Left: AC/VC* 30/350/16/100%
Right: APRV* P32/0, T2/0.5, Fi 35%
CXRs are 3hrs apart.
No lasix, no dialysis, still supine.
The diff btw L & R is JUST a vent mode change.
🤯
They’ve been #nurses@northwesternmed for decades. They fondly call themselves the “old dolls” & the “mothers & grandmothers” of the ICU. When #COVID19 came to Chicago, they stepped to the front line. @CateCauguiran@ABC7Chicago has their story tonight at 10 pm.
I've been dreading this, but I think we need to reconsider the issue of steroid in COVID-19. This is extremely complicated, especially for two reasons...(1/7)
#COVID19foam
I love the starting dose in their algorithm. Starting dose at 1 is much different than our typical order (start at 0.2, titrate by 0.1 increments q30 minutes to achieve goal RASS). #CCR20#spice3
In a pre-planned analysis of immunocompromised critically ill patients with acute respiratory failure, bronchoscopy was associated with better diagnosis and management but worse outcome. The decision to perform bronchoscopy should be individualised. bit.ly/2Dusahh
In light of current evidence, continued recommendations supporting lactate-guided resuscitation strategy will only encourage over-resuscitation and the downstream harms associated with such aggressive strategies, says @emnerd_. #FOAMed#FOAMresbit.ly/2J46WKK