RENAL-AF Trial
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El Dr. Rafael Bravo Marqués analiza los resultados del estudio publicado en AHA Scientific Sessions 2019.
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Renal transplant
Kidney transplantation is the most effective therapy for end-stage renal disease. The transplanted organ can come from a live or deceased donor. Immunosuppressive medications are used to prevent rejection and include corticosteroids, calcineurin inhibitors, mTOR inhibitors, and antimetabolites. Common post-transplant complications include acute rejection, infections like cytomegalovirus, and chronic allograft dysfunction.
Management of kidney transplant recipient (ayman refaie)
1. The document discusses the management and follow-up of renal transplant patients, including important considerations at the initial visit post-transplant and routine follow-up visits.
2. It outlines the various risks transplant patients face, such as cardiovascular disease, diabetes, infection, malignancy, and drug-drug interactions.
3. Maintaining optimal immunosuppression while minimizing side effects is an art that requires monitoring multiple risk factors to support long-term graft and patient survival.
ABG
This document provides an overview of arterial blood gas analysis. It discusses the history and development of blood gas analysis, indications for arterial blood gas sampling, and the procedure. It outlines normal values and how to interpret acid-base balance, oxygenation, and ventilation based on arterial blood gas parameters. A stepwise approach to acid-base analysis is presented, including how to identify primary versus secondary disorders and evaluate respiratory and renal responses.
Rational choice of inotropes and vasopressors in intensive care unit
The presentation introduces commonly used interpose and vasopressors; their classification; and how to choose the drug in ICU. Clinical scenarios - cariogenic shock; neurocritical care; septic shock and anaphylactic shock are elaborated.
Inotropes & vasoactive agents
This document discusses various inotropes and vasoactive agents used to support hemodynamics. It describes the classification of agents as inotropes, chronotropes, vasopressors, or vasodilators. Key agents covered include dopamine, dobutamine, adrenaline, noradrenaline, milrinone, vasopressin, nitroglycerine, and sodium nitroprusside. For each agent, the document discusses receptor physiology, hemodynamic effects, indications, dosing, side effects, and monitoring considerations. It concludes with describing a vasoactive inotrope score used to quantify cardiovascular support.
Fluid responsiveness in critically ill patients
This document discusses fluid responsiveness in critically ill patients. It begins by defining fluid responsiveness as an increase in cardiac index after fluid infusion. It then describes three scenarios involving fluid resuscitation: patients with acute blood or fluid loss requiring immediate resuscitation, patients with suspected septic shock where early goal-directed therapy with fluids is important, and ICU patients who have already received fluids and their fluid responsiveness needs to be assessed. The document discusses various methods of assessing preload and preload dependence, including filling pressures, volumes, respiratory variations in inferior vena cava diameter, inspiratory drops in right atrial pressure, and predicting responsiveness through respiratory variations in parameters related to cardiac index. It emphasizes that preload alone
Airway management in Critical Care
Søren Rudolph talks about the different types of difficulties encountered in airway management in the critically ill and shares many pearls learnt through many years practicing ENT anesthesia and prehospital care and and through researching and teaching airway management with the best of the best.
Talk was given at the The Big Sick in Zermatt, 2019. More: https://tbs19.org/
Full set of talks from the conference including the video of this talk will be up at https://scanfoam.org/
HTN in Hemodialysis Patients - A Clinical Approach of Management - Dr. Gawad
- Visit our website for more lectures: www.NephroTube.com
- Subscribe to our YouTube channel: www.youtube.com/NephroTube
- Join our facebook group: www.facebook.com/groups/NephroTube
- Like our facebook page: www.facebook.com/NephroTube
- Follow us on twitter: www.twitter.com/NephroTube
Recomendados
Renal transplant
Kidney transplantation is the most effective therapy for end-stage renal disease. The transplanted organ can come from a live or deceased donor. Immunosuppressive medications are used to prevent rejection and include corticosteroids, calcineurin inhibitors, mTOR inhibitors, and antimetabolites. Common post-transplant complications include acute rejection, infections like cytomegalovirus, and chronic allograft dysfunction.
Management of kidney transplant recipient (ayman refaie)
1. The document discusses the management and follow-up of renal transplant patients, including important considerations at the initial visit post-transplant and routine follow-up visits.
