MLB55

Latest Activity

1. PEA arrest

   MLB55 replied to MLB55's topic in CCU, Coronary, Cardiac

   The guy was well over a

2. New to neuro/TBI/hypothermia

   MLB55 replied to maui2413's topic in Neuro Intensive Care, ICU

   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...

3. PEA arrest

   MLB55 replied to MLB55's topic in CCU, Coronary, Cardiac

   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...

4. ICP monitoring and ventricular drain.

   MLB55 replied to sugarmagnolia3's topic in Neuro Intensive Care, ICU

   In our 23 bed neuro icu, we clamp the drain to transduce pressures, position changes, and when we transport the

5. PEA arrest

   MLB55 posted a topic in CCU, Coronary, Cardiac

   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...

6. Increasing creatinine

   MLB55 replied to MLB55's topic in MICU, SICU

   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...

7. Increasing creatinine

   MLB55 replied to MLB55's topic in MICU, SICU

   Pts cr peaked the next day at 1.44, she's auto diuresing and cr is back to

8. Increasing creatinine

   MLB55 replied to MLB55's topic in MICU, SICU

   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

9. Increasing creatinine

   MLB55 replied to MLB55's topic in MICU, SICU

   We sent one. I don't remember, serum na was normal

10. Increasing creatinine

    MLB55 posted a topic in MICU, SICU

    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...

11. Trust?

    MLB55 replied to Classymommy's topic in CCU, Coronary, Cardiac

    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...

12. cvp on introducer

    MLB55 replied to MLB55's topic in MICU, SICU

    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...

13. cvp on introducer

    MLB55 replied to MLB55's topic in MICU, SICU

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

14. cvp on introducer

    MLB55 posted a topic in MICU, SICU

    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...

15. MAP vs SBP

    MLB55 replied to MLB55's topic in Neuro Intensive Care, ICU

    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...