Brian Locke
Brian Locke P/CCM Notes
- mechanisms of hypoxiaHistory Research started to explain why WW2 pilots crashed at high altitude. Initially thought it was CO poisoning. e.g....
- MetabolismAcid removal: 30 - 60 mg of fixed acid is removed in kidney 14,000 mg of volatile acid is removed by the lungs VO2 (aka meta...
- MRSA Nasal SwabVA dataset CID 2019 DOI: 2020;71(5):1142–8 All patients 18+ screened with MRSA nasal swab at admission - 245,000 patients. ...
- oxygen deliveryConsider how is it possible to be hypoxic without being hypoxemic? How is it possible to be hypoxemic without being hypoxic ...
- PacemakersLeadless pacemaker self contained generator and electrode that is implanted into the right ventricle for single chamber pacin...
- Patient Ventilator Interactionshttps://doi.org/10.4187/respcare.09316 The mathematical model describing this is the Equation of Motion for th...
- Pleural DiseaseReference: https://www.nejm.org/doi/full/10.1056/NEJMra1403503 Physiology generally, pleural pressure is below atmosphere....
- Pneumoconioses and Occupational Lung DiseaseOccupational lung disease: includes pneumoconioses HP bronchiolitis occupational asthma...
- PneumoniaEPIC study: Viral PNA = 20-30% of CAP (https://www.cdc.gov/pneumonia/epic/publications.html) but not easily identifiable as a distinct...
- POCUSTTE EF Assessment https://www.pocus101.com/assessing-left-ventricular-ejection-fraction-with-echocardiography/ Qualitative metho...
- Pulmonary Function TestingTechnique spirometer should be calibrated daily with a 3L syringe. testing should be done on physiologic norm...
- Pulmonary HypertensionPVR = (mPAP - PCWP) / CO. (V=IR) rearranges to: mPAP = (PVR * CO) + PCWP <= increase each leads to mPAP (exercise, ...
- Pulmonary MechanicsGases and Liquids are both fluids. Pressure = Force / Area = (Force x Distance) / (Area x Distance) = Work / Volume = Ener...
- Proning for ARDSPROSEVA Protocol Proned for at least 16 hours per day if: P:F 150 or less with PEEP 10 or more and FiO2 60% or mo...
- R## CX Terms (Fleischner 1 based. Fleischner 2 is more focused on CT terms) Optical Density (aka the amount of blackening): factor of a...
- Reflux and its relation to lung diseaseGERD Source: JAMA. 2020;324(24):2536-2547. doi:10.1001/jama.2020.21360 Definition: recurrent trou...
- Renal Replacement TherapyCCM 2020 Review - https://journals.lww.com/ccmjournal/Fulltext/2019/05000/Renal_Replacement_Therapy_in_the_ICU.12.aspx...
- Respiratory FailureVentilatory Failure Work of breathing Not synonymous with respiratory rate Phasic contraction of sternocleinomastoid i...
- SarcoidosisDiagnosis and Detection CPG 2020: https://www.atsjournals.org/doi/abs/10.1513/AnnalsATS.202007-874CME
- Sedation and analgesia in the ICUAnalgesia, Amnesia, and NM blockade Sedatives Fentanyl analgosedation (monotherapy) - estimated to be su...