Critical Care Corner

May 3, 2021 Maninder Singh

Soot in the Airway: A how to guide on Fiberoptic Intubation

PGY-4 Brendan Barrett breaks down fiberoptic intubation into a 10 step process

June 7, 2019 Maninder Singh

Preventing desaturation during ED intubation

Review By Maha Salama: Preoxygenate your patients with the head of bed elevated and use apneic oxygenation during RSI with NC at 15L/min

June 4, 2019 Maninder Singh

Optimal tPA dose/duration using US guided catheter directed thrombolysis for intermediate risk PE

Review by Nimish Bhatt: Lower doses and shorter infusions of tPA via USCDT a/w improvement in RV:LV diameter and reduction in clot burden at 48 hours

June 1, 2019 Maninder Singh

Should you use fibrinolysis for patients with intermediate-risk PE?

Review by Maha Salama: Prompt fibrinolysis can reduce risk of hemodynamic decompensation/death in intermediate risk PE but need to weigh against increased risk of bleeding.

May 28, 2019 Maninder Singh

Simplified Pulmonary Embolism Severity Index VS Hestia Criteria for discharge of low risk PE

Review by Allison Lee: Both sPESI and Hestia are valid for prognostic accuracy but Hestia has more subjective criteria.

May 19, 2019 Maninder Singh

Blood Pressure Target in Intracranial Hemorrhage

Review by Maha Salama: Aggressive BP lowering in ICH can cause harm

May 15, 2019 Maninder Singh

Adjunct prednisone therapy for patients with community-acquired pneumonia

Review by Allison Lee: Consider giving adjunct prednisone for CAP, if no contraindications to steroids.

May 12, 2019 Maninder Singh

High Velocity Nasal Insufflation (HVNI) in the Treatment of Respiratory Failure

Review by Alex Petti: HFNI is non-inferior to NIVPPV in undifferentiated respiratory failure