive protein for guiding antibiotic therapy in sepsis

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Study was sought to evaluate whether procalcitonin was superior to C-reactive protein in guiding antibiotic therapy in intensive care pat...
Wednesday, March 19, 2014

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Q:  Which factors may give false positive higher HbA1C level ? Answer:  Higher than actual   level of HbA1C can be seen i...
Tuesday, March 18, 2014

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Q: Why Tacrolimus  (FK/prograf) level should always be drawn peripherally, if patient is on intravenous Tacrolimus? Answer:    ...
Monday, March 17, 2014

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Q: Although Lactated Ringers (LR) has PH of 6.5, it is an alkalizing solution. How? Answer:   Although LR has pH of 6.5, it is an al...
Sunday, March 16, 2014

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Normal Saline Vs Lactated Ringers in Hemorrhagic Shock Choice of crystalloid as a resuscitation fluid in the face of known hemorrha...
Saturday, March 15, 2014

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What are the possible Bioterrorism Agents that might be used in an attack? The CDC classifies six pathogens as class A bioterrorism...
Friday, March 14, 2014

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Does Diaphragmatic Inactivity during mechanical ventilation lead to disuse atrophy? Studies have demonstrated that the combination ...
Thursday, March 13, 2014

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Conventional cardiopulmonary resuscitation (CPR) Vs compression-only CPR   Bystanders who perform chest-compression-only CPR inst...
Wednesday, March 12, 2014

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What is Damage Control Resuscitation? The concept of damage control resuscitation (DCR) was proposed in the mid 2000s as an alterna...
Tuesday, March 11, 2014

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Which biomarker provides the earliest detection of acute kidney injury? Acute kidney injury (AKI) is a common complication among IC...
Monday, March 10, 2014

Double lumen tube

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(2 Parts - Total time 10:20) Links:  http://www.youtube.com/watch?v=w1cgx2AVC6k  http://www.youtube.com/watch?v=JZkOiy4PXxg
Sunday, March 9, 2014

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Q: What is the bedside trick to facilitate left lung intubation, assuming no other tools are available? Answer: To facilitate left ...
Saturday, March 8, 2014

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Deep Brain stimulation Link:  http://youtu.be/abHuHFt_izI .
Friday, March 7, 2014

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Can a patient make a movement and still meet criteria for brain death? Yes! Spinally mediated reflexes and automatisms can be ...
Thursday, March 6, 2014

A note on Isopropyl alcohol inhalation in Post operative Nausea Vomitting (PONV)

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Isopropyl alcohol has been tried as an aroma-therapy in PONV. Couple of inhalations from a standard alcohol (70%) wipe has been said t...
Wednesday, March 5, 2014

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Q: In severe nausea which drug may provide good synergism with ondansetron (zofran)? Answer: D examethasone (Decadron) Dexametha...
Monday, March 3, 2014

Picture Diagnosis

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. Answer:   Cutaneous Leishmaniasis Cutaneous Leishmaniasis is marked by itchy sores and swelling of lymph ...
Saturday, March 1, 2014

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Q: Beside Erectile Dysfunction (ED) and Pulmonary Hypertension (PAH), Sildenafil is an acceptable treatment in which condition ? Answer...
Friday, February 28, 2014

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Q: While floating a Pulmonary Artery Catheter, as you  inflate  balloon and enter right ventricle, nurse inform you that monitor is rea...
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Wednesday, February 26, 2014

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Q: What are the essential components of Decorticate and Decerebrate posturing Answer: Decorticate posturing: Elbows, wrists and f...
Monday, February 24, 2014

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Q: What is the recommended DVT prophylaxis in patients with no major risk undergoing spinal surgery? Answer: Fo...
Saturday, February 22, 2014

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Q: What are the added risk factors for pressure ulcer in ICU patients in addition to other hospitalized adul...
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