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Vasopressor Management in Septic Shock: Overview & Approach
Vasopressors are essential in managing septic shock by maintaining adequate perfusion pressure and organ perfusion. Initial management involves prompt recognition of septic shock and fluid resuscitation. Norepinephrine is typically the first-line vasopressor, acting through alpha-adrenergic receptors to increase systemic vascular resistance. If hypotension persists despite norepinephrine, a second-line vasopressor like vasopressin or epinephrine may be added. Dosing and titration aim to achieve a target mean arterial pressure of 65 mmHg or higher.
About the Speaker
Dr. Pooja Wadwa
Critical Care Medicine, ECMO specialist, FMRI, Gurgaon
Dr. Pooja is an Associate Consultant Critical care medicine at FMRI. She is a MD (Internal Medicine), Observer-ship, in ICU Royal Melbourne Hospital, Australia. Worked as a senior resident at Fortis Escorts Hospital, Faridabad for 2 years, Worked as a Consultant Physician in Wadwa Nursing Home, Faridabad, India from October 2009- December 2010, Worked as Consultant Physician at ESIC Hospital, Faridabad, India from May 2009- October 2009. Completed Indian Diploma in Critical Care Medicine (IDCCM) FROM Indraprastha Apollo Hospitals, New Delhi Jan 2011 Mar 2013.
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Technology Integration with Healthcare
Technology integration in healthcare is transforming the way medical services are delivered, enhancing efficiency and patient outcomes. Innovations such as telemedicine, electronic health records (EHR), and wearable devices allow for real-time monitoring and improved accessibility. Artificial intelligence (AI) and machine learning aid in early diagnosis and personalized treatment plans. Robotic surgeries and advanced imaging techniques offer precision and reduced recovery times. By combining technology with healthcare, providers can streamline operations, improve patient engagement, and deliver cost-effective care solutions.
Pediatric Obesity: Treatment Management
Treatment management for pediatric obesity combines lifestyle changes, family support, and, in severe cases, medical interventions. Family-based strategies are key, encouraging healthy eating habits, regular physical activity, and reduced screen time. Behavioral therapy helps set achievable goals and address barriers, empowering children and families to make sustainable lifestyle adjustments. Dietitians often assist in designing individualized meal plans that focus on nutrient-rich foods and limit calorie-dense options. In cases of severe obesity with related health conditions, medications or surgery may be considered, particularly for adolescents. Continuous monitoring and support from healthcare providers are essential for long-term success and health improvement.
Clinician’s Approach to Sleep Apnea
A clinician's approach to sleep apnea begins with a thorough assessment of the patient's medical history, symptoms (such as snoring, choking, and daytime fatigue), and risk factors like obesity or hypertension. Diagnosis is typically confirmed through polysomnography or home sleep apnea testing, followed by treatment strategies such as continuous positive airway pressure (CPAP), lifestyle modifications, or surgical interventions depending on the severity and type of sleep apnea.
Case Based Approach to Arthritis
A case-based approach to arthritis involves analyzing individual patient cases to tailor diagnostic and therapeutic strategies based on specific symptoms, disease progression, and underlying causes. This method enhances clinical decision-making by providing personalized treatment plans and improving patient outcomes in conditions like osteoarthritis, rheumatoid arthritis, and psoriatic arthritis.
Falls and Fractures in Older Adults: Prevention and Immediate Care
Falls and fractures in older adults are common and can lead to significant morbidity, highlighting the importance of fall prevention strategies such as strength training, balance exercises, and home safety modifications. Immediate care involves quick assessment for fractures, pain management, and stabilization, along with appropriate transport to healthcare facilities for further evaluation and treatment.