SELECTED TOPICS IN CRITICAL CARE

Up Objectives Schedule Faculty


    OBJECTIVES

Explain cardiac dysfunction in sepsis, including decreased contractility, impaired ventricular response to fluid therapy, and ventricular dilatation.

Recognize the 60% incidence of global left ventricular hypokinesis in septic shock.

Identify dobutamine as the current "gold standard" in treating myocardial depression in septic shock.

Discuss the proposed future use of Milrinone combined with metoprolol as an alternative to dobutamine in septic shock.

Describe the lack of current research support for recommendation of one specific vasopressor over another in septic shock.

Discuss recent research findings comparing the efficacy of vasopressin versus Levophed in septic shock.

Describe the use of high-frequency oscillatory ventilation (HFOV) as a rescue strategy for trauma patients with ARDS.

Explain how maintaining a relatively high constant mean airway with HFOV accomplishes both lung protective ventilation and alveolar recruitment leading to improved oxygenation.

Describe the immunosuppressant effect of PRBC transfusion and discuss the significance of this when considering transfusions in the septic patient.

Discuss the impact of postoperative pulmonary complications on 10 year mortality rates.

Explain the relationship between activation of the abdominal muscles during induction of anesthesia and postoperative pulmonary complications.

Discuss the research evidence concerning polymerized hemoglobin-based oxygen carrier (HBOC) solutions.

Answer commonly asked questions about ventilators, including modes, control variable (pressure or volume), alveolar recruitment measures, and others.

Explain the impact of obesity on negative outcomes in the trauma patient.

Discuss guidelines for care of obese trauma patients.