Learning
Access open source papers or find a link to an interesting review or study, for each source, a brief executive summary is written by me.
PE Practical reviews.pptxDiagnostic and therapeutic decision making at POC
Diagnostic and therapeutic decision making at POC
Acute Pulmonary Embolism A Review JAMA Review.pdfConcise practical review
Concise practical review
Pulmonary Embolism clinical practice NEJM.pdfPractical review based on a case presentation
Practical review based on a case presentation
Feasibility of common carotid artery point of care ultrasound in cardiac output measurements compared to invasive methods.pdfObtaining common carotid doppler profile is easy to do for most patients in the ICU, learning curve is fast. This paper shows a strong agreement between cardiac out measurement by common carotid artery doppler and invasive gold standard of pulmonary artery catheter or Pulse contour analysis.
Obtaining common carotid doppler profile is easy to do for most patients in the ICU, learning curve is fast. This paper shows a strong agreement between cardiac out measurement by common carotid artery doppler and invasive gold standard of pulmonary artery catheter or Pulse contour analysis.
Comment: I plan to use this method for my patients with shock and septic shock to assess if they are fluid- responsive or not. The CO will be measured before the fluid challenge of 250 to 500 ml, then after the challenge, a 10% increase in CO, confirms that the patient is fluid responsive.
Procedure: position the patient in a 30-degree upright. Obtain a transverse view of CCA at the thyroid level, measure the diameter, and confirm the measurement on the longitudinal view. Using pulse doppler mode, 1 mm sampling box, obtain doppler profile for at least 5 cardiac cycles, then measure time velocity interval (TVI) ,
Procedure: position the patient in a 30-degree upright. Obtain a transverse view of CCA at the thyroid level, measure the diameter, and confirm the measurement on the longitudinal view. Using pulse doppler mode, 1 mm sampling box, obtain doppler profile for at least 5 cardiac cycles, then measure time velocity interval (TVI) ,
Flow volume= TVI X D, CO= Flow volume X 10
Read the paper for more details and exclusion criteria.
asthma_guidelines_resource.pdfThe latest guidelines for asthma management
The latest guidelines for asthma management