Podcasts about Mechanical ventilation

Method to mechanically assist or replace spontaneous breathing

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Mechanical ventilation

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Best podcasts about Mechanical ventilation

Latest podcast episodes about Mechanical ventilation

The World’s Okayest Medic Podcast

Listener discretion is advised (language). References: Abdo WF, Heunks LM. Oxygen-induced hypercapnia in COPD: myths and facts. Crit Care. 2012 Oct 29;16(5):323. Bonilla Arcos D, Krishnan JA, et al. High-Dose Versus Low-Dose Systemic Steroids in the Treatment of Acute Exacerbations of Chronic Obstructive Pulmonary Disease: Systematic Review. Chronic Obstr Pulm Dis. 2016 Feb 17;3(2):580-588. Fawzy A, Wise RA. Pulse Oximetry Misclassifies Need for Long-Term Oxygen Therapy in Chronic Obstructive Pulmonary Disease. Ann Am Thorac Soc. 2023 Nov;20(11):1556-1557. Goldberg P, Reissmann H, Maltais F, Ranieri M, Gottfried SB. Efficacy of noninvasive CPAP in COPD with acute respiratory failure. Eur Respir J. 1995 Nov;8(11):1894-900. Jennifer T. Thibodeau, Mark H. Drazner. The Role of the Clinical Examination in Patients With Heart Failure,JACC: Heart Failure, Volume 6, Issue 7, 2018, Pages 543-551. Kartal M, Goksu E, Eray O, et al. The value of ETCO2 measurement for COPD patients in the emergency department. Eur J Emerg Med. 2011 Feb;18(1):9-12. Ni, H., Aye, S., Naing, C. Magnesium sulfate for acute exacerbations of chronic obstructive pulmonary disease. Cochrane Database Syst Rev. 2022 May 26; 2022(5):CD013506. Pertzov, B., Ronen, M., Rosengarten, D. et al. Use of capnography for prediction of obstruction severity in non-intubated COPD and asthma patients. Respir Res 22, 154 (2021). Pu X, Liu L, Feng B, Wang M, Dong L, Zhang Z, Fan Q, Li Y, Wang G. Efficacy and Safety of Different Doses of Systemic Corticosteroids in COPD Exacerbation. Respir Care. 2021 Feb;66(2):316-326. Tyagi D, Govindagoudar MB, et al. Correlation of PaCO2 and ETCO2 in COPD Patients with Exacerbation on Mechanical Ventilation. Indian J Crit Care Med. 2021 Mar;25(3):305-309. van Gestel AJ, Steier J. Autonomic dysfunction in patients with chronic obstructive pulmonary disease (COPD). J Thorac Dis. 2010 Dec;2(4):215-22. doi: 10.3978/j.issn.2072-1439.2010.02.04.5.

BetaTalk
Is MVHR any good?

BetaTalk

Play Episode Listen Later Jan 22, 2025 58:23


Send us a textMechanical Ventilation Heat Recovery systems are discussed with Nathan's guests Duncan and Barry Sharp.Regular listeners will know Barry from previous episodes of BetaTalk and is one of Nathan's favourite heat pump engineers based in Scotland.Duncan is Barry's dad and has been specialising in MVHR systems since around 2010.The discussion looks at how effective MVHR is and the problems with design, installation and commissioning. Duncan spends a lot of his time helping others understand MVHR and is involved in surveying the systems in social housing as well as designing and installing systems. Support the showLearn more about heat pump heating by followingNathan on Linkedin, Twitter and BlueSky

ESICM Talk
Fluid management and mechanical ventilation strategies

ESICM Talk

Play Episode Listen Later Dec 4, 2024 23:06


Mechanical ventilation (MV) can impair gas exchange, destabilise hemodynamics, and injure endothelial cells. Intravenous (IV) fluid therapy helps to restore hemodynamics and ensure adequate distal organ perfusion. However, the interplay between restrictive and liberal fluid strategies due to the complex physiological interaction between the heart and lungs may affect ventilation and risk organ damage in critically ill patients. Tune in to our next podcast and learn more about the fluids-MV interplay!

MedPod AFMC
Episode 63: Mechanical ventilation- The Basics

MedPod AFMC

Play Episode Listen Later Nov 20, 2024 43:58


In this episode of MedPOD AFMC, Brig (Dr) J Muthukrishnan sits down with Air Cmde (Dr) Aditya Sapra, Professor and Head of the Department of Anaesthesiology at AFMC, Pune, to explore the essential aspects of mechanical ventilation. The discussion delves into the physiological basis of ventilation, common indications, various modes, and the principles of patient care during mechanical support. This episode serves as a foundational guide for medical students and clinicians, providing practical insights into managing patients requiring ventilatory assistance.

