Last week was filled with peaks, with plateaus, sedation, analgesia, ventilator waveforms, and a vasopressor podcast.

 

We've got lots to review so let's get into Last Week, NOW! 

 

Back by popular demand is the "Top 10 Tuesday". It's been over one year since we ran this series and people have been asking for this again. In this series, I bring you 10 facts relating to a certain topic every Tuesday. 

In the last post, I talked about something that everyone who manages critically ill patients should know about, analgesia and sedation. This practice is sometimes under appreciated but has huge implications in the morbidity and mortality for our patients. 10 slides is certainly not enough to cover this topic, but these are the top 10 things that I believe can help you with your patients. Here's the link to the post. 

 
 

This week I'm bringing you a cool case with an interesting echocardiographic finding. The patient featured in this clip presented with pericardial tamponade, but it's not your typical effusion. This patient apical four-chamber view has multiple fibrin strands diffusely. Ultimately this led to a diagnosis of systemic lupus erythematosus.

You can check out the post by @NephroPocus or check out the referenced article in Circulation. Either way, it's a great case with some sweet echo findings.  

Adam and I did another IG live this week and this time we talked the vent, specifically the peak and plateau. We reviewed what are these pressures, why should you care when they are elevated, and things that you should do when they are. Although though many people use these terms daily, we drilled down these concepts in a practical way that you can use on your next shift. 

This video was also a preview of what we will be covering this coming week with Dr. Obi Anozie during our Critical Care Lounge episode. Click below to see the full IG episode.

Watch the IG live on peak and plateau

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This week Adam Green and I are hosting another Critical Care Lounge and we are talking about interpreting waveforms for mechanically ventilated patients. We are lucky to welcome Dr. Obi Anozie who is not only an expert educator, but as a master at ventilator waveforms.

Join us this week as we go through some common waveforms leading to ventilator to synchrony. If you take care of mechanically ventilated patient, then this is a critical care lounge that you do not want to miss!

Take Me To The Critical Care Lounge

We have some great podcast news! We are now available to listen on Apple Podcast and other podcast players (except Spotify). If you are an All-Access member you should have received an email with the instructions on how to add your private RSS URL to the podcast player so you can listen seamlessly. Please be aware that after this week, we won't be supporting the previous player on the website. So now you can listen to the ResusNation Podcast as easily as you listen you your other favorite podcasts!

On to this week's podcast where I sat down with Dr. Rachel Jennings again....yes, the same Dr. Jennings from last week's Derm podcast. This time, she interviewed me and we talked about vasopressor basics, how I use them, and when you should be thinking of something other than our old standard, norepinephrine. We'll build on this podcast in the weeks to come when we talk about more complex resuscitative management.  

Don't forget the ResusNation Podcast is FREE for All-Access Members. 

I Want to Listen To the PodCast!

That's it for Last Week Now! Don't forget to check back next week because we're doing a few giveaways...and we'll have a lot more to review.

 

Thank you for taking exceptional care of your patients.