Current Concepts in Adult Critical Care-Case Prologue

Video Transcription

Video Summary

The patient experiencing alcohol withdrawal shows improvement with COR monitoring and Librium taper. Despite developing shock liver and acute kidney injury, the ICU team closely monitors his tachycardia, fluid balance, and hemodynamics. Oxygen needs worsen, leading to non-invasive cardiac output monitoring. With rising creatinine levels and pulmonary infiltrates, renal replacement therapy and lung protective ventilation are initiated promptly. The patient presents hypokinesis, plethoric IVC, and bilateral B-lines in lung zones on ultrasound. The team's main concern is fluid overload management as the patient's condition progresses.

Keywords

alcohol withdrawal

COR monitoring

Librium taper

ICU team

renal replacement therapy

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