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CPAP and non-invasive ventilation (NIV)

…NIV are two different treatments with different physiology, and the commonest source of error is confusing them. CPAP delivers a constant pressure that recruits alveoli…

Intensive care parameters

…about 7.20. Different targets apply when the intracranial pressure is raised: normocapnia (PaCO₂ 4.5–5.0 kPa) and avoidance of hypoxia, since hypercapnia…

Cardiac arrest due to hypoxia and asphyxia

…COPD) Bronchospasm (asthma) Other : Coma Central hypoventilation syndromes Neuromuscular diseases Anemia The natural course of asphyxia Should ventilation be entirely inhibited (as seen in acute…

Hyperkalaemia: quick reference for emergency treatment

…continuous ECG monitoring and early assessment of the need for dialysis ECG changes or serious neuromuscular symptoms mean a high risk even if the plasma…

Laryngeal mask and difficult airway

…suction, neuromuscular blockers, and a person designated to keep time and read out the number of attempts. Laryngeal mask sizes Size Patient weight Maximum cuff…

Lung function and respiration

…a saturation of 92–96 % in most patients, and 88–92 % where there is a risk of carbon dioxide retention (COPD, obesity hypoventilation, neuromuscular disease…

Oxygen therapy

…neuromuscular disease, marked chest wall deformity, severe bronchiectasis and cystic fibrosis. Here a lower target range and controlled delivery apply — not the withholding of oxygen…

Reduction of dislocations

…longer a joint remains dislocated, the harder the reduction becomes and the greater the risk of chondral and neurovascular injury. Aim for reduction within a…

Pleural aspiration and chest drain

…earlier era. The needle is inserted close to the upper border of the rib, never at the lower border where the neurovascular bundle lies, and…

Casting and immobilisation

…saw, protective sheeting Hot water gives faster setting and more heat production — a risk of burns Document the distal neurovascular status before casting : sensation, motor…

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