23 Questions 27 Answers 0 Followers
Questions related from s. Sharma
ANY ONE OF YOU USING NAC- N acetyl cysteine for covid-19 Patients ?
29 March 2020 4,147 13 View
how many of you use BIS monitors in ICU ?
16 September 2019 4,847 5 View
drug induced - type b lactic acidosis although not as common as type - a lactic acidosis but certainly very important to understand in icu. what do you think- how does metformin cause lactic...
12 September 2019 3,403 0 View
I have seen a big hesitation by speech pathologist in doing a swallow evaluation with in first 24 hours of extubating a patient, this is even in patients who are stable from respiratory standpoint...
03 September 2019 6,056 3 View
Status asthmatics is very difficult to treat and can be very challenging to treat. Whats the MOA of ketamine in this condition.
26 August 2019 7,037 3 View
what happens to our pulmonary function when we have less gravity, especially in space ? Are the lungs limiting factor in low gravity for future endevour trips (like to mars ?
06 April 2019 6,290 4 View
If you have both hypokalemia and hypomagnesemia, which electrolyte do you replace first ?
02 April 2019 660 3 View
As we know high altitude pulmonary edema (HAPE) is a noncardiogenic pulmonary edema which happens in lowlanders who ascend rapidly to altitudes greater than 2500-3000 m. What do you think is its...
18 March 2019 1,384 1 View
Post intensive care syndrome (PICS) is very common, primary care doctors have little or no help from us intencivist in taking care of these patients post critical illness recovery and discharge...
13 March 2019 8,872 8 View
After dust control measures were put in place the incidence of progressive massive fibrosis declined, but recently it is making a come back in coal mine workers. What do you think is the cause and...
12 March 2019 685 2 View
through out my training I have seen continuous feed in icu critically ill patient. But normally we human beings don't eat all the time and especially at night time. Why don't we just bolus feed or...
23 February 2019 4,249 5 View
As we normally extubate chf, copd home o2 dependent patients to bipap and then transition them to nasal cannula- does any one of you have experience extubating the patients to nasal cannula ? As...
28 December 2017 2,533 1 View
My experience has been mix in this situation. 80 % patients not requiring training. Elderly with diabetes specifically requires traning.
25 December 2017 4,749 3 View
delirium is very common in drug addicts especially when sedation vacation is done. other then antipsychotics I usually use precede.
25 December 2017 9,086 1 View
We normally downsize the size 8 to 6 and then rarely to size 4 before capping and then DE cannulation a tracheostomy tube in LTAC patients. Is this necessary ? Cant we cap size 8 and if tolerated...
25 December 2017 2,153 0 View
Giving more fio2 and increasing PEEP are two ways one can increase oxygen content. Fio2- increases alveolar partial pressure of oxygen and PEEP by recruiting more alveoli. But I have seen a few...
01 January 1970 5,858 9 View
Do we need to put Foley cathter in Ventilated and sedated patient ?
01 January 1970 4,300 19 View
Although complications of central venous cathter insertion have deceased with the use of ultrasound but still exist. What is the current reported complication rate ? Thank you!! SS
01 January 1970 6,586 5 View
Post Tpa for stroke- how soon after the administration of tpa -can the patient get out of bed and resume activity with assistance ?
01 January 1970 4,618 3 View
Albumin levels in acute or chronic illness goes down due to blocking of transcription by interleukin's and TNF-alpha. Some belief the reason is - bacteria uses it to transport itself to different...
01 January 1970 6,099 1 View
Goals of care conversations are very important and can define the course of patients and their loved ones life. Especially in critically ill /terminally ill patients I frequently use the terms "...
01 January 1970 616 5 View
pH, where p is power and H is hydrogen- power of hydrogen is very crucial for body's homeostasis and normal functioning. pH monitoring is very important in a critically ill patient, in todays...
01 January 1970 8,369 14 View
In my clinical practice I have seen many nephrologist ordering renal usg in AKI patients, but current literature does not support it. What do you practice in your ICU ?
01 January 1970 3,790 3 View
