Key messages

• Most cases of disseminated intravascular coagulation (DIC) in the intensive care setting are due to sepsis.

• DIC typically manifests as hemorrhage, thrombosis, and/or a typical pattern of abnormalities in laboratory coagulation tests.

• DIC may need to be differentiated from liver disease, vitamin K deficiency, thrombotic thrombocytopenic purpura, and certain postoperative states.

• The essentials of management include the identification and treatment of the underlying cause, the correction of hypoxia, and the maintenance of adequate tissue perfusion.

• Replacement of platelets and/or coagulation factors should be reserved for patients who are bleeding and those who are to undergo surgical intervention.

Sleep Apnea

Sleep Apnea

Have You Been Told Over And Over Again That You Snore A Lot, But You Choose To Ignore It? Have you been experiencing lack of sleep at night and find yourself waking up in the wee hours of the morning to find yourself gasping for air?

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