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British Thoracic Society recently published a must-read Statement on pleural procedures. It is 26 pages long & is accompanied by 13 online supplementary appendices https://t.co/a4A...
ICU pearls: This is the monthly reminder that “maximum dose pressors” is a stupid concept...🤐 I took care of a patient last night that needed up to 0.55 mcg/kg/min of norepinephrin...
ICU stories: Pt w "severe COPD" (ex-smoker; FEV1 30%) / chronic hypoxic-hypercapnic resp failure on 2-4 l/m O2 @ home / diastolic HF / HTN / HLD was brought to the ED due to "alter...
ICU milestones: It was 23 years ago today, May 4th 2000, when @NEJM published one of the most influential studies in Critical Care (CC): the Acute Respiratory Distress Syndrome Net...
ICU "news": Have you heard about the Doraya catheter? It is percutaneously deployed in the IVC below the level of the renal veins & works as a temporary iv flow regulator -> part...
ICU Pharmacy pearls: If u have not heard the news, there is a national shortage of IV hydrocortisone (HC) ... https://t.co/A7G84Ij4b8 So, if u are like me & use often HC in septic...
ICU stories: Diabetic ketoacidosis (DKA) is another "bread-and-butter" ICU case. The typical scenario is one of a patient who presents to the ED w nausea/vomiting/weakness, receive...
From Critical Care Fluid therapy in septic shock: https://t.co/pnEENRdnwP
ICU stories: "Urosepsis" is one of the "bread & butter" ICU cases. The usual scenario is one of an old lady who is admitted febrile/hypotensive w "dirty urine" & after an overnight...
ICU stories (from the trenches): 70 yo pt w hx of A-fib/CAD/ICM w EF 25%/VT ablation s/p BiV ICD/CKD/HTN/HLD/peripheral vasc dz/COPD etc presented to outside 🏥 w SOB/weakness/falls...
ICU stories (from the trenches): It's been a bit more than 2 hrs in your night shift & you are checking some labs signed out to you to be followed on. A rapid response is called fo...
ICU Infectious Disease Pearls and Pet Peeves-Part3: These are some extra points & random thoughts regarding commonly used antimicrobials & frequently encountered ID scenarios in th...