Managing critically ill patients in #ICU, 10 tips on...
🌡️ fever rdcu.be/c89F3
🩸 optimizing vasopressors use rdcu.be/cMGG1
🛏️ severe acute pancreatitis rdcu.be/dfNVA
🫁 acute pulmonary edema rdcu.be/c2hOa
Free to read #FOAMcc on @yourICM
Intensive Care Medicine
5,996 posts
Intensive Care Medicine
@yourICM
International peer-reviewed medical journal for all involved in Intensive Care #FOAMed #FOAMcc
🖋 Write bit.ly/ICMguidelines
📨 Submit bit.ly/SubmitToICM
Joined December 2012
- Albumin, 10 myths 1️⃣leaks into interstitium 2️⃣ ⬇️volume expansion vs artificial colloids 3️⃣ ⬇️AKI 4️⃣ sepsis: ⬆️survival 5️⃣ ⬆️diuretics effects 6️⃣RRT: ⬆️ fluid removal 7️⃣cirrhosis: ⬇️mortality 8️⃣TBI: ⬆️mortality 9️⃣correcting hypoalb ⬇️mortality 🔟 ⬆️NaCl 📎 bit.ly/3KkeAwK
- Reflections/lessons from a life in #ICU: 1⃣work with people you like/love 2⃣take sabbaticals to recharge 3⃣prioritize family = those you love most 4⃣live every day as having terminal disease: focus on what most important @JRandallCurtis1 #ICMfromtheInside bit.ly/3D2or7i
- Invasive arterial pressure 🌊monitoring 🌊SBP 🌊DBP 🌊MAP 🌊pulse pressure 🌊arterial waveform Knowledge & application of different signals allow to understand/interpret hemodynamic derangements in #ICU guiding #resuscitation using simple bedside tools. 📎bit.ly/3Ax5HOX
- Vasopressors in #ICU 1️⃣set MAP/DBP goals 2️⃣individualize 3️⃣may⬇️+ve fluid balance 4️⃣reassess fluid status/CO 5️⃣change mechanism as 2 line 6️⃣high doses?? hydrocortisone 7️⃣vasopressin in RV failure 8️⃣no MAX dose 9️⃣EN can be initiated 🔟can be safe in PVC 🖇 rdcu.be/cMGG1
- ◾️In memory of Prof L Gattinoni, towering figure in ICM, profoundly shaping understanding of #ARDS & #ECMO. The “father" of prone position revolutionized MV with a pioneering "baby lung” concept. His legacy will guide/inspire for generations to come. 🔗esicm.org/obituary-lucia…
- Fluid administration among most common interventions in #ICU... but high potential for harm! Here everything you need to know about deresuscitation ☔️ Why deresuscitation? ☔️ What is it? ☔️ When to start/stop? ☔️ How to deresuscitate? ☔️ So what's next? 🖇️ rdcu.be/cTb0g
- Source control to eliminate origin of infection, control contamination, restore premorbid anatomy/function in #sepsis & septic shock 🧫 think outside (abdominal) box 🧫 have multidisciplinary approach 🧫 first do NO (additional) harm #FOAMcc on @yourICM 🖇 rdcu.be/cVDIb
- Coagulopathies severe/frequent complication in #ICU: how to manage?? 🩸 hemorrhagic coagulopathies: non‑malignant & malignant 🩸 thrombotic c.: sepsis‑induced & solid cancer‑associated 🩸 managing hemorrhagic c. 🩸(preventing &) managing thrombotic c. 🖇️ rdcu.be/c5TQd
- 🏆 Here some of our TOP @altmetric score articles for 2022... #FOAMcc on @yourICM ☔️ Deresuscitation rdcu.be/c2fdO 🥚 Myths on albumin rdcu.be/c2fc4 🩸 Invasive BP monitoring in #ICU, beyond MAP rdcu.be/c2fc1 🍬 Managing DKA rdcu.be/c2feq
- Management of moderate to severe TBI ⏳ first hours: initial #resuscitation targets 🩸💧 in #ICU, ⬇️ secondary insults after trauma: ICP, CPP, hemodynamics 👁 multimodality monitoring targets & management 🫁 extracranial complications 🧠 long‐term outcome rdcu.be/cN2rq
- Diabetic ketoacidosis? address 3 main issues 💉insulin to resolve at its root cause (glucagon-to-insulin ratio)!) 💧fluids vs hypovolemia (if present) & TBW 🧂 electrolyte replacement, with attention to life-threatening shifts in K+ & beware its myths! 🖇️ bit.ly/3C85dOz
- The forgotten relevance of CVP (& its change over time) monitoring in #ICU 🫀 measurement & normal values 🫀 impact of high CVP values: how could CVP elevation per se cause organ damage? On @yourICM 🖇️ rebrand.ly/m98xvr3
