Critical Care Snippets

Critical Care Snippets Daily dose of essentials in Critical Care. Open to all Clinical Specialities. Serves both and

🌍 Shape the Future of Nephrocritical Care! 🌍The Nephrocritical Care Society invites you to take part in a global survey ...
24/03/2025

🌍 Shape the Future of Nephrocritical Care! 🌍

The Nephrocritical Care Society invites you to take part in a global survey evaluating Renal Replacement Therapy (RRT) practices in LMICs(GLOBE RRT Survey)

🔍 Why participate?
Your insights will help us:
✅ Assess current knowledge and practices in nephrocritical care.
✅ Identify gaps, especially in low- and middle-income countries (LMICs).
✅ Develop targeted strategies to improve care accessibility and equity.

📝 Your voice matters! Join us in driving impactful change and advancing nephrocritical care worldwide.

Take the survey now!
https://nephrocriticalcare.com/globe-rrt-survey/

Advanced applications of Transcranial Doppler!
02/03/2025

Advanced applications of Transcranial Doppler!

Basics of Transcranial Doppler
02/03/2025

Basics of Transcranial Doppler

Don't miss the opportunity. Enroll today!
23/02/2025

Don't miss the opportunity. Enroll today!

Ventilatory Ratio - Dead Reckoning in ARDSWe are often fascinated by status of oxygenation in ARDS patients. Ventilatory...
20/01/2025

Ventilatory Ratio - Dead Reckoning in ARDS
We are often fascinated by status of oxygenation in ARDS patients. Ventilatory Ratio is a reminder to see the other side of coin. Cherry on top, it has a prognostic value in ARDS.
Check out the classic here 👇
https://doi.org/10.1093/bja/aep054

Trauma Informed Care - An Intriguing conceptTrauma Informed Care involves Substance Abuse and Mental Health Service Adm...
12/01/2025

Trauma Informed Care - An Intriguing concept

Trauma Informed Care involves Substance Abuse and Mental Health Service Administration’s (SAMHSA) six guiding principles to provide quality care for all patients, especially with a traumatic experience.

Six principles include
- Safety
- Trust &transperancy
- Peer support
- Collaboration & mutuality
- Empowerment, voice ,& choice
- Cultural,gender,historical issues

https://doi.org/10.1513/AnnalsATS.201909-700IP

Phenotyping in ARDSA lot of ways to look into phenotype in ARDS. One of the ways is to check the inflammation status.Hyp...
11/01/2025

Phenotyping in ARDS

A lot of ways to look into phenotype in ARDS. One of the ways is to check the inflammation status.
Hypo versus hyper inflammatory subphenotype.

But why?

Hyperinflammatory subphenotype is associated with
⬆️ mortality
⬆️PEEP requirement
⬆️ chances of RV dysfunction
⬇️ ventilator free days
Also more chances of association with extrapulmonary sepsis and (may be) simvastatin might work.

https://doi.org/10.1186/s13054-020-2778-x

Physical restraint use in ICUThe adverse events associated with physical restraint use:- Skin injuries- Subsequent delir...
10/01/2025

Physical restraint use in ICU
The adverse events associated with physical restraint use:
- Skin injuries
- Subsequent delirium
- Neuro functional decline
- Post traumatic stress disorder.
Also there is not much evidence that it prevents unplanned extubations and device removal.
Although high quality evidence is lacking, would you like to use physical restraints in ICU?
https://doi.org/10.1016/j.jointm.2023.11.005

Electrical Impedance Tomography in ICU- Works on the principle of Bioimpedance- Non invasive monitoring of regional dist...
08/01/2025

Electrical Impedance Tomography in ICU

- Works on the principle of Bioimpedance
- Non invasive monitoring of regional distribution of ventilation and perfusion
- Advantage of real time and continuous monitoring
- Uses include PEEP titration in ARDS, evaluation of VILI, detection of complications of mechanical ventilation etc

https://doi.org/10.1186/s13054-024-05173-x

Augmented Renal Clearance (ARC)Definition: GFR more than 130ml/min/1.73 m2Pathophysiology: combination of systemic infla...
07/01/2025

Augmented Renal Clearance (ARC)

Definition: GFR more than 130ml/min/1.73 m2
Pathophysiology: combination of systemic inflammation and activation of renal reserve
Labs: 24 hour urinary CrCl is gold standard
Risk factors: Young age, Trauma, Head injury, Burns, Sepsis
Impact: Underdosing of commonly used medications like beta lactams, vancomycin, levetiracetam etc
Onset: 50% within first three days and 50% within first week.
Duration: highly variable

Quiz: Which score is used to predict ARC in patients with trauma?
Drop your answers in the comments.

Veno-arterial PCO2 gapLooks simple. But complicated. You need to consider a lot of factors in the interpretation. More i...
05/01/2025

Veno-arterial PCO2 gap

Looks simple. But complicated. You need to consider a lot of factors in the interpretation. More importantly, it can be normal or high in sepsis.

Tip: Make sure you study the CO2 dissociation curve before attempting to understand this concept.

https://doi.org/10.1186/s13054-021-03671-w

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