The Medbullets Step 2 & 3 Podcast
Pulmonary | Mechanical Ventilation

The Medbullets Step 2 & 3 Podcast

Play Episode Listen Later Oct 25, 2024 13:52


In this episode, we review the high-yield topic of ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Mechanical Ventilation ⁠⁠⁠⁠⁠⁠⁠⁠from the Pulmonary section at ⁠⁠⁠⁠⁠⁠Medbullets.com⁠⁠⁠⁠⁠⁠ Follow ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets Linkedin: https://www.linkedin.com/company/medbullets

Tracheostomy Education
Non-invasive Mechanical Ventilation Part 2: Episode 10

Tracheostomy Education

Play Episode Listen Later Oct 17, 2024 31:35


This conversation focuses on non-invasive ventilation (NIV) as a critical technique in respiratory therapy, emphasizing its role in preventing the need for invasive mechanical ventilation and tracheostomy. Dr. Jerry Gentile explains the principles of NIV, the importance of patient cooperation, and the steps involved in initiating and monitoring the therapy. The discussion also covers the application of NIV in post-acute care settings, potential complications, and the overall clinical significance of this approach in managing respiratory failure.Support the showhttps://tracheostomyeducation.cominstagram.com/tracheostomyeducationlinkedin.com/in/nicole-de-palma-708b16blinkedin.com/in/dr-jerry-gentile

Scholarly: Conversations on Medical Education from the ATS
Impact of Longitudinal Mechanical Ventilation Curriculum on Decay of Knowledge

Scholarly: Conversations on Medical Education from the ATS

Play Episode Listen Later Oct 1, 2024 34:41


Dr. Rachel Quaney chats with Dr. Michael Keller and Dr. Burton Lee on their paper "Impact of Longitudinal Mechanical Ventilation Curriculum on Decay of Knowledge." 

Tracheostomy Education
Non-invasive Mechanical Ventilation Part 1: Episode 9

Tracheostomy Education

Play Episode Listen Later Sep 20, 2024 26:29


This conversation delves into the importance of non-invasive ventilation techniques in preventing invasive mechanical ventilation and tracheostomy. Dr. Jerry Gentile explains the mechanics, indications, contraindications, and various modes of non-invasive ventilation, emphasizing the role of healthcare professionals in ensuring patient comfort and effective treatment.Support the showhttps://tracheostomyeducation.cominstagram.com/tracheostomyeducationlinkedin.com/in/nicole-de-palma-708b16blinkedin.com/in/dr-jerry-gentile

ReMar Nurse Radio
Mechanical Ventilation Free NCLEX Review

ReMar Nurse Radio

Play Episode Listen Later Sep 16, 2024 52:32


Live Nursing Review with Regina MSN, RN! Every Monday & Wednesday we are live. LIKE, FOLLOW, & SUB @ReMarNurse for more.     ►Back To School | Free Nursing Event - https://remarnurse.com/backtoschool ► 50% Discount on NCLEX V2 - https://study.remarnurse.com/vit/ ► Get Quick Facts Next Gen - https://bit.ly/QF-NGN ► Subscribe Now - http://bit.ly/ReMar-Subscription ► GET THE PODCAST: https://remarnurse.podbean.com/ ► WATCH LESSONS: http://bit.ly/ReMarNCLEXLectures/ ► FOLLOW ReMar on Instagram: https://www.instagram.com/ReMarNurse/ ► LIKE ReMar on Facebook: https://www.facebook.com/ReMarReview/   Quick Facts for NCLEX Next Gen Study Guide here - https://bit.ly/QF-NGN Study with Professor Regina MSN, RN every Monday as you prepare for NCLEX Next Gen.   ReMar Review features weekly NCLEX review questions and lectures from Regina M. Callion MSN, RN. ReMar is the #1 content-based NCLEX review and has helped thousands of repeat testers pass NCLEX with a 99.2% student success rate! ReMar focuses on 100% core nursing content and as a result, has the best review to help nursing students to pass boards - fast!

Tracheostomy Education
Mechanical Ventilation Basic Part 3: Episode 8

Tracheostomy Education

Play Episode Listen Later Aug 23, 2024 23:15


The conversation focuses on the alarms set on mechanical ventilators. Dr. Jerry Gentile explains the general ventilator alarm guidelines, including apnea parameters, FIO2 settings, and pressure alarms. He emphasizes the importance of adhering to these guidelines and avoiding dangerous practices like setting high pressure limits too high. Jerry also discusses the reasons for alarms going off and highlights the need for a backup ventilator.  The conversation concludes with a mention of ventilator-associated events and the importance of preventive measures.Support the Show.https://tracheostomyeducation.cominstagram.com/tracheostomyeducationlinkedin.com/in/nicole-de-palma-708b16blinkedin.com/in/dr-jerry-gentile

Maryland CC Project
Combes – Mechanical Ventilation on VV-ECMO

Maryland CC Project

Play Episode Listen Later Aug 18, 2024 38:46 Transcription Available


Dr. Alain Combes has is a professor of intensive care medicine at Sorbonne Université in Paris. Dr. Combes' research focuses on the care of critically ill cardiac patients, mechanical circulatory […]