2. It outlines the various risks transplant patients face, such as cardiovascular disease, diabetes, infection, malignancy, and drug-drug interactions.
3. Maintaining optimal immunosuppression while minimizing side effects is an art that requires monitoring multiple risk factors to support long-term graft and patient survival.
ABG
This document provides an overview of arterial blood gas analysis. It discusses the history and development of blood gas analysis, indications for arterial blood gas sampling, and the procedure. It outlines normal values and how to interpret acid-base balance, oxygenation, and ventilation based on arterial blood gas parameters. A stepwise approach to acid-base analysis is presented, including how to identify primary versus secondary disorders and evaluate respiratory and renal responses.
Rational choice of inotropes and vasopressors in intensive care unit
The presentation introduces commonly used interpose and vasopressors; their classification; and how to choose the drug in ICU. Clinical scenarios - cariogenic shock; neurocritical care; septic shock and anaphylactic shock are elaborated.
Inotropes & vasoactive agents
This document discusses various inotropes and vasoactive agents used to support hemodynamics. It describes the classification of agents as inotropes, chronotropes, vasopressors, or vasodilators. Key agents covered include dopamine, dobutamine, adrenaline, noradrenaline, milrinone, vasopressin, nitroglycerine, and sodium nitroprusside. For each agent, the document discusses receptor physiology, hemodynamic effects, indications, dosing, side effects, and monitoring considerations. It concludes with describing a vasoactive inotrope score used to quantify cardiovascular support.
Fluid responsiveness in critically ill patients
This document discusses fluid responsiveness in critically ill patients. It begins by defining fluid responsiveness as an increase in cardiac index after fluid infusion. It then describes three scenarios involving fluid resuscitation: patients with acute blood or fluid loss requiring immediate resuscitation, patients with suspected septic shock where early goal-directed therapy with fluids is important, and ICU patients who have already received fluids and their fluid responsiveness needs to be assessed. The document discusses various methods of assessing preload and preload dependence, including filling pressures, volumes, respiratory variations in inferior vena cava diameter, inspiratory drops in right atrial pressure, and predicting responsiveness through respiratory variations in parameters related to cardiac index. It emphasizes that preload alone
Airway management in Critical Care
Søren Rudolph talks about the different types of difficulties encountered in airway management in the critically ill and shares many pearls learnt through many years practicing ENT anesthesia and prehospital care and and through researching and teaching airway management with the best of the best.
Talk was given at the The Big Sick in Zermatt, 2019. More: https://tbs19.org/
Full set of talks from the conference including the video of this talk will be up at https://scanfoam.org/
HTN in Hemodialysis Patients - A Clinical Approach of Management - Dr. Gawad
- Visit our website for more lectures: www.NephroTube.com
- Subscribe to our YouTube channel: www.youtube.com/NephroTube
- Join our facebook group: www.facebook.com/groups/NephroTube
- Like our facebook page: www.facebook.com/NephroTube
- Follow us on twitter: www.twitter.com/NephroTube
ECMO Update - ICN NSW 2014
Hergen Buscher is an Intensivist from St Vincent's hospital in Sydney. He has extensive experience with ECMO, in both veno-venous and veno-arterial contexts. Listen to this talk he gave on the most recent developments in ECMO and where things are heading.
This talk was given live in September 2014 for an Intensive Care Network (ICN) NSW meeting.
Go to www.intensivecarenetwork.com for more.
Anaesthesia and the perioperative management of hepatic resection
The document discusses liver anatomy, regeneration, and indications for liver resection surgery. It covers preoperative assessment of patient risk factors, anesthesia techniques used, and postoperative considerations. Liver resection is used to remove tumors, cysts, or following trauma. Patient comorbidities, liver function, and extent of resection impact risks. Anesthesia aims to maintain low central venous pressure through techniques like epidural analgesia.
Renal transplant: anaesthetic implications & considerations
The document discusses renal transplantation, including indications, donor criteria, preoperative workup, surgical procedure, anesthesia management, and postoperative care. Key points include: renal transplantation is indicated for end stage renal disease; donor criteria include age 5-49 years and good renal function; extensive preoperative testing is required; surgery involves vascular anastomoses of donor kidney; anesthesia goals include hemodynamic stability and adequate analgesia/relaxation; and postoperative monitoring focuses on graft function and complications like rejection.
