Hospital Medicine

Critical Care Cardiology

Questions discussed in this category

When do you usually introduce conversations regarding tracheostomy placement in patients with refractory status epilepticus, or other conditions where one may anticipate delayed awakening?

1 Answer available

What would be your approach to percutaneous intervention for acute plaque rupture and cardiogenic shock for a patient with cirrhosis and severe thrombocytopenia?

2 Answers available

What has been your stepwise approach to oxygenation, including when to consider the use of inhaled nitric oxide or epoprostenol, in refractory hypoxemia due to cardiogenic pulmonary edema in patients who are otherwise not ECMO candidates?

1 Answer available

What is the upper limit of blood glucose target in hyperglycemic critically ill patients?

The new SCCM guidelines suggest an upper limit of 200 compared to the conventional 180.

1 Answer available

What factors do you consider for patients on an individual basis when establishing a post-cardiac arrest MAP goal after ROSC is achieved, considering some may benefit from higher MAP goals for optimal cerebral perfusion?

1 Answer available

What is your preferred mechanism for venting the left ventricle in patients on VA-ECMO?

2 Answers available

What would be your second pressor of choice if patients with LVOT obstruction remain persistently hypotensive on phenylephrine?

1 Answer available

What are the preferred inotropes/vasopressors agents for cardiogenic shock in situations with and without LVOT obstruction?

Is there literature to support superiority of levophed over dobutamine, or vice versa?

1 Answer available

Which clinical and echocardiographic parameters (i.e. LVEF, AVA) do you use when determining patient candidacy for LV device-assisted percutaneous balloon aortic valvuloplasty in patients with cardiogenic shock and severe AS?

1 Answer available

Which hemodynamic parameters can be used to titrate positive pressure ventilation in preload dependent settings such as RV failure, cardiac tamponade, HOCM or hemodynamically significant PE?

2 Answers available

What is your approach to weaning IABPs?

1 Answer available

What are your preferred ventilatory settings/mode(s) for patients with acute hypoxic respiratory failure presenting with severe biventricular dysfunction in cardiogenic shock?

1 Answer available

Papers discussed in this category

Circulation, 2022 Jul 07

Escalating and De-escalating Temporary Mechanical Circulatory Support in Cardiogenic Shock: A Scientific Statement From the American Heart Association.

Journal of the American College of Cardiology, 2018-09-25

Positive Pressure Ventilation in the Cardiac Intensive Care Unit.

Journal of the American Heart Association, 2024 Jan 19

Impella Versus Intra-Aortic Balloon Pump in Patients With Cardiogenic Shock Treated With Venoarterial Extracorporeal Membrane Oxygenation: An Observational Study.

Perfusion, 2021 Jul 28

Veno-arterial extracorporeal membrane oxygenation with concomitant Impella versus concomitant intra-aortic-balloon-pump for cardiogenic shock.

Current problems in cardiology, 2022 Sep 26

Impella Versus Extracorporeal Membranous Oxygenation (ECMO) for Cardiogenic Shock: A Systematic Review and Meta-analysis.

The New England journal of medicine, 2000-05-04

Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome.

Respiratory care, 2011-11

Long-term survival in patients with tracheostomy and prolonged mechanical ventilation in Olmsted County, Minnesota.

JAMA, 2005 Dec 28

Noninvasive ventilation in acute cardiogenic pulmonary edema: systematic review and meta-analysis.

Respiratory care, 2011 Oct

Approaches to conventional mechanical ventilation of the patient with acute respiratory distress syndrome.

The New England journal of medicine, 2013 May 20

Prone positioning in severe acute respiratory distress syndrome.

JAMA, 2022 May 17

Effect of Early vs Standard Approach to Tracheostomy on Functional Outcome at 6 Months Among Patients With Severe Stroke Receiving Mechanical Ventilation: The SETPOINT2 Randomized Clinical Trial.

JAMA, 2013 May 22

Effect of early vs late tracheostomy placement on survival in patients receiving mechanical ventilation: the TracMan randomized trial.

Hospital Medicine

Critical Care Cardiology

Questions discussed in this category

Papers discussed in this category

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