Tracheostomy Education
Mechanical Ventilation Basics Part 2: Episode 7

Tracheostomy Education

Play Episode Listen Later Aug 15, 2024 34:38


This episode is part 2 of mechanical ventilation series.  This conversation provides an in-depth discussion on mechanical ventilation, focusing on the different modes of ventilation including assist control, SIMV, and CPAP.   You can also learn about lung compliance.   The hosts also discuss adjusting ventilator settings to improve patient trigger and different stages of a mechanically delivered breath. Support the Show.https://tracheostomyeducation.cominstagram.com/tracheostomyeducationlinkedin.com/in/nicole-de-palma-708b16blinkedin.com/in/dr-jerry-gentile

Tracheostomy Education
Mechanical Ventilation Basics Part 1

Tracheostomy Education

Play Episode Listen Later Aug 10, 2024 32:10


In this episode, Dr. Jerry Gentile discusses mechanical ventilation and its importance in critical and emergency settings. Mechanical ventilation applies positive pressure breaths to patients with impaired ventilation, compromised airways, or respiratory failure. Respiratory therapists need a thorough understanding of mechanical ventilation, airway mechanics, and human anatomy to effectively manage intubated or tracheostomized patients. The three primary indications for invasive mechanical ventilation are airway compromise due to disease, hyperventilation resulting from impaired drive or gas exchange difficulties, and hypoxemic respiratory failure. The management of mechanically ventilated patients requires a multidisciplinary collaboration, including physicians, nurses, respiratory therapists, and family support.Support the Show.https://tracheostomyeducation.cominstagram.com/tracheostomyeducationlinkedin.com/in/nicole-de-palma-708b16blinkedin.com/in/dr-jerry-gentile

Emergency Medical Minute
Episode 915: Severe Burn Injuries

Emergency Medical Minute

Play Episode Listen Later Aug 5, 2024 4:04


Contributor: Megan Hurley, MD Educational Pearls: Initial assessment of patients with severe burn injuries begins with ABCs  Airway: consider inhalation injury Breathing: circumferential burns of the trunk region can reduce respiratory muscle movement Circulation: circumferential burns compromise circulation Exposure: Important to assess the affected surface area Escharotomy: emergency procedure to release the tourniquet-ing effects of the eschar  Differs from a fasciotomy in that it does not breach the deep fascial layer PEEP = positive end-expiratory pressure The positive pressure remaining in the airway after exhalation Keeps airway pressure higher than atmospheric pressure Common formulas for initial fluid rate in burn shock resuscitation Parkland formula: 4 mL/kg body weight/% TBSA burns (lactated Ringer's solution) Modified Brooke formula: 2 mL/kg/% (also lactated Ringer's solution) Less fluid = lower risk of intra-abdominal compartment syndrome Lactated Ringer's solution is preferred over normal saline in burn injuries Normal saline is avoided in large quantities due to the possibility of it leading to hyperchloremic acidosis References Acosta P, Santisbon E, Varon J. “The Use of Positive End-Expiratory Pressure in Mechanical Ventilation.” Critical Care Clinics. 2007;23(2):251-261. doi:10.1016/j.ccc.2006.12.012  Orgill DP, Piccolo N. Escharotomy and decompressive therapies in burns. J Burn Care Res. 2009;30(5):759-768. doi:10.1097/BCR.0b013e3181b47cd3  Snell JA, Loh NH, Mahambrey T, Shokrollahi K. Clinical review: the critical care management of the burn patient. Crit Care. 2013;17(5):241. Published 2013 Oct 7. doi:10.1186/cc12706 Summarized by Meg Joyce, MS1 | Edited by Meg Joyce & Jorge Chalit