Ropivacaine
Ropivacaine is a long-acting local anesthetic similar to bupivacaine but with less cardiotoxicity due to its stereospecificity as a pure S-enantiomer. Studies have shown ropivacaine to have approximately half the potency of bupivacaine in depressing the heart while providing comparable surgical anesthesia. Ropivacaine may be better suited than bupivacaine for epidural analgesia due to its ability to differentiate sensory and motor block at low concentrations and its toxicity not increasing in pregnancy.
Cardiac output monitoring
Cardiac output can be measured through various invasive and non-invasive methods. The pulmonary artery catheter using thermodilution is still considered the gold standard but is invasive. Minimally invasive methods include lithium dilution, pulse contour analysis devices, esophageal Doppler, and transesophageal echocardiography. Non-invasive methods include partial gas rebreathing, thoracic bioimpedance, and Doppler ultrasound. The ideal monitor is accurate, continuous, non-invasive and provides reliable measurements during different physiological states.
Management of Renal Transplant Patients
This document discusses the management of renal transplant patients. It provides a brief history of transplantation, beginning with early attempts in ancient times. Key developments include the first successful kidney transplant between identical twins in 1954. It describes treatment options for end-stage renal disease including dialysis and transplantation. Living donor transplantation is preferred due to improved outcomes and shorter wait times. Post-transplant care involves monitoring for surgical complications, medical issues like infection and rejection, and frequent follow-up visits in the first year.
ASRA Guidelines
The document provides guidelines from the American Society of Regional Anesthesia (ASRA) on placing and removing epidural catheters in patients taking anticoagulant and antiplatelet drugs. It lists recommended minimum times to wait after the last dose of various medications before catheter placement and removal, as well as when to restart anticoagulation therapy after removal. The medications are grouped into heparins, low molecular weight heparins, factor Xa and direct thrombin inhibitors, antiplatelet agents, fibrinolytics, and glycoprotein IIb/IIIa inhibitors. For each group, it provides the drug names and recommended waiting times.
liver transplant
The document provides an overview of the history and developments in liver transplantation. Some key points include:
- The first liver transplant was performed experimentally in dogs in 1955 and the first human liver transplant was in 1963 pioneered by Dr. Starzl.
- Survival rates improved from less than 50% at 1 year in the 1960s-1970s to over 90% at 1 year and 70% at 10 years in the 1990s due to advances like cyclosporine in 1980s.
- Indications for liver transplantation include chronic liver failure, acute liver failure, primary liver cancer, and inherited metabolic diseases. Selection criteria consider factors like liver disease severity, quality of life, and post-transplant survival probability
Dialysis without anticoagulation (Heparin Free Dialysis)
This document discusses techniques for performing dialysis without anticoagulation. It describes indications for heparin-free dialysis such as recent surgery or bleeding risks. Techniques mentioned include regional citrate anticoagulation, saline flushes, heparin-coated membranes, and citrasate dialysate. Signs of clotting and scoring systems are provided. Tips for priming, high blood flows, and alternatives to heparin locking are also outlined. The key recommendations are to prime properly, have no rushing, follow a written protocol, and focus on patient safety above all else.
Pa catheter ctvac
The document discusses the pulmonary artery catheter, including its history, parts, specifications, insertion technique, measurements, complications, and indications. Some key points:
- The pulmonary artery catheter was introduced in the 1970s and can measure pressures in the right atrium, right ventricle, pulmonary artery, and pulmonary capillary wedge.
- It has multiple ports and a balloon at the tip that can be inflated to obtain pulmonary capillary wedge pressure measurements.
- Measurements include pressures, cardiac output via thermodilution, and derived parameters like stroke volume, vascular resistances, and oxygen transport values.
- Complications can include arrhythmias, infection, or pulmonary artery damage. Indications include
cardiovascular remodeling and it's prevention
This document discusses the role of drugs in preventing cardiovascular remodeling in heart failure patients. It defines heart failure and describes the pathophysiology involving neurohormonal activation. Drugs like ACE inhibitors, beta blockers, and digitalis are described as preventing remodeling by interfering with the renin-angiotensin system, blocking sympathetic stimulation, and having positive inotropic effects respectively. The conclusion is that preventing remodeling through these drugs improves symptoms, reduces hospitalization, and prolongs life for heart failure patients.
