Equipment and Procedures

Essential reading for intensive care equipment and procedures
Monitoring of Arterial Pressure
Definitions of terms relevant to the monitoring of pressure
The relevance of the mean arterial pressure
Non-invasive blood pressure measurements
Invasive blood pressure measurements
Discrepancy between invasive and non-invasive arterial blood pressure measurement
The Wheatstone Bridge pressure transducer
Information derived from the arterial pressure waveform
Monitoring of Central Venous Pressure
Central venous pressure measurement
Determinants of central venous pressure
Information derived from analysis of the CVP waveform
Utility of CVP measurement in the ICU
Indications, contraindications and complications of CVC insertion
Factors which influence the accuracy of CVP measurement
Vascular Access Techniques and Devices
Central venous access device insertion
Femoral vein anatomy for central line insertion
The intraosseous needle
The rapid infusion catheter (RIC)
Accidental arterial insertion of a large-bore venous vascular device
Pulmonary Artery Catheterisation
Anatomy of the PA catheter
Indications, contraindications and complications of pulmonary artery catheter insertion
Management of accidental pulmonary artery rupture
Directly measured and derived PA catheter variables
Correct positioning of the PA catheter
Situations in which the PAWP is higher than LVEDP
Causes of inaccurate thermodilution cardiac output measurements
Assessment of the Circulation
Techniques to assess the circulatory system
Fluid resuscitation and assessment of fluid responsiveness
Assessment of the adequacy of oxygen delivery
Central and mixed venous saturation monitoring
Oxygen extraction ratio
PA catheter and TOE in the assessment of shock
Assessment of cardiac output
Percutaneous Drains and Drainage Techniques
Thoracocentesis: the chest drain
Underwater seal chest drain system
Airway Devices and Airway Management Techniques
The "Guedel" style oropharyngeal airway
Nasopharyngeal airway
Advantages and disadvantages of videolaryngoscopy devices
Fiberoptic bronchoscopy
Safe use of the fiberoptic bronchoscope
Bronchoscopic anatomy of the bronchial tree
Endotracheal tube
Dual lumen endotracheal tube
The endotracheal tube in detail
Tracheal suction catheter
Endotracheal tube cuff pilot balloon
Endobronchial blocker
Flanged tracheostomy tube
The Passy-Muir Valve
Ventilator Circuit Components
The heat and moisture exchange filter (HME)
A comparison of circuit humidification techniques
Nebulised medication delivery for intubated patients
Enteric Devices
Nasogastric tube
Self-advancing nasojejunal "Tiger" tube
A comparison of enteral feeding tubes
Sengstaken-Blakemore, Minnesotta and Linton-Nachlas tubes
Complications of Sengstaken-Blakemore tube insertion
Medical Gas Supply and Distribution Systems
The oxygen cylinder and flow rotameter
Wall oxygen supply and pressure regulators
Medical gas supply testing
Nitric oxide supply systems
Wall suction outlet regulator
Oxygen Delivery and Gas Transport Monitoring
Non-rebreather oxygen mask
Laerdal self-inflating bag-valve-mask resuscitator
Pulse oximeter
Co-oximetry
Capnometry and the arterial-expired carbon dioxide gradient
Miscellaneous Devices and Techniques
Transcranial doppler
Methods of inducing therapeutic hypothermia
Mechanical DVT prophylaxis devices
Automated chest compression devices
Methods of temperature monitoring
Electrical Engineering in the ICU
Cutaneous defibrillator pads
Electrical safety in the ICU
Electromagnetic interference with medical devices

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