Mindful Builder
All homes need mechanical ventilation

Mindful Builder

Play Episode Listen Later Jul 15, 2024 43:46 Transcription Available


Ever wake up in the morning feeling stuffy even though you left a window cracked open all night? Or maybe you've noticed your heating bill skyrocketing every winter, and you just can't seem to figure out why. We recently had a great chat with Dr. Cameron Munroe, who uncovered some remarkable, and somewhat shocking truths about why our homes might need a serious upgrade in the ventilation department. Cameron explained that the need for buildings to be airtight boils down to two main reasons: energy efficiency and building durability. Simply put, an airtight home helps conserve energy by retaining conditioned air inside. Where Does Air Leak In?Australian homes are notoriously leaky. From windows and doors to skirting boards and plumbing penetrations, unwanted air leaks can occur almost anywhere. However, it's not the air itself that is the villain here but rather the water vapour it carries. When this vapour condenses, it can lead to mould and rot, making airtightness crucial for maintaining the durability and health of your home.The Great Ventilation DebateWhile some might argue that buildings need to "breathe," Cameron set the record straight: it's the occupants who need to breathe, not the inanimate structures. It's important here to make a distinction between airtightness and ventilation. Mechanical Ventilation: The Game ChangerCameron introduced us to the concept of mechanical ventilation, explaining it is key to ensuring a healthy indoor environment. Mechanical ventilation systems provide a consistent supply of fresh, filtered air regardless of external conditions. This is crucial because relying on natural ventilation (like opening windows) can be unpredictable and inefficient, impacting both air quality and energy consumption.These systems—often HRVs (Heat Recovery Ventilators) or ERVs (Enthalpy Recovery Ventilators)—ensure that the air coming into your home is not only fresh but also filtered to remove pollutants. This is a balanced approach where the same amount of air is extracted as is supplied, ensuring both energy efficiency and indoor air quality.Cameron highlighted the importance of real data and not just assumptions. By using sensors to monitor things like CO2 levels, you can get a clear picture of your indoor air quality. This data-driven approach can convince even the sceptics of the necessity for mechanical ventilation.Costs and Benefits: Is It Worth It?We tackled the elephant in the room—cost. Many homeowners might balk at the thought of adding $15,000 to $25,000 to their building costs for a mechanical ventilation system. However, Cameron argued that this is a worthy investment for ensuring both energy efficiency and the health of the occupants. Plus, once you start monitoring your home's air quality, the benefits become evident.Cameron's ability to break down complex topics into easily digestible points has certainly convinced us of the immense value mechanical ventilation brings to our homes. If you're still on the fence, consider monitoring your indoor air quality—it might just change your mind.LINKS:Connect with us on Instagram: @themindfulbuilderpodConnect with Hamish:Instagram: @sanctumhomesWebsite: www.yoursanctum.com.au/Connect with Matt: Instagram:

The Build Show Podcast
Mastering Home Ventilation

The Build Show Podcast

Play Episode Listen Later Jun 21, 2024 39:09


On this episode of The Build Show Podcast, Matt discusses the importance of ventilation with expert Corbett Lunsford, who you may know from his PBS Series Home Diagnosis. They explore the critical role ventilation plays in maintaining healthy indoor air quality and Corbett shares insights into designing effective HVAC systems.The conversation emphasizes the importance of air circulation, pollution capture, and filtration in residential buildings. They highlight the advantages of using Energy Recovery Ventilators (ERVs) over traditional ventilation methods, particularly in tightly built homes. Corbett explains how ERVs can improve air quality and balance humidity, making homes more comfortable and energy efficient.Matt shares his personal experience with different ventilation strategies. They discuss practical tips for installing and commissioning ERVs, emphasizing the need for proper ductwork and air balancing. Corbett advises builders to prioritize mechanical ventilation systems that go beyond basic bath fans to ensure whole-house air quality.The episode also touches on the importance of kitchen exhaust systems and makeup air solutions. Corbett recommends consulting tools like RedCalc for accurate ventilation design and encourages builders to stay informed through educational resources.Resources:RedCalc(Ventilation calculators): https://redcalc.comASHRAE Weather Data App: https://ashrae-medio.infoHome Diagnosis(PBS series): https://homediagnosis.tvFind Corbett on the Web:YouTube: https://www.youtube.com/user/HomePerformanceLinkedIn:https://www.linkedin.com/in/corbettlunsford/Website - https://buildingperformanceworkshop.comFind Matt and The Build Show on the web:Build Show Videos: https://buildshownetwork.com/go/mattrisingerInstagram: @risingerbuild and @thebuildshowTikTok: @thebuildshowYouTube channel: https://www.youtube.com/@buildshowWebsite: https://risingerbuild.com/ and https://buildshownetwork.com/Join us at Build Show LIVE this November 7-9 in Austin, TX. Click here to stay in the know. Don't miss a single episode of Build Show content. Sign up for our newsletter.

OPENPediatrics
Need for Neurodevelopmental Follow-up for Children with Invasive Mechanical Ventilation

