Podcasts about aprv

We discuss the practicalities of using airway pressure release ventilation (APRV) with Dr. Rory Spiegel (@EMnerd_), emergency physician and intensivist at MedStar Washington Hospital Center (and EMNerd at Emcrit). Find us on Patreon here! Buy your merch here! Takeaway lessons

This presentation was delivered by Luke Torre as part of the Critical Care Update Workshop at CODA22, which took place in Melbourne in September 2022. For more information about the CODA Project, go to: https://codachange.org/ 

Continuando con la serie de hipoxemia refractaria hablaremos de APRV este modo ventilatorio con relacion I: E invertida, razon por la cual a generado a lo largo de la historia tantos amores y odios , tambien hablaremos de como calcular asincronias ventilatorias y el impacto que este tiene en el tratamiento de de este complejo pero tan comun problema al que se enfrenta el paciente critico ,bienvenidos!

This year's Paediatric Critical Care Society conference in Edinburgh is a sell-out blockbuster. We spoke to Chris Kidson, part of the organising committee, to go over some of the highlights. These range from a hostage negotiator, talks about nutrition, debates on APRV, transfers to Norway, Scottish country dancing, and an […]

Access to video version of lecture & supplemental materials at: https://www.icuedu.org/vents201

Welcome to PICU Doc On Call, A Podcast Dedicated to Current and Aspiring Intensivists. Welcome to our Episode a 16-year-old who is coughing up blood. Here's the case: A 16-year-old female with h/o SLE was transferred to the PICU due to hypoxia requiring increasing FIO2. A few hours prior to admission to the PICU patient also started coughing up blood and had difficulty breathing. The patient was admitted to the general pediatric floor 2 days earlier for pneumonia requiring an IV antibiotic and O2 via NC. Once transferred to the PICU, she had a rapid deterioration with progressive hematemesis, worsening respiratory distress, and saturations in the low 70s requiring escalating FIO2. The patient was emergently intubated using ketamine + fentanyl and rocuronium. Chest radiograph showed: Worsening bibasilar alveolar and interstitial airspace disease concerning pulmonary hemorrhage. The patient was initially placed on HFOV Paw 26, FIO2 70%, Hz 8, Dp 70, and later transitioned to airway pressure release ventilation or APRV. The patient was also started on inhaled tranexamic acid or TXA and high-dose pulse steroids. The patient initially continued to have some blood coming out from the ETT with suctioning but secretions became clear in ~24 hours. The mother reported that the patient has never had hematemesis/hemoptysis before, or bleeding from any site in the past. Denied history of frequent respiratory infections or recent URI symptoms. The patient has been vaccinated/boosted x3 vs covid. Her COVID PCR is negative. The mother states that she does not engage in tobacco products or alcohol. A physical exam revealed a well-developed teenage girl laying supine in bed deeply sedated and mechanically ventilated. There was decreased AE at lung bases and coarse breath sounds throughout. There was no hepatosplenomegaly and exams of the heart, abdomen and other systems were normal. There was no skin rash and extremities were well perfused with no clubbing in the fingers. The pulmonary team was consulted and a workup was started for pulmonary hemorrhage. To summarize key elements from this case, this patient has: Autoimmune disease: Systemic lupus erythematosus Respiratory Failure warranting MV 2/2 Pulmonary hemorrhage Her presentation and deterioration bring up a concern for diffuse alveolar hemorrhage our topic of discussion for today. This episode will be organized… Definition Etiology Pathophysiology Diagnosis Management Rahul: How do we define pulmonary hemorrhage (PH): PH is defined as the extravasation of blood into airways and/or lung parenchyma. Blood in the airways produces a diffusion barrier resulting in hypoxemia. Due to the reduction of airway diameter from accumulated blood, there is increased airway resistance and even airway obstruction. Subsequently, ventilation can be impaired leading to increased WOB as well as myocardial work required for O2 delivery. Repeated episodes of PH can result in interstitial fibrosis thus changing lung compliance. Hemoptysis by definition is any bleeding from below the vocal cords. PH can be classified as focal or diffuse. Diffuse is further classified as diffuse immune or diffuse nonimmune. Loss of 10% of a patient's circulating blood volume into the lungs, regardless of age, causes a significant alteration in cardiorespiratory function and should be considered massive. In adults, massive pulmonary hemorrhage is defined as blood loss of 600mL or more in 24 hours. In infants, the involvement of at least two pulmonary lobes by confluent foci of extravasated RBCs constitutes as massive PH. “Enough bleeding to make one nervous is probably massive.” Let's pivot and talk about etiologies. Pradip, What are some of the causes of pulmonary hemorrhage in the PICU? Non-immune diffuse PH is usually seen in patients with congenital heart disease (TAPVR, pulmonary atresia, mitral stenosis, hypoplastic left heart syndrome to name a few) neonates (secondary to sepsis, HIE, BW < 1500...

