Kevin M. Creamer M.D. Pediatric Critical Care Walter Reed AMC. PICU Primer II. Physiology Hypoxia / Hypoxemia ABG’s and Acidosis Sodium and H 2 O metabolism Hemodynamics and Cardiopulmonary interactions. ICU Care Postoperative issues Mechanical Ventilation Common Problems
+ replacement of 3 X blood loss
Surgeons get extremely persnickety if you transfuse THEIR patient without letting them know ahead of time!
CWR: chest wall rigidity
This is not the NICU!
Slutsky Am J Resp CCM, 1999, Dreyfuss Am J Resp CCM 1998
Khan, CCM 1996
861 patients 6ml/kg vs 12ml/kg Tv
ARDS Study Group, NEJM, 2000
Ranieri, JAMA,1999; Ranieri JAMA, 2000
Arnold, CCM 1994
Mind what you have learned. Save you it can.