OPENPediatrics

Play Episode Listen Later Jun 10, 2024 18:20


In this Complex Care Journal Club podcast episode, Dr. Sarah Sobotka discusses a mixed-methods study with longitudinal assessment of neurodevelopmental profiles of children requiring mechanical ventilation after hospital discharge and perceived influences on development. She describes lessons learned while designing and performing the study, the need for dedicated therapeutic strategies for this patient population, and next steps from this work. SPEAKER Sarah Sobotka, MD, MSCP Assistant Professor Section of Developmental and Behavioral Pediatrics, Department of Pediatrics, University of Chicago HOST Kilby Mann, MD Assistant Professor Pediatric Rehabilitation Medicine Children's Hospital Colorado DATE Initial publication date: June 10, 2024. JOURNAL CLUB ARTICLES Sobotka SA, Lynch E, Liao C, Graham RJ, Msall ME. Autism and neurodevelopmental disability risks in children with tracheostomies and ventilators. Pediatr Pulmonol. 2024 Mar 1. doi: 10.1002/ppul.26921. Epub ahead of print. PMID: 38426806. Sobotka SA, Lynch E, Msall ME, Graham RJ. Early childhood developmental skills of children with tracheostomies and ventilators recently discharged home. Pediatr Pulmonol. 2023 Mar;58(3):853-865. doi: 10.1002/ppul.26265. Epub 2022 Dec 28. PMID: 36448249; PMCID: PMC10680148. TRANSCRIPT Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: https://forms.gle/Bdxb86Sw5qq1uFhW6 Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user.For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Sobotka SA, Mann K. Need for Neurodevelopmental Follow-up for Children with Invasive Mechanical Ventilation. 6/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/need-for-neurodevelopmental-follow-up-for-children-with-invasive-mechanical-ventilation

Breathe Easy
At The Bedside: Episode 6 - Mechanical Ventilation in ARDS, How to Use Driving Pressure

Breathe Easy

Play Episode Listen Later Jun 4, 2024 33:01


A practical case-based approach to the management setting and titrating the ventilator in ARDS

Saving Lives: Critical Care w/eddyjoemd
Artificial Intelligence and Mechanical Ventilation

Saving Lives: Critical Care w/eddyjoemd

Play Episode Listen Later May 30, 2024 5:46


In this episode, we explore a groundbreaking study on the cost-effectiveness of artificial intelligence (AI) in managing mechanically ventilated ICU patients. Discover how AI can improve patient outcomes, reduce hospital stays, and enhance decision-making in critical care settings. Tune in to learn about AI's potential to revolutionize ICU care and its practical implications for healthcare professionals. Citation: Zwerwer LR, van der Pol S, Zacharowski K, Postma MJ, Kloka J, Friedrichson B, van Asselt ADI. The value of artificial intelligence for the treatment of mechanically ventilated intensive care unit patients: An early health technology assessment. J Crit Care. 2024 Apr 6;82:154802. doi: 10.1016/j.jcrc.2024.154802. Epub ahead of print. PMID: 38583302. --- Support this podcast: https://podcasters.spotify.com/pod/show/eddyjoemd/support

Critical Matters
Goal-Directed Mechanical Ventilation

Critical Matters

Play Episode Listen Later May 9, 2024 66:02


With over 700 modes of mechanical ventilation available today, it can be overwhelming to find the best application of technology at the bedside. Focused on goal-directed mechanical ventilation, this discussion covers the taxonomy of mechanical ventilation modes and provides a framework for a rational approach at the bedside. Dr. Zanotti is joined by Dr. Eduardo Mireles-Cabodevila, Director of the Medical Intensive Care Unit and the Simulation and Advanced Skills Center at the Cleveland Clinic. In addition, Dr. Mireles-Cabodevila is the Vice-Chair of the Division of Critical Care Medicine, Department of Pulmonary and Critical Care, within the Integrated Hospital-Care Institute at the Cleveland Clinic. Additional Resources: How do I ventilate patients with ARDS: Goal-directed mode selection. E. Mireles-Cabodevila. Med Intensiva 2022: https://pubmed.ncbi.nlm.nih.gov/36220727/ A Rational Framework for Selecting Modes of Ventilation. E. Mireles-Cabodevila, et al. Respir Care 2013: https://pubmed.ncbi.nlm.nih.gov/22710796/ Closing the Gap in Patient-Ventilator Discordance Recognition. A. Liendo and E. Mireles-Cabodevila. Respir Care 2024: https://pubmed.ncbi.nlm.nih.gov/38267228/ Standardized Education for Ventilatory Assistance (SEVA) resources page; https://my.clevelandclinic.org/departments/respiratory/medical-professionals/seva#seva-resources-tab Mechanical Ventilation Mode Taxonomy App: iPhone: https://apps.apple.com/us/app/ventilator-mode-map/id1508307955 Android: https://play.google.com/store/apps/details?id=org.ccf.vmm&hl=en_US Books mentioned in this episode: Solito: A Memoir. By Javier Zamora: https://bit.ly/4b6hPG8

SMACC
APRV and what's new in mechanical ventilation

SMACC

Play Episode Listen Later Feb 15, 2024 30:49


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/ 

CCO Infectious Disease Podcast
CRE-ating Success: How I Use Rapid Diagnostic Tests to Manage Carbapenem-Resistant Enterobacterales Bacteremia

