29 Nov 2012
23m

50. Eamonn & Andy on ICU Housekeeping

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Neuro Resus

In this ICU podcast episode, Oliver Flower hosts registrars Eamonn and Andy to discuss daily processes in intensive care, focusing on the "Fast Hugs In Bed Please" mnemonic. They delve into stress ulcer prophylaxis, identifying risk factors like mechanical ventilation and coagulopathy, and debate the use of PPIs versus H2 blockers, highlighting potential harms of PPIs such as interstitial nephritis and C. difficile infection. The conversation then shifts to venous thromboembolism (VTE) prophylaxis, emphasizing the importance of prevention and discussing the use of low molecular weight heparins, unfractionated heparins, and fondaparinux, along with mechanical methods like intermittent pneumatic compression, while also considering contraindications and alternative treatments like vena cava filters.

Outlines

Part 1: Introduction, Assessment Tools

Part 2: Stress Ulcer Prophylaxis

Part 3: VTE Prophylaxis: Risk and Heparins

Part 4: Mechanical Methods, Management, Conclusion

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