icu

TEE In The Cardiothoracic ICU

As a cardiothoracic (CT) intensive care unit (ICU) physician, knowing how to balance resuscitation with inotrope and vasopressor support is a large part of my job. For patients on post-operative days (POD) 0 or...

Right Upper Lobe Bronchoscopy

As an intensivist and cardiothoracic anesthesiologist, bronchoscopy is an incredibly common procedure I perform in the ICU (from in front of the patient) and OR (from behind the patient). A small camera on the...

Thermogard – Targeted Temperature Management (TTM)

Targeted temperature management (TTM) following out-of-hospital cardiac arrest (OHCA) has been shown to confer survival and neuroprotective benefits. A 2016 review in Resuscitation found this to also apply to a wide scope of patients...

RK.MD Mechanical Circulatory Support (MCS) Reference Sheet

As a follow-up to my perioperative and critical care reference sheet, I've created a similar one for mechanical circulatory support (MCS). The same instructions apply: This sheet doesn't constitute medical advice, and I'm NOT responsible...

3 C’s Of Code Blues – Calmly Communicating With Confidence

Code blues requiring advanced cardiovascular life support (ACLS) can be anxiety-ridden for anyone. This post will not discuss the actual algorithms but rather what I call the "3 Cs" of running a good code...

Tips For Critical Care Anesthesiology (CCA) Fellowship

Critical Care Anesthesiology (CCA) is a one year fellowship following the completion of an anesthesiology residency. The application process is run by San Francisco Match (SFMatch) and begins in November of the applicant's CA-2...

Percutaneous Tracheostomy

Percutaneous tracheostomy ("perc trach") is a procedure that is routinely performed at the bedside on patients who require prolonged mechanical ventilation or airway control due to an upper airway obstruction or for pulmonary hygiene....

Posey Cufflator Manometer

Endotracheal tubes (ETTs) and tracheostomy tubes have pilot balloons which are inflated to expand a pilot cuff situated within the trachea below the vocal cords. This is termed a "secure airway." If this cuff is...

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