CCO Infectious Disease Podcast

Play Episode Listen Later Dec 7, 2023 15:53


In this podcast, Julie Ann Justo, PharmD, MS, FIDSA, BCPS, discusses treatment of carbapenem-resistant Enterobacterales (CRE) infections, including:Burden of CRE infections in the United StatesMechanisms of resistanceChanging epidemiologyUse of rapid diagnostic testsIDSA guidance recommendations, including supporting dataApproach to designing treatment regimens, including weighing patient- and infection-related factorsFaculty:Julie Ann Justo, PharmD, MS, FIDSA, BCPSClinical Pharmacist Lead – Infectious DiseasesInpatient PharmacyDartmouth Hitchcock Medical CenterLebanon, New HampshireLink to full program: https://bit.ly/41a8Mj0Link to accompanying ClinicalThought commentary:https://bit.ly/4865T57Link to downloadable infographic: https://bit.ly/3t7NpT2

ProCE: The Pharmacy Practice Podcast
CRE-ating Success: How I Use Rapid Diagnostic Tests to Manage Carbapenem-Resistant Enterobacterales Bacteremia

ProCE: The Pharmacy Practice Podcast

Play Episode Listen Later Dec 7, 2023 15:53


In this podcast, Julie Ann Justo, PharmD, MS, FIDSA, BCPS, discusses treatment of carbapenem-resistant Enterobacterales (CRE) infections, including:Burden of CRE infections in the United StatesMechanisms of resistanceChanging epidemiologyUse of rapid diagnostic testsIDSA guidance recommendations, including supporting dataApproach to designing treatment regimens, including weighing patient- and infection-related factorsFaculty:Julie Ann Justo, PharmD, MS, FIDSA, BCPSClinical Pharmacist Lead – Infectious DiseasesInpatient PharmacyDartmouth Hitchcock Medical CenterLebanon, New HampshireLink to full program: https://bit.ly/41a8Mj0Link to accompanying ClinicalThought commentary:https://bit.ly/4865T57Link to downloadable infographic: https://bit.ly/3t7NpT2

The Rx Bricks Podcast
Mechanical Ventilation

The Rx Bricks Podcast

Play Episode Listen Later Sep 12, 2023 29:48


Looking for more information on this topic? Check out the brick Mechanical Ventilation. If you enjoyed this episode, we'd love for you to leave a review on Apple Podcasts.  It helps with our visibility, and the more med students (or future med students) listen to the podcast, the more we can provide to the future physicians of the world. Follow USMLE-Rx at: Facebook: www.facebook.com/usmlerx Blog: www.firstaidteam.com Twitter: https://twitter.com/firstaidteam Instagram: https://www.instagram.com/firstaidteam/ YouTube: www.youtube.com/USMLERX Learn how you can access over 150 of our bricks for FREE: https://usmlerx.wpengine.com/free-bricks/ from our Musculoskeletal, Skin, and Connective Tissue collection, which is available for free. Learn more about Rx Bricks by signing up for a free USMLE-Rx account: www.usmle-rx.com You will get 5 days of full access to our Rx360+ program, including nearly 800 Rx Bricks.  After the 5-day period, you will still be able to access over 150 free bricks, including the entire collections for General Microbiology and Cellular and Molecular Biology.

Respiratory Therapy Study Hall
Mechanical Ventilation - Assist Control Mode

Respiratory Therapy Study Hall

Play Episode Listen Later Aug 23, 2023 11:53


This episode covers Assist Control, but also talks about CMV and PCV. I discuss how AC can be set using pressure or volume control settings and how the breaths look in this mode. Finally, I cover indications and hazards of using AC. For more information and practice go to www.myvresp.com You can also find RT Study Hall on Facebook and Youtube.

Respiratory Exchange
Mechanical Ventilation: From Reading Waveforms to AI and Detection Algorithms

Respiratory Exchange

Play Episode Listen Later Aug 21, 2023 30:33


Eduardo Mireles, MD, director of the Medical Intensive Care Unit and vice-chair of the Department of Critical Care Medicine at Cleveland Clinic, discusses the current gap between ventilator technology, with its multiple options, and the education needed for providers who monitor patients. He reviews the course he developed to address this gap, the Standardized Education on Ventilatory Assistance (SEVA), as well as where AI and the detection algorithms used in mechanical ventilation will take healthcare in the future.

AARC Corporate Partners Podcasts
Mechanical Ventilation in Multiple Phases with Medtronic

AARC Corporate Partners Podcasts

Play Episode Play 30 sec Highlight Listen Later Aug 10, 2023 32:42


We speak with Medtronic's Cyndy Miller about mechanical ventilation specifically in the acute care phase and the rehabilitation and recovery phase. Cyndy is a respiratory therapist of 40+ years and has been with Medtronic for more than 30. Enjoy our conversation with Cyndy. 

Maryland CC Project
Keller – Heart-Lung Interactions in Spontaneous and Mechanical Ventilation

Maryland CC Project

Play Episode Listen Later May 26, 2023 53:05


Dr. Michael Keller is a Staff Clinician in the Critical Care Medicine Department at the NIH Clinical Center and Instructor of Medicine in Pulmonary and Critical Care Medicine at Johns Hopkins Hospital. He presents a lecture entitled "Heart-Lung Interactions in Spontaneous and Mechanical Ventilation" as part of the DC5 lecture series.

