By Heidi L. Frankel, Bennett P. deBoisblanc
Bedside strategies for the Intensivist can provide functional advice and transparent, step by step guideline at the most typical methods within the ICU. The handy and conveyable guide specializes in ultrasound-guided ideas, together with an creation to ultrasound physics and rules, whereas person chapters supply concise “how-to” textual content supplemented with various full-color figures and tables that summarize key content material. citizens, fellows, and trainees in severe care will enjoy the detailing of symptoms and contraindications for appearing middle tactics, whereas more matured intensivists will locate the booklet a competent resource of evaluation fabric. Key strategies defined comprise: • Ultrasound-guided vascular entry • Ultrasound-guided drainage • centred echocardiography • Airway administration • Dialysis and apheresis • Pericardiocentesis • Insertion of vena cava filters • Percutaneous dilational tracheostomy • Open tracheostomy • Transbronchial biopsy • Percutaneous endoscopic gastrostomy • Intracranial monitoring
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Its brief onset of action and relatively short duration make vecuronium a popular drug for rapid sequence intubation. Accumulation of both the parent drug and active metabolites and poor clearance in renal failure make it less than ideal for long-term paralysis. Rocuronium is an intermediate-acting agent. It has a more rapid onset and shorter duration of recovery than vecuronium, though its duration of action is prolonged in liver disease. ■■ SUMMARY Sedatives, analgesics, and neuromuscular blocking agents are key elements in the performance of ICU procedures.
5. 6. at the proper height so that the operator does not have to bend over and reach. Suction and airway equipment must be available. The location of the difficult airway cart should be ascertained prior to attempts at intubation of the patient. V. V. fluids. In any airway that is deemed truly difficult, a second experienced critical care physician and an anesthesiologist should be present, if feasible. If the airway presents more than the usual degree of challenge, equipment and expertise for an emergency surgical airway must be immediately available.
At the proper height so that the operator does not have to bend over and reach. Suction and airway equipment must be available. The location of the difficult airway cart should be ascertained prior to attempts at intubation of the patient. V. V. fluids. In any airway that is deemed truly difficult, a second experienced critical care physician and an anesthesiologist should be present, if feasible. If the airway presents more than the usual degree of challenge, equipment and expertise for an emergency surgical airway must be immediately available.
Bedside Procedures for the Intensivist by Heidi L. Frankel, Bennett P. deBoisblanc
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