MLB55

MLB55

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  1. PEA arrest

    The guy was well over a 100kg...
  2. New to neuro/TBI/hypothermia

    We only do hypothermia protocol for pts post cardiac arrest. That is, we cool them down to 91.7 - if that's what hypothermia your talking about. Craniectomy within the first 24-48 hours is what our neurosurgery and neurology teams push for. Did the...
  3. PEA arrest

    The needle decompression. That's a great question. I'm guessing, since he was pusleless and kept losing his pulse? I just heard the attending say, he needs to be decompressed. And he had a central line placed emergently on that side.??
  4. ICP monitoring and ventricular drain.

    In our 23 bed neuro icu, we clamp the drain to transduce pressures, position changes, and when we transport the pt.
  5. PEA arrest

    Pt is a 63yo male with a hx of a subarachnoid hemorrhage 30 yrs ago s/p clipping. Pt present early in June with a new Sah, from the same aneurysm. Pt was re clipped on the 16th, stayed intubated for a day or two and was successfully Extubated. Compli...
  6. Increasing creatinine

    No I meant 4.5 liters. Not uncommon and not the most I've seen. I've had a patient that required 90+units of products... But that's another story. Her urine out put increased after the lasix and then patient started auto diuresing the next day or so...
  7. Increasing creatinine

    Pts cr peaked the next day at 1.44, she's auto diuresing and cr is back to baseline.
  8. Increasing creatinine

    Lasix immediately help here urine output. 400 in about 2 hours. Great input... She was definitely +a few liters since the or and had pulmonary edema on chest xray.
  9. Increasing creatinine

    We sent one. I don't remember, serum na was normal though.
  10. Increasing creatinine

    Pt is 74 yo with a hx of a parotid tumor that mets to the spine, "kidney insufficiency" (as reported by the patient),baseline cr seemed to be 1.09 and htn. Had a two stage back surgery something like T10 to pelvis. The second stage was aborted X 2 du...
  11. Trust?

    I think everybody feels like this at first. Nobody is truly comfortable until at least there first year. Take this opportunity to provide good care and to be known for the care you can provide. Sick or not. I found in my earlier days the sickest pat...
  12. cvp on introducer

    They are hooking it up directly to that white/blue port where the slic or swan would go. We typically put in a tlic and transduce off the distal port. But out of the or, anesthesia transduces off the aforementioned port.
  13. cvp on introducer

    Not the big line of a cordis. The part where you put a triple lumen or a swan. The same place and a mac.
  14. cvp on introducer

    Have you guys seen when anesthesia hooks up the cvp to the port where you put a triple lumen or swan line through? I think this is a waste of a port and I sort of think not an accurate way to measure cvp. Not that the cvp is the end all be all. Just...
  15. MAP vs SBP

    I was only asking about triple H therapy for vasospasm patients. I think we would have better cardiac outcome with the same neuro outcome if we used maps. A lot of times these patients require 5 pressors and inotropes to get the patients sbp to 200....