TP49. TP049 COVID: ARDS AND ICU MANAGEMENT

Although the pregnant population was affected by early waves of the COVID-19 pandemic, increasing transmission and severity due to new viral variants has resulted in an increased incidence of severe illness during pregnancy in many regions. Critical illness and respiratory failure are relatively uncommon occurrences during pregnancy, and there are limited high-quality data to direct management. This paper reviews the current literature on COVID-19 management as it relates to pregnancy, and provides an overview of critical care support in these patients. COVID-19 drug therapy is similar to that used in the non-pregnant patient, including anti-inflammatory therapy with steroids and IL-6 inhibitors, although safety data are limited for antiviral drugs such as remdesivir and monoclonal antibodies. As both pregnancy and COVID-19 are thrombogenic, thromboprophylaxis is essential. Endotracheal intubation is a higher risk during pregnancy, but mechanical ventilation should follow usual principles. ICU management should be directed at optimizing maternal well-being, which in turn will benefit the fetus.

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ICU Management of the Liver Transplant Patient

Yearbook of Intensive Care and Emergency Medicine ◽

10.1007/978-3-540-77290-3_71 ◽

2008 ◽

pp. 763-776

Author(s):

G. Della Rocca ◽

M. G. Costa ◽

P. Chiarandini

Keyword(s):

Liver Transplant ◽

Transplant Patient ◽

Liver Transplant Patient ◽

Icu Management

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A Sick Child with Sepsis (Including Osteoarticular Infections): ICU Management

Pediatric Osteoarticular Infections ◽

10.5005/jp/books/11780_5 ◽

2013 ◽

pp. 50-50

Author(s):

Mamta Jajoo ◽

Ridhi Gupta

Keyword(s):

Sick Child ◽

Osteoarticular Infections ◽

Icu Management

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Postoperative Management after Assist Device Implantation

Mechanical Circulatory Support ◽

10.1093/med/9780190909291.003.0031 ◽

2019 ◽

pp. 255-260

Author(s):

Christoph E. Brehm

Keyword(s):

Health Care ◽

Postoperative Management ◽

Bleeding Complications ◽

Health Care Environment ◽

Care Environment ◽

Current Health ◽

Hemodynamic Optimization ◽

Device Implantation ◽

Ventilator Management ◽

Icu Management

Post-operative ICU management of the MCS patient represents one of the most complex challenges in the current health care environment. With increasing experience, improvements in this arena have led to dramatic improvements in the outcomes of these patients. In this chapter, we detail several of the post-operative challenges in the ICU including ventilator management, bleeding complications, hemodynamic optimization, arrhythmias, and CPR.

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Cranial Trauma and ICU Management

Goodman's Neurosurgery Oral Board Review ◽

10.1093/med/9780190055189.003.0008 ◽

2020 ◽

pp. 83-102

Author(s):

Gary Simonds

Keyword(s):

Critical Care ◽

Gunshot Wound ◽

Epidural Hematoma ◽

Skull Fracture ◽

Closed Head Injury ◽

Physical Symptoms ◽

Raised Intracranial Pressure ◽

Diagnostic Problem ◽

Cranial Trauma ◽

Icu Management

Head trauma is a commonly encountered diagnostic problem in neurosurgery and is thought by some to be relatively limited in its technical challenges, and, as such, it gives the examinee an opportunity to excel in this area. Six cases are presented and include the history and physical symptoms, imaging studies, analyses, and plan of each case. Cases include closed head injury with raised intracranial pressure, a gunshot wound to the head, an epidural hematoma, trauma with intracerebral hemorrhage, and a depressed skull fracture. Sample questions and reasonable answers are also provided. For those choosing Trauma/Critical Care for the focused component of their exam, there are more in-depth questions oriented particularly to critical care. These are marked with asterisks.

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