Archive for July 12, 2011

Underdamped overdamped

July 12, 2011 at 19:47 Leave a comment

Half life of IV fluid

NSS or RL 1 liter given- 200 cc intravascular expansion lasting for about 2 hours (cheap)
Albumin 5%- give 1 liter, expand by 500 cc. Lasts 24 hours. Expensive.
Albumin 25%- give 100cc, expand by 500 cc.
Hetastarch- give 1 liter, expand by 750 cc. Lasts 24-36 hours.
D40 – give 1 liter, expand by 800 cc. Lasts 24 hours.
D70 – give 1 liter, expand by 1000cc. Lasts 24 hours.

July 12, 2011 at 19:44 Leave a comment

P0.1

About P0.1
The inspiratory depression of airways pressure, achieved after 100 ms of occlusion, is generally defined as the occlusion pressure or P0.1 and represents a valid indirect measurement of the activity of the respiratory centres. P0.1 is a reliable measurement of the intensity of the stimuli from the neurological centres to the peripheral respiratory muscles.
จาก studies ค่าP0.1ที่บ่งว่าผู้ป่วยสามารถ weaning สำเร็จ (+/-ไม่ต้องreintubate) อยู่ที่ 4.5-6cmH2O

จริงๆ จะเป็นค่า negative (represent pleural pressure) หาก drive น้อย occlusion pressure >-6 (เป็นลบน้อยกว่า)
หากมี drive occlusion pressure < -6 คืือดึง negative มากกว่าเดิม

July 12, 2011 at 18:50 Leave a comment


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