AZ Tech Roundtable 2.0
Treating Respiratory Diseases & Inflammation w/ Stan Miele of Aqualung Therapeutics - BRT S04 EP14 (176) 4-2-2023

AZ Tech Roundtable 2.0

Play Episode Listen Later Apr 5, 2023 53:14


Treating Respiratory Diseases & Inflammation w/ Stan Miele of Aqualung Therapeutics   - BRT S04 EP14 (176) 4-2-2023   Things We Learned This Week Aqualung Therapeutics is treating inflammation in the lungs, getting people off ventilators (cut down 50%) & saving lives ARDS - Acute Respiratory Disease Syndrome - serious lung condition that causes low blood oxygen & fluid in the lungs Aqualung's novel therapeutics are also reversing fibrosis / scar tissue in lungs - could be used in future to treat other diseases         Guest: Stan Miele President & CBO Aqualung Therapeutics Corp   LKIN: HERE www.aqualungtherapeutics.com   Stan Miele Bio: A recognized global executive with success in sales, marketing and P&L leadership in the pharmaceutical/medical device and biotech industries. Mr. Miele was formally the Chief Commercial Officer at bioLytical Laboratories and Sucampo Pharmaceuticals Inc.  He was also President of Sucampo Pharma Americas for 6 years.   He was instrumental on some key licensing agreements for Sucampo, inclusive of the agreement with Abbott Japan, and also Takeda Pharmaceuticals (now Shire).  He is actively part of the team ensuring proper execution of clinical development, manufacturing, licensing, capital funding, alliances, and ensuring Aqualung meets all critical milestones.  He will be helping the company move toward accelerating the pipeline/platform technology and moving eNamptor™ toward commercialization.   Joe G.N. “Skip” Garcia, MD FOUNDER & CHIEF EXECUTIVE OFFICER Joe G. N. "Skip" Garcia, MD, is an internationally-noted pulmonary physician-scientist, an endowed professor of medicine at the University of Arizona College of Medicine – Tucson, and an elected member of the National Academy of Medicine. A noted academic health system administrator, scholar and educator, Dr. Garcia is a leading authority on the genetic basis of lung disease and the prevention and treatment of inflammatory lung injury. Dr. Garcia is internationally recognized for development of novel biomarkers and therapies for critically ill patients with acute inflammatory lung disease and for addressing health disparities in vulnerable populations. He has over 575 peer-reviewed publications, an expansive portfolio of NIH-sponsored research, and continues to direct large federally-funded programs.     Aqualung Therapeutics Aqualung Therapeutics (ALT) is developing multi-pronged strategies to address the development of severe lung inflammation which is essential to the severity and outcomes of acute and chronic lung disorders such as acute lung injury, ventilator-induced lung injury (VILI), idiopathic pulmonary fibrosis, and pulmonary hypertension. Effective FDA-approved drugs are either currently unavailable or extraordinarily modest in their ability to modify disease progression. No drug is currently available that is preventive or curative. Aqualung's strategies, which include deployment of a human monoclonal antibody which targets a novel inflammatory mediator (nicotinamide phosphoribosyltransferase or NAMPT) will address the unmet need for novel, effective therapies for VILI, IPF, and pulmonary hypertension.   Notes: Seg 1   Cornerstone of health tech comes from biotech & spin offs from incubator universities – an idea with proof of concept becomes a company NIH investment – National Institute of Health has different divisions & a governing body, they review grant submissions from University level inception of biotech  The idea is then sold to large pharmaceutical co. – the process is very expensive, takes decades of R & D to bring a product to market Grants – R41 or R42 as examples of investment from NIH NIH works w/ startups, biotech & universities – helps w/ early funding of $ thousands to millions  Supports basic science & research, to fund an initial scientific thesis, this is pre-clinical and non-dilutive capital from NIH or Government This is important, because venture capital can be brought to raise more funding, and not be concerned with NIH having an equity position   Aqualung is working on Unchecked or runaway inflammation in the lungs and body Deals with Fibrosis, scar tissue in lungs for example ARDS - Acute Respiratory Distress Syndrome - serious lung condition that causes low blood oxygen & fluid in the lungs Aqualung Founder is Dr. Joseph Garcia, a physician / scientist who worked in ICU Their treatment can help with Covid 19 or Pneumonia  Mechanical Ventilation (ventilator) – keeps patient alive, but exacerbates inflammation, 30-40% of death w/ ARDS the long one stays on a ventilator   Aqualung – novel therapies to treat ARDS, with a 1X infusion & reduce inflammation, takes 20 mins. to administer, and can lessen days on a ventilator, saving lives  less days     Seg. 2   Covid 19 & ARDS – pneumonia & sepsis hypoxia – less oxygen & oxygenated