急诊学教学课件：Critical care Medicine.pptx

南 京 医 科 大 学 第 二 临 床 医 学 院 ICU ;We will discuss;ASK QUESTIONS! ;Evidence-based medicine ;How do we practice EBM?;Where can I find an answer?;Knowing and acting;;;;;;;A Case ;Case: Presentation of Case;Case:;CLINICAL EXAMINATION OF THE CRITICALLY ILL PATIENT;RECOGNISING THE CRITICALLY ILL PATIENT;What do you want to do the most?;CASE CT scan;What is the diagnosis?;Classification;Management;CASE;;;1.Intensive Care Unit;1.1 Introduction;1.2 History;;;;;1.3 Classification;1.4 How to work;1.5 Indication;1.6 Contraindication;1.7 Discharge;;2.Critical Care monitoring;2.0 Monitoring principles;2.1 Neural;2.1.2.Glasgow coma scale **;2.1.3 Intra cranial pressure;2.1.4 Electroencephalography (EEG);Case;CASE;2.2 Circulation Monitoring;2.2.1 Arterial Blood Pressure Monitoring;;Noninvasive Arterial Blood Pressure Monitoring;;Direct Invasive Blood Pressure Measurement;;;Case ;;2.2.2 Central Venous Pressure;CVP;;2.2.3Pulmonary Artery Catheters;;Indications for PA catheter*;Normal Pulmonary Artery Measurements;Case;What do you want to do now?;2.3 Respiratory Monitoring;2.3.1 Oxygen saturation (SpO2) ;2.3.2 Arterial blood gases ;Blood gas.;Case;;2.3.3 Oxygen Transport;Does life like oxygen？;;Hyperoxia increase mortality ;Figure. In-Hospital Death Between Hyperoxia and Normoxia;;Case;Diagnostic Criteria for ARDS(2012)*;4 weeks later spo2 and BP drops suddenly, no respiratory sound in left lung.;Case;Please memorize them in your lifetime ;2.3 Temperature monitoring;;Cool patients 32°C to 34°C,;Case ;2.4 Gastric and intestinal monitoring;;;2.5 hematologic monitoring;WBC and Systemic inflammatory response syndrome;Case: Does she need blood transfusion?;;;;2.5 Renal;;;Are we safe?;;Odds Ratio for Death in ICUs with Nighttime Intensivist Staffing in the APACHE and PHC4 Cohorts.;