IBCC Episode 114 - Atrial Fibrillation

The Internet Book of Critical Care Podcast

Adam Thomas

Foam, Medicine, Health & Fitness, Science, Criticalcare, Medicaleducation

5 • 714 Ratings

🗓️ 21 June 2021

⏱️ 44 minutes

🔗️ Recording | iTunes | RSS

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Summary

In this episode, we aim to arm you with a basic approach to the rhythm that loves to make the monitors go ping: atrial fibrillation. The age old argument: rate vs rhythm control. What rate is acceptable? Who gets all of the drugs? Why do we love amiodorone? When do you dust off old sparky? Come join us for 42 minutes of Josh giggling and educating us all.

Transcript

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0:00.0	All right, so welcome back to the Internet Book of Critical Care Podcast.
0:08.5	I'm here with Adam Thomas and we're going to talk about all things atrial fibrillation
0:11.7	and atrial flutter and critical illness.
0:13.4	Josh, we thought this was going to be more controversial when you released it already,
0:16.9	but maybe we'll spark that controversy today.
0:19.1	So diagnosis, we'll talk about rate versus rhythm control.
0:22.8	We'll talk about how to get them in their rate control and their rhythm control.
0:26.4	Who to antiquagulate and what to do with the chronic versus the noef?
0:31.4	Noef.
0:31.5	How are you going to say that, Jeff?
0:33.9	No.
0:34.7	No.
0:35.9	It's a shitty AFB loaf.
0:37.9	Okay.
0:39.0	Get straight into it.
0:40.2	Why is this important?
0:41.3	And what are the two particular situations that I need to delineate between the AFIB and the ICU?
0:47.9	I think AFIB is one of the most challenging topics that we encounter in the ICU because there's a lot of evidence about AFIB, but most
0:54.6	of the evidence regarding AFIB is with patients who are outpatients or patients in the emergency
0:59.7	department or, and there's some evidence for patients who are status post-chorto-thrasic surgery.
1:04.1	And in some ways, these are similar phenomenon, but then there are a lot of very important
1:08.3	differences between these different patient populations.
	...

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