Take the Critical Care Challenge

Posted by • April 18th, 2014

In this month’s Critical Care Challenge, our  77-year-old patient is on mechanical ventilation in the ICU after an emergency colon resection, complicated by septic shock and acute liver failure. Since it appears his stay in the ICU will be prolonged, what measures would you take to optimize his long-term recovery?

Participate in the poll and share your comments. The editors’ recommendations and the related review article will appear on April 23.

If you’ve missed previous articles in the series, check out the Critical Care Medicine page.

5 Responses to “Take the Critical Care Challenge”

  1. carol monopoli says:

    low TV ventilaton, avoid transfusions unless hemodynamically unstable and/or bleeding, initial vasopressor norepi then epi. check random cortisol if on vasopressors and give stress dose steroids if < 20. Early tracheostomy.

  2. Nidhi says:

    Frequent Spontaneous breathing trials

  3. Vânia Maria de Oliveira says:

    sepsis control, antibioticoterapia, avoid harmful drugs, enteral nutrition, early ambulation

  4. Mario says:

    Just a nurse start NG Feed,s Nutrition, Hydration, bed side PT/OT DVT prevention. Infection prevention. CV protection.

  5. Dr Nargis says:

    Proper nutrition via Colostomy,hydration ,electrolyte balance ,correct bleeding d/o and protein imbalance and maintain BP