AIRWAY ASSESSMENT IN PAEDIATRICS PATIENTS-LARYNGOSCOPY, INTUBATION
This document provides guidance on airway assessment, laryngoscopy, and tracheal intubation in pediatric patients. It describes key differences in pediatric versus adult airway anatomy. Important predictors of a difficult airway include hypoplastic mandible, limited mouth opening, and congenital syndromes like Pierre Robin sequence. Proper preparation includes equipment check, positioning, and pre-oxygenation. Laryngoscopy technique aims to lift the epiglottis and expose the vocal cords for endotracheal intubation. Tube size is based on age or weight. Complications can be mechanical, respiratory, or cardiovascular in nature. Careful assessment and a tailored approach are needed due to the delicate nature of the pediatric air
Non Invasive Respiratory Support.pptx
1. Non-invasive ventilation (NIV) provides ventilatory support without airway invasion using techniques like nasal masks, helmets, and cuirass ventilation.
2. Common NIV modes include high flow nasal cannula, high velocity nasal insufflation, continuous positive airway pressure (CPAP), and bi-level positive airway pressure (BiPAP).
3. NIV is increasingly used in critical care to avoid intubation complications while still providing respiratory support and has been shown to decrease infection risks, length of stay, and mortality compared to invasive mechanical ventilation.
Anesthetic considerations for kidney transplant in an adult
Kidney transplantation involves attaching a donor kidney to replace diseased kidneys. Survival is better after transplantation than dialysis. The first human kidney transplant was in 1933 in Ukraine but the recipient died after 48 hours. In Indonesia, the first transplant was in 1977. Risks include graft dysfunction, rejection, and technical complications like thrombosis. Anesthesia aims to prevent renal insults and maintain perfusion through fluid management and hemodynamics monitoring.
Guytonian approach to shock - mean systemic filling pressure centered
In a world of binary decision there remains little room for applied maths and physiology. Or maybe not...
Parkin's approach brings out a forgotten tool-the volume state. Although reductionistic as well as Guyton's entire view, it might be a better language for us, for clinicians and for all those lost in translation when they've stumbled across loose binary decisions such as SVV,PPV,SPV etc.
Mean systemic filling pressure has been resurrected.
Parkin, Maas, Pinsky and Geerts have come a long way from Versprille.
Common drugs used during conventional dialysis
This document discusses drugs used during conventional renal dialysis and how they are affected by the dialysis process. It categorizes drugs based on whether dialysis enhances their plasma clearance by 30% or more and supplemental dosing may be required; whether dialysis does not have a clinically important effect on plasma clearance; drugs with no published data but significant removal is unlikely; drugs with no data but significant removal is likely; and drugs where the type of dialysis membrane was not specified. The document provides lists of drugs in each category.
Cardio Pulmonary Interactions during Mechanical Ventilation
Lecture presented by Dr.Lluis Blanch at Pulmonary Critical Care Egypt, the leading critical care medical event and exhibition organized by the Egyptian College of Critical Care Physicians.www.pccmegypt.com
Vascular access
This document provides an overview of vascular access including peripheral access, central venous access, and intraosseous infusion. It discusses tips for obtaining peripheral access as well as potential complications. Common sites for peripheral access are noted. Factors such as urgency, patient size, and vasculature are discussed in selection of catheter size and type. Reasons for central line placement include unstable conditions, prolonged IV therapy, and long-term access needs. Intraosseous infusion is described as an alternative when other access is unavailable. Blood products and transfusion reactions are also summarized.
Vasoactive agents
This document discusses vasoactive agents and their receptor physiology and clinical applications. It begins by outlining the objectives of understanding vasopressor and inotropic receptor physiology and appropriate clinical use. It then provides background on vasopressors, inotropes, and drugs that have both effects. The majority of the document then discusses the receptor physiology and mechanisms of action of various adrenergic, dopaminergic, and vasopressin receptors. It also covers individual drug classifications, effects, indications, and considerations for agents like epinephrine, norepinephrine, dopamine, dobutamine, milrinone, vasopressin, levosimendan, and vasodilators. Studies comparing agents
Extracorporeal Therapy - Dr. Samir kamal
This document discusses extracorporeal therapies and renal replacement therapy (RRT). It describes different types of RRT including intermittent hemodialysis, continuous dialysis, and their principles and setup. It covers non-renal uses of RRT such as for sepsis, acute respiratory distress syndrome, congestive heart failure, and more. It also describes hemoperfusion, which uses activated charcoal or resin to adsorb molecules from blood, and issues around preventing clotting during the process.
