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ICU

Hiccup patient-ventilator asynchrony

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Had a fully sedated COVID-patient getting totally out of sync with the ventilator today. After checking all the settings and tubings, the nurse finally made me notice that the patient had spastic diaphragmatic contractions. After a dose of Metoclopramide and changing the orogastric tube from a Salem to a Freka, it went away.

one thing I've learned today

Hiccup patient-ventilator asynchrony

less than 1 minute read

Published:

Had a fully sedated COVID-patient getting totally out of sync with the ventilator today. After checking all the settings and tubings, the nurse finally made me notice that the patient had spastic diaphragmatic contractions. After a dose of Metoclopramide and changing the orogastric tube from a Salem to a Freka, it went away.

FAST HUG - ICU

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On ICU rounds/admissions, give every patient a FAST HUG (AE):

  • F: Food
  • A: Analgesia
  • S: Sedation
  • T: Thrombus
  • H: Hydration and Head-elevation
  • U: Ulcer prevention
  • G: Glycaemia
  • A: Antibiotics
  • E: Equipment

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