Idag pratar Doktor Blund om APRV – Airway Pressure Release Ventilation. Mer finns att läsa på:1. Narkosguiden2. APRV Network Referenser: APRV till patienter med ARDS gav kortare respiratortid och IVA-tid: Zhou, Y., Jin, X., Lv, Y., Wang, P., Yang, Y., Liang, G., … Kang, Y. (2017). Early application of airway pressure release ventilation may reduce […]

Ian discute avec Dr Philippe Rola de la ventilation en mode APRV-TCAV ! Les notes de l'épisodes sont disponibles à https://francofoam.com/balado/e54-aprv-tcav/ Poursuivez la discussion sur Twitter https://twitter.com/Francofoam1 et Facebook https://fr-fr.facebook.com/francofoam/ Écrivez-nous @ info@francofoam.com !

The fellas pour a cheeky as they dive into their thoughts on COVID and the use of APRV. 

In our 3rd installment of correcting things we've said that were wrong

Airway Pressure Release Ventilation (APRV) is a mode of ventilation that allows spontaneous breathing throughout the ventilation cycle.  It is a time-cycled mode of ventilation... The post REBEL Crit Cast Ep3.0: Airway Pressure Release Ventilation (APRV) Made Simple appeared first on REBEL EM - Emergency Medicine Blog.

A zentensivist discussion of ventilator management

A Primer on APRV - TCAV, perhaps the mode of choice for COVID19

The post CCP Podcast 129: APRV- Why you shouldn’t appeared first on Critical Care Practitioner.

The post CCP Podcast 129: APRV- Why you shouldn't appeared first on Critical Care Practitioner.

Gavin Denton and I get together again to review a couple of recent papers that have some bearing on our practice. Welcome to the Papers of the month. This month we cover Check Up- Position- “A Multicenter, Randomized Trial of Ramped Position vs Sniffing Position During Endotracheal Intubation of Critically Ill Adults” and the APRV trial –BILEVEL-APRV  […]

Gavin Denton and I get together again to review a couple of recent papers that have some bearing on our practice. Welcome to the Papers of the month. This month we cover Check Up- Position- “A Multicenter, Randomized Trial of Ramped Position vs Sniffing Position During Endotracheal Intubation of Critically Ill Adults” and the APRV trial –BILEVEL-APRV  […] The post CCP Podcast 085: Papers of the Month March 2018 appeared first on Critical Care Practitioner.

Dr. Gene Moore’s highlights for the February 2015 issue include: The paper that generated most discussion was the EAST guideline developed for cervical spine collar clearance in the obtunded adult blunt trauma patient, authored by Dr. Mayur Patel and a host of EAST participants. Dr. Stephanie Savage and colleagues from the University of Tennessee in Memphis who presented a prospective validation of their critical administration threshold (CAT). The third most discussed paper, gratifyingly to the editorial office, was experimental work. Dr. Stephen Davies et al from the University of Virginia designed a swine model of combined lung and brain injury to determine if airway pressure release ventilation, (APRV) improved outcome compared to the standard ARDS Net practice. Dr. Daniel McIlroy and colleagues from the John Hunter Hospital in Newcastle, New South Wales, Australia who characterize the release of mitochondrial and nuclear DNA release in 35 seriously injured patients (median ISS of 14) who required operative skeletal fixation. The preceding paper in the Journal by Dr. Haipeng Li and colleagues from the Beth Israel Deaconess Medical Center provide experimental evidence that mitochondrial DNA from fractures suppress pulmonary immune responses. Transcript

Dr. Nader Habashi is a master of all things APRV. What’s the evidence for APRV? Should APRV be used as a preventative mode of mechanical ventilation in patients at risk for ARDS rather than a salvage mode? In this review Dr. Habashi will give an overview of APRV, it’s role ...

Airway pressure release ventilation (APRV) is not a new mode of mechanical ventilation, but it seems to be gaining a great deal of popularity lately.  Many people find this mode very complicated and thick that it is reserved only for the very ill.   Neither one of these assumptions are corrrect.  This mode is very easy to learn and use.  Furthermore, this mode is very physiological and tolerated by all types of patients.