Hazte socio de la Sociedad Española de Cardiología
La Sociedad Española de Cardiología (SEC) es una organización científica sin ánimo de lucro con la misión de reducir el impacto adverso de las enfermedades cardiovasculares y promover una mejor salud cardiovascular en la ciudadanía.
Identificación del paciente con alto riesgo tras SCA reciente
Ponencia presentada por la Dra. Marisol Bravo Amaro en el CardioTV Live ‘Debatiendo estrategias actuales para la reducción de eventos CV tras síndrome coronario agudo reciente’, realizado el 21 de mayo de 2024 en la Casa del Corazón
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ECMO Update - ICN NSW 2014
Hergen Buscher is an Intensivist from St Vincent's hospital in Sydney. He has extensive experience with ECMO, in both veno-venous and veno-arterial contexts. Listen to this talk he gave on the most recent developments in ECMO and where things are heading.
This talk was given live in September 2014 for an Intensive Care Network (ICN) NSW meeting.
Go to www.intensivecarenetwork.com for more.
Anaesthesia and the perioperative management of hepatic resection
The document discusses liver anatomy, regeneration, and indications for liver resection surgery. It covers preoperative assessment of patient risk factors, anesthesia techniques used, and postoperative considerations. Liver resection is used to remove tumors, cysts, or following trauma. Patient comorbidities, liver function, and extent of resection impact risks. Anesthesia aims to maintain low central venous pressure through techniques like epidural analgesia.
Renal transplant: anaesthetic implications & considerations
The document discusses renal transplantation, including indications, donor criteria, preoperative workup, surgical procedure, anesthesia management, and postoperative care. Key points include: renal transplantation is indicated for end stage renal disease; donor criteria include age 5-49 years and good renal function; extensive preoperative testing is required; surgery involves vascular anastomoses of donor kidney; anesthesia goals include hemodynamic stability and adequate analgesia/relaxation; and postoperative monitoring focuses on graft function and complications like rejection.
Ropivacaine
Ropivacaine is a long-acting local anesthetic similar to bupivacaine but with less cardiotoxicity due to its stereospecificity as a pure S-enantiomer. Studies have shown ropivacaine to have approximately half the potency of bupivacaine in depressing the heart while providing comparable surgical anesthesia. Ropivacaine may be better suited than bupivacaine for epidural analgesia due to its ability to differentiate sensory and motor block at low concentrations and its toxicity not increasing in pregnancy.
Cardiac output monitoring
Cardiac output can be measured through various invasive and non-invasive methods. The pulmonary artery catheter using thermodilution is still considered the gold standard but is invasive. Minimally invasive methods include lithium dilution, pulse contour analysis devices, esophageal Doppler, and transesophageal echocardiography. Non-invasive methods include partial gas rebreathing, thoracic bioimpedance, and Doppler ultrasound. The ideal monitor is accurate, continuous, non-invasive and provides reliable measurements during different physiological states.
Management of Renal Transplant Patients
This document discusses the management of renal transplant patients. It provides a brief history of transplantation, beginning with early attempts in ancient times. Key developments include the first successful kidney transplant between identical twins in 1954. It describes treatment options for end-stage renal disease including dialysis and transplantation. Living donor transplantation is preferred due to improved outcomes and shorter wait times. Post-transplant care involves monitoring for surgical complications, medical issues like infection and rejection, and frequent follow-up visits in the first year.
ASRA Guidelines
The document provides guidelines from the American Society of Regional Anesthesia (ASRA) on placing and removing epidural catheters in patients taking anticoagulant and antiplatelet drugs. It lists recommended minimum times to wait after the last dose of various medications before catheter placement and removal, as well as when to restart anticoagulation therapy after removal. The medications are grouped into heparins, low molecular weight heparins, factor Xa and direct thrombin inhibitors, antiplatelet agents, fibrinolytics, and glycoprotein IIb/IIIa inhibitors. For each group, it provides the drug names and recommended waiting times.
liver transplant
The document provides an overview of the history and developments in liver transplantation. Some key points include:
- The first liver transplant was performed experimentally in dogs in 1955 and the first human liver transplant was in 1963 pioneered by Dr. Starzl.
