Surgery ICU Rounds

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https://ir.vanderbilt.edu/handle/1803/1210
The focus audience includes physicians, residents, medical students, nurses, therapists and paramedics. These are topics that arise while on teaching rounds in the Burn ICU at Vanderbilt Medical Center. a broad scope of critical care and prehospital topics are presented as well as journal articles and medical news.

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Browsing Surgery ICU Rounds by Title

Now showing 1 - 20 of 86
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    Abdominal Compartment Syndrome
    (Vanderbilt University. Medical Center, 2008-06-07) Guy, Jeffrey S.
    A discussion of the physiology and presentation of abdominal compartment syndrome.
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    Acute Colonic Pseudoobstruction (Ogilvie's Syndrome)
    (Vanderbilt University. Medical Center, 2010-02-15) Guy, Jeffrey S.
    Acute Colonic Pseudoobstruction (ACPO) is commonly called Ogilvies Syndrome. ACPO presents massive dilation in critically ill patients, and might result in invasive procedures to avoid ischemia or perforation of the colon.
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    Acute Renal Failure
    (Vanderbilt University. Medical Center, 2007-05-22) Guy, Jeffrey S.
    Acute renal failure is a dreaded complication in the ICU. This podcast will review the various types of acute renal failure, the etiology, as well as acute management.
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    Airway Pressure Release Ventilation (APRV) or BiVent: What the heck is this?
    (Vanderbilt University. Medical Center, 2007-05-20) Guy, Jeffrey S.
    Airway pressure release ventilation (APRV) is not a new mode of mechanical ventilation, but it seems to be gaining a great deal of popularity lately. Many people find this mode very complicated and think that it is reserved only for the very ill. Neither one of these assumptions are corrrect. This mode is very easy to learn and use. Furthermore, this mode is very physiological and tolerated by all types of patients.
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    Antibiotic Considerations in the ICU
    (Vanderbilt University. Medical Center, 2007-09-14) Guy, Jeffrey S.
    Why do we choose the antibiotics that we do? How long do we continue the course of therapy? Should we use some antibiotics together? These topics are covered in the episode.
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    Arterial Blood Gases
    (Vanderbilt University. Medical Center, 2009-04-26) Guy, Jeffrey S.
    This episode is a discussion about how to approach an arterial blood gas result.
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    Atrial Fibrillation
    (Vanderbilt University. Medical Center, 2008-02-19) Guy, Jeffrey S.
    Atrial fibrillation is a common problem in ICU patients, but it is a problem with many potential causes, and not always a well defined treatment.
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    Blood Conservation in the ICU
    (Vanderbilt University. Medical Center, 2007-06-14) Guy, Jeffrey S.
    When should a patient receive a transfuse of blood? What is an acceptable hemoglobin concentration in an ICU patient and should we use EPO? Summer is a time when the blood banks often have a single day's worth of blood. Perhaps with more conservative transfusion practices we can avoid or certainly help with some of the blood shortages. Everyone wants to put patients on Epo, but does it increase the hemoglobin concentration enough to off set its high cost?
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    Blood Products
    (Vanderbilt University. Medical Center, 2007-09-30) Guy, Jeffrey S.
    Blood products: pRBCs, fresh frozen plasma, platelets, cryoprecipitate when and how should we use it? What are the risks? You may order them like IV fluids but do you really know how these potentially deadly products are to be used.
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    Bomb and Blast Injuries
    (Vanderbilt University. Medical Center, 2007-07-04) Guy, Jeffrey S.
    Bomb and blast injuries: In the past blast injuries were limited to the battlefield of a rare industrial accident. The events of the past week are a reminder that civilian population centers are targets for bombing attacks. Most civilian providers have no to limited knowledge or experience treating patients with such injuries. This episode is dedicated to a discussion of some of the unique properties and injuries associated with blast injuries. In the event of a terrorist attack, like those attempted in London this past week, the injuries will be in the hundreds
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    Burns: Fluid Creep in Burn Resuscitation
    (Vanderbilt University. Medical Center, 2007-06-07) Guy, Jeffrey S.
    Excessive fluid resuscitations lead to horrible complications such as abdominal compartment syndrome. This article takes a critical look and challanges many of our practices in fluid resuscitation of burn patients.
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    Catheter-Related Bloodstream Infection: Diagnosis
    (Vanderbilt University. Medical Center, 2009-09-24) Guy, Jeffrey S.
    Discussion of what is the difference between a CVC infection and a catheter-related blood stream infection. They are treated differently so it is important to know the difference.
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    Caustic Ingestions
    (Vanderbilt University. Medical Center, 2009-05-13) Guy, Jeffrey S.
    Ingestion of caustic materials can be fatal and difficult to evaluate. These patients are often referred to our burn center.
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    Central Line Insertion Complications
    (Vanderbilt University. Medical Center, 2009-07-16) Guy, Jeffrey S.
    A discussion of the potential problems encountered while inserting central venous catheters.
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    Clostridium difficile Colitis
    (Vanderbilt University. Medical Center, 2008-04-16) Guy, Jeffrey S.
    Clostridium difficile colitis is a problematic complication of antibiotic therapy in hospitalized and critically ill patients. It is increasing in frequency and can be lethal.
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    Complications of Dwelling Central Lines
    (Vanderbilt University. Medical Center, 2009-08-04) Guy, Jeffrey S.
    What horrible things can happen with central lines once they have been inserted.
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    Complications of PEEP and Auto-PEEP
    (Vanderbilt University. Medical Center, 2007-05-18) Guy, Jeffrey S.
    Virtually all patients on ventilators are on PEEP. PEEP has several interactions with various organ systems and some can result in profound complications. An understanding of PEEP and auto-PEEP are required before we can understand modes of ventilation like APRV (Bi-Vent)
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    Control of hyperglycemia improves outcomes
    (Vanderbilt University. Medical Center, 2007-09-24) Guy, Jeffrey S.
    A great deal is being presented and published on control of blood sugar in the ICU as well as the postoperative period. How much control is enough and what is the data?
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    Crush Syndrome
    (Vanderbilt University. Medical Center, 2007-08-19) Guy, Jeffrey S.
    Earthquakes are horrible natural events causing loss of lives in the thousands. Following earthquakes, building collapses, and cave-ins, large number of victims will suffer from renal failure and death following crush syndrome.
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    Different Cardiac Output Monitors & Physiology
    (Vanderbilt University. Medical Center, 2011-11-26) Guy, Jeffrey S.
    This episode will discuss the physiology behind various CO output monitors such as pulmonary artery catheters, PICCO, pulse wave form analysis, and LiDCO.