Discontinue using a banana bag Thiamine 200-500mg IV every 8 hours (we recommend 500mg) Magnesium Sulfate 64mg/kg IV on day 1 (approximately 4gms for females and 5gms for males). Hold...
Oh, the banana bag - 1 liter of NS or D5W, 100mg of thiamine, 1mg of folic acid, 1-2g of magnesium, a MVI, ran over 24hrs! Given its yellow color as compared...
They say a picture is worth a thousand words. So that is what we wanted to start with! Do these two pictures look similar in your clinical judgement? If your answer was no,...
As we all realize and experience critical care is a complex and challenging balancing act of competing interests, and sedation and patient synchrony on mechanical ventilation to prevent lung damage is an...
With the national board of echocardiography’s launch of the critical care echocardiography boards in 2019, the growth of this knowledge, and its application to clinical practice, we continue to grow within our...
Before we dive into this paper perhaps some broad comments about statistics in research is warranted. Since statistics by nature can be overwhelmingly complicated, we aim here to simplify our explanations of...
In this blog we explore we should be screening and treating the hypercoagulable state that COVID-19 patients present with to the intensive care unit. In exploring these questions, we discuss three papers...
Photo by Robina Weermeijer on Unsplash We at Medical Specialists Associates have spent a great deal of time highlighting the role of HFNC over Bipap in the management of COVID-19 respiratory...
When Roca fist published his paper in June of 2019 in which he described the ROX Index for the first time, we, as of yet, had our first case of COVID-19 in...
Summary /REVIEW of Recommendations of Universities and Societies ICU Sept 2021 What are the thresholds for intubation and mechanical ventilation for patients who are not responding or deteriorating when on HFNC or NIPPV? Summary of...
Guest Post Written By Abby Conner Healing is a process that is more complex than we realize. In most cases, there is no one specific cure. This is especially true for addiction, which...
Important Notes Mode is relatively contraindicated in: Severe COPD Severe Asthmatics If used in these patients the expiration phase of T-Low is likely required to be longer than average This protocol incorporates APRV being...
Vitamin D deficiency exacerbates UV/endorphin and opioid addiction BY LAJOS V. KEMÉNY, KATHLEEN C. ROBINSON, ANDREA L. HERMANN, DEENA M. WALKER, SUSAN REGAN, YIK WENG YEW, YI CHUN LAI, NICHOLAS THEODOSAKIS, PHILLIP D. RIVERA, WEIHUA DING, LIUYUE YANG, TOBIAS BEYER, YONG-HWEE E. LOH, JENNIFER A. LO, ANITA A....
Background information: • Ratio of oxygen saturation as measured by pulse oximetry, FIO2, and respiratory rate • Formula: spO2/RR x FiO2 Predictors of HFNC success include: • ROX ≥4.88 at 2, 6 and 12 hours after HFNC...
We have gathered all of our most current Covid-19 respiratory management information together into one post. Please continue reading below and find additional downloadable PDFs and a link to our COVID-19 ARDS...
Check out our newest YouTube video where Dr. Christopher Voscopoulos discusses the management of respiratory failure related to COVID-19....
Check out our newest YouTube video where Dr. Christopher Voscopoulos covers everything we know to date about COVID-19 based on the most current research and the experience of our doctors caring for...
What has now become routine for us to observe in the Intensive Care Unit with our COVID-19 patients, namely an elevated d-dimer, normal or high fibrinogen level, and elevated CRP, has gotten...
After a Nevada hospital saved his life, this man came back to thank the hospital and Dr. Christopher Voscopoulos. He was suffering chest pains caused not by Covid 19, but by a...