Critical Care

Stored Blood

Stored blood is one of the commonest transfused volume replacements. Blood is stored in the cold part of refrigerator at 4°C (never in the freezer). Since blood from donors it taken long before it has to be given to a patient, it is stored in the meantime in refrigerator to preserve it from getting spoiled. It can be […]

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Treating carbon monoxide poisoning

Hyperbaric oxygen therapy is currently used in various clinical treatment regimens like for treating carbon monoxide poisoning. These include decompression sickness, carbon monoxide poisoning, cyanide poisoning, gas embolus, gas gangrene, resistant anaerobic infections, and threatened split-thickness skin grafts. The mechanism of action in treating carbon monoxide poisoning purportedly involves increasing tissue oxygenation, which increases collagen

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Hyperbaric Oxygen

Hyperbaric Oxygen means delivering the oxygen above atmospheric pressure which is 760 mmHg (or 1 atm). Special hyperbaric chambers are made for providing hyperbaric Oxygen, which are very expensive. Hyperbaric Oxygen Uses A. Poisonings: Carbon monoxide poisoning (half life of CO at 1 atm is 214 minutes which can be reduced to 19 minutes at

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Acute SLE

Acute Systemic lupus erythematosus (Acute SLE) is a multisystem autoimmune disease caused by autoantibodies and the deposition of immune complexes. The disease affects primarily women and has a higher prevalence among African Americans. A series of clinical findings is associated with acute SLE. These include a characteristic malar rash, photosensitivity, arthritis, serositis, and a discoid

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Unstable Tachycardias – narrow complex and wide complex tachycardias

Unstable tachycardias can be manifested by chest pain, shortness of breath, decreased urine output, mental status changes, or hypotension. The assessment of a patient with a tachycardia requires a systematic approach. First, the physician must determine whether the patient is experiencing evidence of hemodynamic compromise as a result of the tachycardia, which is generally not

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Blind Nasal Intubation

Blind nasal intubation is the technique of intubation wherein a nasotracheal tube is passed into the trachea through the nose, without visualization of the glottis with laryngoscope. This is an advanced method that can be carried out only in experienced and skilled hands especially like those of the anesthetists. A blind nasal intubation should always

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Viable fetus

Fetal distress can be caused by a host of factors; most notably, hypoxemia and hypovolemia are dangerous for the viable fetus. It is not uncommon for a pregnant patient to be affected by critical illness. Examples of nonobstetric maladies that lead to intensive care unit admission among pregnant women are hematologic issues (venous thromboembolism and pulmonary embolus,

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Complications of Transfusion

The major complications of transfusion of blood are the following: 1. Transfusion Reactions : These reactions may be allergic or haemolytic: Haemolytic Reactions These are again divided in to Delayed Hemolytic reactions and Acute Hemolytic reactions. Allergic Reactions These are usually mild, manifesting as urticaria and are mainly due to plasma proteins. Treatment: Antihistamines (Avil)

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