Soins intensifs

Question 1

Truc mnémotechnique pour placement supra-glottique

Answer 1

Restricted mouth opening

Obstruction or obesity

Distorted anatomy

Stiffness (resistance to ventilation)

Question 2

Truc mnémotechnique pour éléments à regarder pré crico

Answer 2

Surgery

Mass (abscess, hematoma)

Access/anatomy problems (obesity, edema)

Radiation

Tumor

Question 3

Facteurs prédisant l’échec à la VNI en MPOC

Answer 3

Treatment failure, defined as a subsequent need for intubation, is predicted by a Glasgow Coma Scale score of less than 11, sustained arterial pH less than 7.25, and tachypnea greater than 35 breaths/min.

NNT de 4 pour éviter intubation

Question 4

Dx empirique de choc circulatoire

Answer 4

Ill appearance or altered mental status

•

Heart rate > 100 beats/min

•

Respiratory rate > 20 breaths/min or PaCO2 < 32 mm Hg

•

Arterial base deficit < −4 mEq/L or lactate level > 4 mM/L

•

Urine output < 0.5 mL/kg/h

•

Arterial hypotension > 30 min duration, continuous

Question 5

Prise en charge initiale de choc hémorragie, cardiogénique et septique

Answer 5

Question 6

Cible d’élimination de lactate en 2 heures

Answer 6

20%

Question 7

Critères d’installation de monitoring de TIC

Answer 7

These call for ICP monitor placement in all patients with an abnormal head CT scan and severe brain injury, defined as a Glasgow Coma Score of 3 to 8. ICP monitoring is considered appropriate in the presence of a normal head CT when two of the following are present: (1) age older than 40 years; (2) unilateral or bilateral motor posturing; and (3) SBP less than 90 mm Hg.

Question 8

Indicateurs de mauvaise perfusion pendant CPR

Answer 8

Question 9

Effets secondaires des transfusions

Answer 9

voir tableau p. 1461

Question 10

Nommer 10 éléments CIWA-Ar