- Survival rates improved from less than 50% at 1 year in the 1960s-1970s to over 90% at 1 year and 70% at 10 years in the 1990s due to advances like cyclosporine in 1980s.
- Indications for liver transplantation include chronic liver failure, acute liver failure, primary liver cancer, and inherited metabolic diseases. Selection criteria consider factors like liver disease severity, quality of life, and post-transplant survival probability
Dialysis without anticoagulation (Heparin Free Dialysis)
This document discusses techniques for performing dialysis without anticoagulation. It describes indications for heparin-free dialysis such as recent surgery or bleeding risks. Techniques mentioned include regional citrate anticoagulation, saline flushes, heparin-coated membranes, and citrasate dialysate. Signs of clotting and scoring systems are provided. Tips for priming, high blood flows, and alternatives to heparin locking are also outlined. The key recommendations are to prime properly, have no rushing, follow a written protocol, and focus on patient safety above all else.
Pa catheter ctvac
The document discusses the pulmonary artery catheter, including its history, parts, specifications, insertion technique, measurements, complications, and indications. Some key points:
- The pulmonary artery catheter was introduced in the 1970s and can measure pressures in the right atrium, right ventricle, pulmonary artery, and pulmonary capillary wedge.
- It has multiple ports and a balloon at the tip that can be inflated to obtain pulmonary capillary wedge pressure measurements.
- Measurements include pressures, cardiac output via thermodilution, and derived parameters like stroke volume, vascular resistances, and oxygen transport values.
- Complications can include arrhythmias, infection, or pulmonary artery damage. Indications include
cardiovascular remodeling and it's prevention
This document discusses the role of drugs in preventing cardiovascular remodeling in heart failure patients. It defines heart failure and describes the pathophysiology involving neurohormonal activation. Drugs like ACE inhibitors, beta blockers, and digitalis are described as preventing remodeling by interfering with the renin-angiotensin system, blocking sympathetic stimulation, and having positive inotropic effects respectively. The conclusion is that preventing remodeling through these drugs improves symptoms, reduces hospitalization, and prolongs life for heart failure patients.
AIRWAY ASSESSMENT IN PAEDIATRICS PATIENTS-LARYNGOSCOPY, INTUBATION
This document provides guidance on airway assessment, laryngoscopy, and tracheal intubation in pediatric patients. It describes key differences in pediatric versus adult airway anatomy. Important predictors of a difficult airway include hypoplastic mandible, limited mouth opening, and congenital syndromes like Pierre Robin sequence. Proper preparation includes equipment check, positioning, and pre-oxygenation. Laryngoscopy technique aims to lift the epiglottis and expose the vocal cords for endotracheal intubation. Tube size is based on age or weight. Complications can be mechanical, respiratory, or cardiovascular in nature. Careful assessment and a tailored approach are needed due to the delicate nature of the pediatric air
Non Invasive Respiratory Support.pptx
1. Non-invasive ventilation (NIV) provides ventilatory support without airway invasion using techniques like nasal masks, helmets, and cuirass ventilation.
2. Common NIV modes include high flow nasal cannula, high velocity nasal insufflation, continuous positive airway pressure (CPAP), and bi-level positive airway pressure (BiPAP).
3. NIV is increasingly used in critical care to avoid intubation complications while still providing respiratory support and has been shown to decrease infection risks, length of stay, and mortality compared to invasive mechanical ventilation.
Anesthetic considerations for kidney transplant in an adult
Kidney transplantation involves attaching a donor kidney to replace diseased kidneys. Survival is better after transplantation than dialysis. The first human kidney transplant was in 1933 in Ukraine but the recipient died after 48 hours. In Indonesia, the first transplant was in 1977. Risks include graft dysfunction, rejection, and technical complications like thrombosis. Anesthesia aims to prevent renal insults and maintain perfusion through fluid management and hemodynamics monitoring.
Guytonian approach to shock - mean systemic filling pressure centered
In a world of binary decision there remains little room for applied maths and physiology. Or maybe not...
Parkin's approach brings out a forgotten tool-the volume state. Although reductionistic as well as Guyton's entire view, it might be a better language for us, for clinicians and for all those lost in translation when they've stumbled across loose binary decisions such as SVV,PPV,SPV etc.
