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Is there any utility of a head CT or troponin in the syncope workup?
Great piece regarding foley associated UTI. A few questions regarding suprapubic catheters... 1) What is the best way to obtain a urine sample 2) Should we treat a suprapubic cath the same as a foley and replace it if it's been in longer than 2 weeks to obtain clean urine 3) When should we not be touching/removing a suprapubic cath 4) Any general pearls to know regarding suprapubic catheters
In the vent talk, Swami says ACMV can cause metabolic alkalosis in patients who drive the vent at a high rate - he probably meant respiratory alkalosis.
Hi,I just listened to Ventilator 101 talk. I have a few comments.1. SIMV is not a good ventilator mode (with or without pressure support). It has been shown in the literature to be responsible of more ventilator-patient dyssynchrony. This mode was develop for weaning and showed prolonged weaning... There is not utility in modern ICU for this mode, except maybe for intractable hiccups.2. If you intubate a patient with a severe obstructive disease and are preoccupied with the possibility of breath stacking and majoring the auto-peep, stay in AC mode and sedate/paralyse the patient to take full control. I don't think that SIMV will help you.3. Tough PC is probably suitable for ARDS patients, the most evidence favour a VC approach aiming for 6cc/kg. This is the best evidence we have for ventilator strategy fro ARDS patient and I think we should stick to it.
I am more than open to discussion/contre-agumentation
What you do matters.