Best review (Am J Respir Crit Care Med. 2014 Mar 1;189(5):520-31. doi: 10.1164/rccm.201312-2193CI. The application of esophageal pressure measurement in patients with respiratory failure.)
Archives for March 2014
Obstetric Critical Care Management
Review Article (J Intensive Care Med. 2006 Sep-Oct;21(5):278-86) Vent Stuff ↑ alveolar ventilation (20-40%), ↑ TV, ↑ RR Compensated hypocarbia (Normal 25-32 and normal bicarb 18-21) Mechanical ventilation- need to adjust for PaCO2 30-32 (compensated hypercarbia); no studies show harm with permissive hypercarbia Faster desaturation: ↑ O2 consumption + ↓ function residual capacity + ↑ […]
Podiatry
Athlete’s Foot prescribe products containing terbinafine such as lamisail AT Toenail Fungal Infections What’s the best treatment for toenail fungus? There’s no magic bullet. Lamisil (terbinafine) taken daily for 12 weeks works best. But, long-term success hovers only around 50%. It can cost upwards of $240 per month. It costs less if given in pulse […]
Hemophilia and von Willebrand’s Disease
Hemophilia A x linked recessive causing defective VIII:c, Abnormal ptt. Replace c cryoprecipitate of factor VIII 1 unit=100 units VIII 1 cc of FFP=1 unit VIII and less of IX dDAVP raises factor VIII by causing release from endothelial cells, It has ADH-like effects. Dose: 0.3 mcg/kg. Number of units=0.5 x (Desired Factor Level) x […]