Current Concepts in Adult Critical Care-Panel 3 Discussion and Questions

Video Transcription

Video Summary

The speaker discussed various topics related to intensive care, including measuring intracranial pressure in acute liver failure, managing intracranial pressure, proning for ARDS patients, and using treatments like mannitol and hypertonic saline. Optic nerve ultrasound was highlighted as a useful modality for identifying ICP elevation. The management of ICP in acute cirrhotic patients was also discussed, with a preference for 23% sodium chloride over mannitol. The transcript also touched on topics like proning logistics for patients with a trach, the use of N-acetylcysteine for hyperammonemia, the duration of paralysis in ARDS patients, the use of CVVH and PLEX in acute liver failure, and the management of chronic liver disease using medications like Mirelax or polyethylene glycol. The discussion emphasized clinical judgment and assessing patient responses when implementing various treatments.

Keywords

intensive care

intracranial pressure

ARDS

mannitol

optic nerve ultrasound

cirrhotic patients

clinical judgment

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