Anesthesia Key

Do not Bolus Fluids that Contain Dextrose Awori J. Hayanga MD Intravenous fluids that contain dextrose have questionable utility in the intensive care unit (ICU) and should not be administered…

Treat Abdominal Pain Out of Proportion To Physical Exam as Mesenteric Ischemia Until Proven Otherwise D. Joshua Mancini MD Rajan Gupta MD Acute mesenteric ischemia is an abdominal emergency with…

Be Alert for the Development of Abdominal Compartment Syndrome Awori J. Hayanga MD The terms intra-abdominal hypertension and abdominal compartment syndrome have sometimes been used interchangeably. However, it is important…

Be Alert for a Large Systemic Inflammatory Response after Back Surgery Ashita Goel MD SIRS (systemic inflammatory response syndrome) is a complex immune response that is characterized by hyperdynamic cardiac…

Consider the Diseases that Mimic Septic Shock in the Differential of this Condition Anthony D. Slonim MD, DRPH Septic shock is an example of a particular type of shock known…

Use Vasopressors Instead of Large-Volume Resuscitation in the Treatment of Shock from Massive Pulmonary Embolism Andrew L. Rosenberg MD Massive pulmonary embolism (PE) occurs when more than 50% of the…

Switch from Hydrocortisone to Dexamethasone if the Cosyntropin Stimulation Test is to be Administered Meghan C. Tadel MD Patients diagnosed with adrenal insufficiency are generally treated with hydrocortisone in the…

Do not Administer the Cosyntropin test within 24 Hours of Using Etomidate Meghan C. Tadel MD Hypoadrenalism is a life-threatening syndrome in critically ill patients. It can be found in…

Administer Empiric Broad-Spectrum Antibiotics when a Patient may be in Septic Shock William R. Burns III MD Sepsis is a state of physiologic derangement attributed to either known or suspected…

Consider Empiric Helicobacter Pylori Treatment when Gastric or Duodenal Ulcers are Found Anthony D. Slonim MD, DRPH Peptic ulcer disease is a common condition that manifests its changes on either…