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Critical Care

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Abstract

Critical care medicine is a multidisciplinary healthcare specialty that cares for patients with acute, life-threatening illness or injury. Many disease processes lead to critical illness, and these disease processes are commonly treated in an intensive care environment. Critically ill patients may be ill either due to medical or surgical causes, but the treatment of the illness is more or less the same. Table 40.1 lists the seven Cs of critical care.

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Author information

Authors and Affiliations

  1. Department of Anesthesia and Perioperative Medicine, Emerson Hospital, 133 Old Road to Nine Acre Corner, Concord, MA, 01742, USA

    Paul K. Sikka M.D., Ph.D.

Authors
  1. Paul K. Sikka M.D., Ph.D.
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Corresponding author

Correspondence to Paul K. Sikka M.D., Ph.D. .

Editor information

Editors and Affiliations

  1. Department of Anesthesia and Perioperative Medicine, Emerson Hospital (former faculty Brigham and Women’s Hospital, Harvard Medical School), Concord, Massachusetts, USA

    Paul K. Sikka

  2. Associate Professor, Associate Residency Program Director, Director of Trauma Anesthesiology, Department of Anesthesiology-Presbyterian Hospital, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA

    Shawn T. Beaman

  3. Chair, Department of Anesthesia and Perioperative Medicine, Emerson Hospital; Associate Professor, Northeastern University, Boston, MA (former faculty Brigham and Women’s Hospital, Harvard Medical School), Concord, Massachusetts, USA

    James A. Street

Clinical Review

Clinical Review

  1. 1.

    Shock in sepsis is of the following type

    1. A.

      Cardiogenic

    2. B.

      Vasodilatory

    3. C.

      Toxic

    4. D.

      Hypovolemic

  2. 2.

    Nitric oxide is a pulmonary

    1. A.

      Vasoconstrictor

    2. B.

      Vasodilator

    3. C.

      Neither A nor B

    4. D.

      Artery pressure autoregulator

  3. 3.

    All of the following are end points in resuscitation of shock, except

    1. A.

      Systolic blood pressure of >90 mmHg

    2. B.

      Mean arterial pressure of >65 mmHg

    3. C.

      Urine output of >0.5 ml/kg/min

    4. D.

      Lactate of <6 mmol/L

  4. 4.

    Preferred type of ventilation in a patient with ARDS would be

    1. A.

      Intermittent mandatory

    2. B.

      Pressure support

    3. C.

      Airway pressure release

    4. D.

      PEEP

  5. 5.

    Administration of oxygen to neonates may most likely cause

    1. A.

      Retinal hemorrhage

    2. B.

      Corneal detachment

    3. C.

      Myopia

    4. D.

      Retinopathy

  6. 6.

    ARDS is characterized by

    1. A.

      Increased capillary permeability

    2. B.

      Increased capillary hydrostatic pressure

    3. C.

      Increased surfactant concentration

    4. D.

      PaO2/FiO2 ratio <400

  7. 7.

    A patient with atrial fibrillation, with HR 160/min and BP 84/54 mmHg, is treated with

    1. A.

      Esmolol

    2. B.

      Diltiazem

    3. C.

      Lidocaine

    4. D.

      Cardioversion

  8. 8.

    Gradual lengthening of the PR interval followed by a dropped beat is characteristic of

    1. A.

      1st-degree AV block

    2. B.

      2nd-degree type I AV block

    3. C.

      2nd-degree type II AV block

    4. D.

      3rd-degree AV block

Answers: 1. B, 2. B, 3. D, 4. C, 5. D, 6. A, 7. D, 8. B

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Sikka, P.K. (2015). Critical Care. In: Sikka, P., Beaman, S., Street, J. (eds) Basic Clinical Anesthesia. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1737-2_40

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  • DOI: https://doi.org/10.1007/978-1-4939-1737-2_40

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1736-5

  • Online ISBN: 978-1-4939-1737-2

  • eBook Packages: MedicineMedicine (R0)

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