The Internet Book of Critical Care Podcast IBCC Episode 114 - Atrial Fibrillation
25 snips
Jun 21, 2021 AI Snips
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AFib in the ICU
- Atrial fibrillation (AFib) is a common but complex issue in the ICU, with limited evidence specific to critically ill patients.
- Much of the existing research focuses on outpatient or post-operative settings, making it challenging to apply guidelines to ICU patients.
Contrasting AFib Patients
- Dr. Farkas contrasts a patient who developed AFib after cycling with a critically ill patient on multiple pressors.
- This highlights the significant differences in patient populations and the need for tailored approaches.
Assess Instability
- First, determine if AFib is the primary cause of instability, which is rare in the ICU.
- Avoid immediately cardioverting unless AFib directly causes hemodynamic compromise.