Mean systemic filling pressure has been resurrected.
Parkin, Maas, Pinsky and Geerts have come a long way from Versprille.
Common drugs used during conventional dialysis
This document discusses drugs used during conventional renal dialysis and how they are affected by the dialysis process. It categorizes drugs based on whether dialysis enhances their plasma clearance by 30% or more and supplemental dosing may be required; whether dialysis does not have a clinically important effect on plasma clearance; drugs with no published data but significant removal is unlikely; drugs with no data but significant removal is likely; and drugs where the type of dialysis membrane was not specified. The document provides lists of drugs in each category.
Cardio Pulmonary Interactions during Mechanical Ventilation
Lecture presented by Dr.Lluis Blanch at Pulmonary Critical Care Egypt, the leading critical care medical event and exhibition organized by the Egyptian College of Critical Care Physicians.www.pccmegypt.com
Vascular access
This document provides an overview of vascular access including peripheral access, central venous access, and intraosseous infusion. It discusses tips for obtaining peripheral access as well as potential complications. Common sites for peripheral access are noted. Factors such as urgency, patient size, and vasculature are discussed in selection of catheter size and type. Reasons for central line placement include unstable conditions, prolonged IV therapy, and long-term access needs. Intraosseous infusion is described as an alternative when other access is unavailable. Blood products and transfusion reactions are also summarized.
Vasoactive agents
This document discusses vasoactive agents and their receptor physiology and clinical applications. It begins by outlining the objectives of understanding vasopressor and inotropic receptor physiology and appropriate clinical use. It then provides background on vasopressors, inotropes, and drugs that have both effects. The majority of the document then discusses the receptor physiology and mechanisms of action of various adrenergic, dopaminergic, and vasopressin receptors. It also covers individual drug classifications, effects, indications, and considerations for agents like epinephrine, norepinephrine, dopamine, dobutamine, milrinone, vasopressin, levosimendan, and vasodilators. Studies comparing agents
Extracorporeal Therapy - Dr. Samir kamal
This document discusses extracorporeal therapies and renal replacement therapy (RRT). It describes different types of RRT including intermittent hemodialysis, continuous dialysis, and their principles and setup. It covers non-renal uses of RRT such as for sepsis, acute respiratory distress syndrome, congestive heart failure, and more. It also describes hemoperfusion, which uses activated charcoal or resin to adsorb molecules from blood, and issues around preventing clotting during the process.
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Anaesthesia and the perioperative management of hepatic resection
Anaesthesia and the perioperative management of hepatic resection
Renal transplant: anaesthetic implications & considerations
Renal transplant: anaesthetic implications & considerations
Dialysis without anticoagulation (Heparin Free Dialysis)
Dialysis without anticoagulation (Heparin Free Dialysis)
AIRWAY ASSESSMENT IN PAEDIATRICS PATIENTS-LARYNGOSCOPY, INTUBATION
AIRWAY ASSESSMENT IN PAEDIATRICS PATIENTS-LARYNGOSCOPY, INTUBATION
Anesthetic considerations for kidney transplant in an adult
Anesthetic considerations for kidney transplant in an adult
Guytonian approach to shock - mean systemic filling pressure centered
Guytonian approach to shock - mean systemic filling pressure centered
Cardio Pulmonary Interactions during Mechanical Ventilation
Cardio Pulmonary Interactions during Mechanical Ventilation
Más de Sociedad Española de Cardiología
Hazte socio de la Sociedad Española de Cardiología
La Sociedad Española de Cardiología (SEC) es una organización científica sin ánimo de lucro con la misión de reducir el impacto adverso de las enfermedades cardiovasculares y promover una mejor salud cardiovascular en la ciudadanía.
Identificación del paciente con alto riesgo tras SCA reciente
Ponencia presentada por la Dra. Marisol Bravo Amaro en el CardioTV Live ‘Debatiendo estrategias actuales para la reducción de eventos CV tras síndrome coronario agudo reciente’, realizado el 21 de mayo de 2024 en la Casa del Corazón
Debatiendo estrategias actuales para la reducción de eventos CV tras síndrome...
Debatiendo estrategias actuales para la reducción de eventos CV tras síndrome...Sociedad Española de Cardiología
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