(1) Division of Pulmonary and Critical Care Medicine, Eastern Virginia Medical School, Norfolk, VA, USA References KeywordsEvidence based medicineResearchScienceCritical careRandomized controlled trials There are in fact two things, science…
(1) Division of Pulmonary and Critical Care Medicine, Eastern Virginia Medical School, Norfolk, VA, USA Admission History and Physical Examination Daily Examination General Vital Signs (24 h Min and…
(1) Division of Pulmonary and Critical Care Medicine, Eastern Virginia Medical School, Norfolk, VA, USA KeywordsClassic papersRandomized controlled trialsPivotal studiesLandmark papers If we knew what it was we were…
(1) Division of Pulmonary and Critical Care Medicine, Eastern Virginia Medical School, Norfolk, VA, USA References KeywordsHarmLess is moreNew paradigmCritical care The art of medicine consists of amusing the…
(1) Division of Pulmonary and Critical Care Medicine, Eastern Virginia Medical School, Norfolk, VA, USA Factors to Consider When a Patient is Admitted to the ICU Initial “Generic” Treatment…
(1) Division of Pulmonary and Critical Care Medicine, Eastern Virginia Medical School, Norfolk, VA, USA Murphy’s Laws of Procedures Central Venous Access Subclavian Vein Catheterization Internal Jugular Vein Catheterization…
I. MONITORING A. Respiration is the transport of oxygen from the environment to the cells of the body and the transport of carbon dioxide from those cells to the environment. Consequently, in…
I. HEMODYNAMIC MONITORING is one of the cornerstones of patient evaluation in the intensive care unit and provides diagnostic and prognostic value. The choice of monitoring depends on the diagnostic needs…
I. MECHANICAL VENTILATION provides artificial support of gas exchange. A. Indications 1. Hypoventilation a. Evaluation: arterial pH should be evaluated for evidence of hypoventilation. Chronic compensated hypercapnia is a stable condition that usually does…
I. HEMODYNAMIC PERTURBATIONS are common during intensive care unit admission. Both hypotensive and hypertensive emergencies threaten cardiovascular system’s ability to provide sufficient oxygen and metabolic substrates to meet the demands of…
