Algorithms for the Medical Intensive Care Unit

Algorithms for the Medical
Intensive Care Unit

The management of patients in the intensive care unit is complex. Many times decisions regarding the best option for the diagnosis of an entity or management need to be made in a short period of time. Over the last 5 years we have been using in the Medical Intensive Care Unit of The Cleveland Clinic Foundation different algorithms for the diagnosis and management of conditions commonly present in the critically ill. These algorithms were developed with the help of our Pulmonary and Critical Care Fellows, especially Dr. Prasoon Jain.

The algorithms are intended to be used as general guidelines and can not be substituted for sound clinical judgment in the individual patient. By outlining a general approach, we are not denying the need to individualize our decision in particular patients; however, we think that providing this approach can reduce mistakes in those hectic moments when these decisions are made.

This is a "work in progress" that needs continuous update and refinement. We welcome your suggestions. You can comment online by completing the contact us form.

Alejandro C. Arroliga, MD
Head, Section of Critical Care Medicine
Department of Pulmonary and Critical Care Medicine
The Cleveland Clinic Foundation

INDEX OF GUIDELINES
ICU CARE: A CHECK-LIST APPROACH HYPERNATREMIA IN ICU
HYPOXIA: MANAGEMENT HYPOKALEMIA K < 3.5
HYPOXIA: DIAGNOSTIC APPROACH HYPERKALEMIA K > 5.0 MEQ/L
DIAGNOSTIC APPROACH TO ACID-BASE DISORDERS-1 HYPOMAGNESEMIA
APPROACH TO ACID-BASE DISORDERS-2 APPROACH TO HYPERCALCEMIA
APPROACH TO ACID-BASE DISORDERS-3 HYPOPHOSPHATEMIA
METABOLIC ACIDOSIS IN ICU PATIENT DIABETIC KETOACIDOSIS
INITIATION OF MECHANICAL VENTILATION DIAGNOSTIC APPROACH TO DVT
MICU NEUROMUSCULAR BLOCKER GUIDELINES DIAGNOSTIC APPROACH TO PULMONARY EMBOLISM
AGITATION IN INTUBATED PATIENTS DVT PROPHYLAXIS
WEANING INITIAL MANAGEMENT OF VENOUS THROMBOEMBOLISM
MICU SEDATION GUIDELINES ACUTE RENAL FAILURE IN ICU
ACUTE RESPIRATORY DISTRESS DURING MECHANICAL VENTILATION AN APPROACH TO PATIENTS WITH VENOUS THROMBOEMBOLISM AND HEPARIN INDUCED THROMBOCYTOPENIA
TUBE FEEDING GUIDELINES AGITATION IN THE NON-INTUBATED PATIENT
HEMODYNAMIC MONITORING FEVER IN THE ICU PATIENT
HYPOTENSION AND SHOCK POISIONING IN THE ICU PATIENT
HYPONATREMIA (NA < 135 meq/L) DIARRHEA IN THE ICU
GI BLEED  

 

 
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Copyright © 2000-2014 The Cleveland Clinic Foundation. All Rights Reserved.
Center for Continuing Education | 9500 Euclid Avenue, KK31, Cleveland, OH 44195