FASTHUGSBID

General
- Mnemonic for remembering ICU quaility measures
- Give your patient a fast hug (at least) once a day
F - Feeding
- Review
A - Analgesia
S - Sedation
- Review Article
T - Thrombotic (VTE) Prophylaxis
- Calculator
- Evidence
  - https://pubmed.ncbi.nlm.nih.gov/20738765/
  - https://pubmed.ncbi.nlm.nih.gov/23279085/
H - Head of Bed
U - Ulcer (GI) Prophylaxis
- VUMC SUD Guide
G - Glycemic Control
- Review Article - Cleveland Clinic
S - Spontaneous Breathing (SBT)
- ABCDE
  - Awakening trails for ventilated patients (SAT)
  - Breathing (spontaneous) trails (SBTs)
  - Coordinated effort between RT and nurse for SBT and SAT
  - Delirium assessment + treatment + prevention
  - Early mobilization and ambulation
- Daily Tasks
  - 1) Spontaneous Awakening Trail (SAT)
    - Hold all sedatives
  - 2) Weaning Candidate
    - Adequate Oxygenation
      - PaO2 > 60-70
      - FiO2 < 40%
      - PEEP < 8
    - Adequate Ventilation
      - PaCO2 < 45
      - RR < 25
    - Arterial pH > 7.25
    - Good Inspiratory effort
  - 3) RSBI Trial to screen for readiness
    - SBT for 1 minute to calculate RSBI: No support
    - Rapid Shallow Breathing Index (RSBI): RR per min/ TV in L
      - Calculation to predict successful extubation
      - High (≥105): likely to fail weaning, 95% fail
        
        <105: 78% successful
    - Consider MIP (NIF) to screen alternatively
  - 4) Spontaneous Breathing Trial (SBT) if:
    - 1) pH > 7.25
    - 2) Adequate O2 on minimal support (FiO2 < 40 and PEEP < 5)
    - 3) Intact inspiratory effort and mental alertness to protect airway
    - Remains intubated and ventilatory support is turned off for 1-2hrs
      - PS, CPAP, or T-piece
      - If ABG remains normal, then good candidate for extubation
  - 5) Extubation Criteria
    - Cause of intubation reversed
    - RSBI <105
B - Bowel Regimen
- VUMC Bowel Regimen Guide
I - Indwelling Catheters
D - De-escalation of ABX