Multiple Choice Questions – Critical Care Update

Results

#1. All are true about post extubation stridor and cuff leak test except

A cuff-leak volume <110 mL can be used to predict post extubation stridor

A cuff-leak volume <24% of tidal volume during inflation can be used as predictor

A positive cuff-leak test accurately predicted patients at high risk for developing airway obstruction

Corticosteroids used in patients who are at high risk of developing post extubation stridor have no effect on rate of reintubation

#2. According to new SSCM/ASPEN guidelines, 2016 for nutrition in critically ill patietnts, all are true except

There is no benefit in checking gastric residual volumes.

Stopping tube feeds for extubation does not help

Patients with acute pancreatitis would benefit from post pyloric feeding

Feeding can be safely started in patients who are paralyzed.

#3. Regarding CLABSI (Central line associated blood stream infections) all of the following are true except

Antibiotics are not needed for positive catheter tip culture in the absence of clinical signs of infection as well as positive blood cultures obtained through a catheter with negative cultures through a peripheral vein

Short-term catheters (indwelling <14 days) should be removed in the setting of bloodstream infection (CLABSI) due to Staphylococcus aureus, enterococci, gram-negative bacilli, fungi, and mycobacteria

Guidewire exchange should not be done in setting of CLABSI

catheter salvage may be attempted in the setting of uncomplicated CRBSI involving long-term catheters due to pathogens other than S. aureus, P. aeruginosa, fungi, or mycobacteria

Finish