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INSIGHTS
The critical care medicine blog serves as a specialized platform committed to delivering profound insights and current knowledge on the cutting-edge advancements within critical care. With its broad coverage of meticulously examined critical care topics, the blog furnishes evidence-based responses to critical care questions, offering a comprehensive understanding of the subject matter. Stay informed with in-depth analysis and up-to-date information through our blog!
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Evolving Evidence for Steroids in ARDS
The topic of steroid use in ARDS remains a continued interest and debate. DEXA-ARDS and the COVID-19 RECOVERY trials have reintroduced this

Mazen Kherallah
Mar 16, 20223 min read


Balanced Fluid or Saline for Critically-ill Patients?
The absence of robust data led to controversy over the use of crystalloid fluid compared to saline in critically ill patients. This...

Mazen Kherallah
Mar 6, 20224 min read


Prevention and Treatment of Shivering during Targeted Temperature Management
Interventions to prevent shivering should be started prior to the initiation of therapeutic hypothermia protocol and prior to any attempt to

Mazen Kherallah
Mar 1, 20223 min read


Iatrogenic Pneumothorax Caused by NG Tube Placement
Iatrogenic pneumothorax is a patient safety indicator (PSI) condition. It is a traumatic pneumothorax secondary to an invasive procedure...

Mazen Kherallah
Feb 24, 20225 min read


Evolving Evidence for Lung Recruitment Maneuvers in ARDS
Lung recruitment maneuver employs a transient increase in pressure aiming to open recruitable alveoli and keep them open with PEEP

Mazen Kherallah
Feb 16, 20227 min read


Airway Pressure Release Ventilation: Settings and Adjustments for Protective Lung Strategy
Airway Pressure Release Ventilation (APRV) is a recruitment mode that provides a high mean airway pressure and maintain lung protection.

Mazen Kherallah
Feb 9, 20226 min read


5 Steps in the Assessment of Acid-base Disorders
The accurate interpretation of arterial blood gases is crucial in critically ill patients.

Mazen Kherallah
Jan 31, 20223 min read


A Paradigm Shift in ICU Sedation
A tool that can help the clinician to guide therapeutic interventions and minimize sedation and analgesia. for ICU patients

Mazen Kherallah
Jan 25, 20223 min read


Feedback Mechanism in Volume Support Ventilation
Volume support (VS) ventilation is a variable pressure support that targets a preset tidal volume. It is a spontaneously triggered mode wher

Mazen Kherallah
Jan 18, 20223 min read


Patient-Ventilator Interaction & Asynchrony
Patient-ventilator asynchrony (PVA) is a mismatch between the patient's demand and the ventilator during a ventilator breath delivery.

Mazen Kherallah
Jan 14, 20224 min read


Bedside Lung Ultrasound in Emergency: The Blue-Protocol
The BLUE-protocol combines certain ultrasound signs (lung sliding, A lines, B lines, and PLAPS) with location, associated with results of..

Mazen Kherallah
Jan 6, 20222 min read


Lung ultrasound for the diagnosis of pneumonia in adults: Blue Protocol
Ultrasound in the intensive care unit is a reasonable gold standard to detect many causes of respiratory failure with good sensitivity and..

Mazen Kherallah
Jan 5, 20222 min read


Assessment of Hyponatremia: Four Critical Questions!
The diagnosis of hyponatremia in the ICU can be made easy in a systematic way by answering four main questions, read more..

Mazen Kherallah
Jan 1, 20222 min read


Mechanical Power: New Target for VILI Prevention
Ventilator-induced Lung Injury (VILI) is the unwanted result of a complex interplay of multiple factors on mechanical ventilation. These...

Mazen Kherallah
Dec 29, 20215 min read


Mechanical Ventilation in Obese Patients
Selection of plateau pressure and PEEP in obese patients with ARDS and on mechanical ventilation.

Mazen Kherallah
Dec 25, 20213 min read


Protective Lung Strategy Targets in ARDS
Targets of protective lung strategy with emphasis on driving pressure and transpulmonary pressure

Mazen Kherallah
Dec 21, 20213 min read


LIP and UIP may not be adequate to determine PEEP and plateau pressure in ARDS patients!
LIP and UIP May Not be Adequate to Determine PEEP and Plateau Pressure in ARDS Patients

Mazen Kherallah
Dec 19, 20211 min read


A Decision Algorithm in the Management of Pulmonary Embolism
Therapies for acute pulmonary embolism are determined based on the risk of death, risk of bleeding, and response to initial therapy....

Mazen Kherallah
Dec 16, 20212 min read


Omicron "A Variant of Concern"
The CDC defines the "Variant of Concern" (VOC) for an new variant for which there is evidence of an increase in transmissibility, more...

Mazen Kherallah
Dec 6, 20211 min read


Pathophysiology-based Understanding of Respiratory Failure
The respiratory failure is an imbalance between the load (resistive, elastic, or metabolic) and the neuromuscular competence

Mazen Kherallah
Nov 24, 20212 min read
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