John Cafaro MD
Most patients who undergo intubation will receive some sort of post-intubation sedative. In the ICU, over-sedation is common, and early deep sedation is associated with worse outcomes in mechanically ventilated patients – specifically, higher mortality. Does the choice of sedative affect mortality?
You are on your critical care rotation helping take care of multiple ventilated patients. At the end of your night shift, one of the respiratory therapists comes up to you and says, “Hey, the new ABG just came back. It is 7.25/52/70/24 .” What do these numbers mean and what can you do to help?
You’re working in the ICU overnight and are having difficulty obtaining a blood pressure for a patient that was just transferred to your facility for septic shock secondary to pneumonia. You make the decision to place an arterial line. You place the line sterilely using seldinger technique and connect it to the monitor. Your hard work paid off and you are rewarded with a waveform.