CHEST 2023 On Demand Pass-Advanced Topics in Nonrespiratory Critical Care: A Rapid-Fire Session

Video Transcription

Video Summary

In this video transcript, four different topics in non-pulmonary critical care are discussed. The first topic is advanced topics in non-pulmonary critical care, specifically obstetrics emergencies in the ICU. Challenges in obstetrics include the physiology that poses challenges for diagnosis and management, pregnancy-specific conditions that are rare and even rarer in the ICU, chronic illness and pregnancy, and the fact that there are often multiple patients in the antepartum setting. The second topic is nutrition in the ICU, focusing on early nutrition in critical illness and the controversy surrounding full dose feeding. The third topic is acute liver failure and referral to the transplant center. Acute liver failure is a combination of acute liver injury and hepatic encephalopathy, and it can have various causes. The management of acute liver failure involves assessing the cause, exclusion of chronic liver disease, and determining if the patient is suitable for a transplant. The fourth topic is hyperglycemic syndromes, which includes hyperosmolar hyperglycemic syndrome and diabetic ketoacidosis. Hyperosmolar hyperglycemic syndrome is less common than DKA, but has higher mortality rates. The management involves repletion of fluids and close monitoring of osmolarity and sugar levels. The video also briefly mentions other topics such as euglycemic DKA, thyroid disease including hyperthyroidism and decompensated hypothyroidism, and adrenal crisis. The key takeaways from the transcript are the importance of early recognition and prompt management of hyperglycemic syndromes, the need for multidisciplinary care in acute liver failure, and the potential dangers of delays in diagnosis.

Meta Tag

Category Critical Care

Session ID 1125

Speaker Tim Crozier

Speaker Shekhar Ghamande

Speaker Aanchal Kapoor

Speaker Mark Warner

Track Critical Care

Keywords

non-pulmonary critical care

obstetrics emergencies

ICU challenges

nutrition in the ICU

acute liver failure

transplant center referral

hyperglycemic syndromes

mortality rates

euglycemic DKA

multidisciplinary care