icupearls.org Archive

Q : 74 year old male with Parkinson's Disease is admitted to ICU with Urosepsis. Patient is recovering well. A night before transfer t...

Q : 45 year old male now recovering in ICU ansd s/p tracheostomy POD # 10. Patient is liberated from ventilator and now put on Passy-Muir ...

Introduction: HbA1c is widely used as a marker of glycaemic control and has been proposed and used, but ...

Q: What are the few indicators that Pulmonary Artery Catheter (Swan-Ganz catheter) tip is in appropriate West ...

Q: At physiologic level what PTT and PT actually determine? Answer: PTT - is the characteristics of the velocity of passage ...

Q: What are the 2 major kinds of Dialysates used in CRRT? Answer: 1.  Lactate based Dialysate solution 2.   8.4% bicarb...

Q:   Succinylcholine and Rocuronium are the 2 most commonly used neuro-muscular blockades during intubation in IC...

Q:   What are the 3 major risk factors for Vasoplegic syndrome in post-CABG patients? Answer: The long initial Cardiopulmonary Byp...

Q:   Which anti-epilectic drug can be use as an antidote in Tacrolimus Toxicity? A) Phenytoin B) Levetiracetam, C) Carbamaze...

Q:   What precaution should be taken while calculating dose for Phenytoin (Dilantin) for an obese patient? Answer: In obese pa...

Q:   Should highly active antiretroviral therapy be prescribed in critically ill HIV-infected patients during the...

Q:   What is the mean level of Troponin I elevation in Subarachnoid Hemorrhage (SAH) ? Answer:    0.93 ...

Q:   After how many hours of air travel, it usually becomes a risk factor for pulmonary embolism (PE) ? Answer: After about 4 hour...

Q:  Fluoroquinolones are of considerable clinical importance because of their ability to cause prolongation of...

Q: Which one group of antibiotics (other than Vancomycin) has shown to increase the risk of Vancomycin-resi...

(Following pearl is contributed by Dr Yash Javeri Director Apex Healthcare Consortium, Delhi, India Se...

Q: What is the basic physiology which allows Pulmonary Artery Catheter (PAC) (swan-Ganz catheter) to measure ...

“Berlin definition” of ARDS is a consensus panel's new definition and severity classification system for a...

. Link:  http://www.youtube.com/watch?v=_LZOekO5BeI

Q: Nurse call you to report that patient's blood on draw appears to be bluish. What would be your concern? Answer: Methemo...

Q: 52 year old male with ESRD is admitted to ICU with septic shock. Patient is started on CRRT. Patient has previous history of A.fib....

Q:  Which  antiepileptic  works good for arrhythmia due to digoxin (cardiac glycosides) acute toxicity ? Answer:   Phenytoin Inte...

Q: Asterixis is an hallmark of  hepatic failure. What other conditions may also carry this clinical sign? An...

Q: What is the recommended target for blood sugar control in fresh post-op cardiac surgery patients? Answer: The Society of T...

Q: At what point, during management of DKA (Diabetes Ketoacidosis), addition of Dextrose should be considered, if ketosis persists? ...

Diagnosis of Boerhaave syndrome is difficult as about one third of all cases of Boerhaave syndrome are clinically atypical. Even wit...

Q: On which day after initiation of empiric antibiotic therapy, de-escalation should be considered? Answer: ...

Critically ill patients placed on enteral nutrition (EN) are usually underfed as most of them are placed on "Frequency-based Enteral nu...

Q: What is the rule to remember if blood type compatibility is done for plasma products? Answer:  Comp...

Most heart assist devices requires Heparin. Here is an interesting case report. *Impella Video as an ...

Q:  TandemHeart can provide Cardiac Index up to what level? Answer:  Cardiac index of 2.62 L/min/m2 The pump flow rate ranged from 1....

Q: What are the three levels of BPF (Broncho-pleural Fistula) ? Answer:  The severity of the air leak is generally measured into...