blood flow, not enough, leads to fluid in lungs (edema), have nasal issues, use C pap machine, but if too severe then need ventilator to help w/ breathing   Pulmonary edema is often caused by congestive heart failure. When the heart is not able to pump efficiently, blood can back up into the veins that take blood through the lungs. As the pressure in these blood vessels increases, fluid is pushed into the air spaces (alveoli) in the lungs. Covid – when people have severe Covid, lungs have too much fluid, do not work Ventilator increases significant inflammation – too much, storm of bad events, organs fail. Bottome line: Longer on ventilator, the worse things go Average ICU stay is 11-15 days for ARDS  Aqualung tamps down inflammation, ‘turn dial down' w/drug, within 6hrs. of diagnosis, Aqualung should be given to a patient Reduce inflammation 50% & then reduce time 50% on vent. Life & Money saving as 1 day on ventilator = $30k Other areas Aqualung can help – fibrosis / Scar tissue in lungs, Covid long syndrome & could be a Radial therapy for cancer treatment  Aqualung – tamp down inflammation to Reverse fibrosis, reverse course of diseases  Also can assist with - Lupis, inflamed organs, Bowel diseases  Aqualung has been funded by Funded by NIH   Seg. 3   Aqualung produces Novel therapeutics, that can save lives, and help with breathing disorders or illnesses related to Covid or asthma, or Fibrosis in the lungs, kidney, or cardiac issues  Aqualung Therapeutics is agnostic, process can treat all fibrosis as well as help prevent Organ failure. If inflammation or breathing issues persist can lead to failure of liver, kidney, then heart & brain  Aqualung eliminated fibrosis in kidneys with testing on animals  Improve functions of other organs in pre-clinical models in small & large animals Currently doing doses on human volunteers, and will soon be in 8 hospitals in U.S. & 2 in Australia  Aqualung needs more funding for research, and is doing a Capital raise  Future versions of their treatment could be in different formats, using IV version now in ICU & ER Other companies working on this type of research and care are Humira, treatment is a  simple injection monthly  Aqualung could be additional therapy for Pulmonary issues, or even a Radial therapy for cancer  Multiple forms of delivery are possible  like an in home injection       Seg. 4   Received $25 million of non dilutive from NIH Had to validate their thesis, and was published in 10 publications   Aqualung considered an IND (investigative new drug)   Studies – Phase 1 – healthy Phase 2 – ARDS patients Phase 3 - 2 – 300 patients – large trial   Need funding of $ hundreds millions – for testing IPO or series A-B & C fund raise Current trials will be a 5 year process thru 2026 Overall a 8-10 year process w/ 2-3 year studies, stats (genomics & priobiomics)   MRNA work done years before to create the vaccine for COVID so luckily it was  ready to go in 2020   Alignment on big pharma with this research and application, working in Oncology, immunology, cancer   Fibrosis & immunology – Co's that can come in are Regeneron, Eli Lilly or Merch   Big Pharma – equity investment has a venture arm within a corporation, to invest in thesis and then pre-human clinical round Called the ‘Creeping Acquisition Strategy' of a smaller company, with incremental investments until own the whole business   ARDS – 500k patients in US dealing with ARDS & $2 mil globally, of which 30-40% will die. ARDS is a multi billion $ year market. ARDS grows 3-5% per year, with funding being a problem, plus other issues like limited therapies   Companies working on the disease, must collaborate with the FDA Aqualung – raising funds, $10 mil series A, has $4 mil committed end of phase 1 with FDA meeting. Phase 2 study – get rolling & crucial long term, need clinical tests w/ humans Phase 1 study w/ animals very successful     ** Thanks to Joan Kerber-Walker of AZ Bio for the intro to Stan.   AZ Bio & Life Sciences Innovation w/ Joan Koerber-Walker - BRT S04 EP10 (172) 3-5-2023   FULL Show w/ Joan of AZ Bio: Click HERE       AZ Tech Council Shows: HERE *Includes Best of AZ Tech Council show from 2/12/2023   Tech Topic: HERE Best of Tech: HERE    ‘Best Of' Topic: https://brt-show.libsyn.com/category/Best+of+BRT      Thanks for Listening. Please Subscribe to the BRT Podcast.     Business Roundtable with Matt Battaglia The show where Entrepreneurs, High Level Executives, Business Owners, and Investors come to share insight and ideas about the future of business. BRT 2.0 looks at the new trends in business, and how classic industries are evolving.  Common Topics Discussed: Business, Entrepreneurship, Investing, Stocks, Cannabis, Tech, Blockchain / Crypto, Real Estate, Legal, Sales, Charity, and more…  BRT Podcast Home Page: https://brt-show.libsyn.com/ ‘Best Of' BRT Podcast: Click Here BRT Podcast on Google: Click Here BRT Podcast on Spotify: Click Here                    More Info: https://www.economicknight.com/podcast-brt-home/ KFNX Info: https://1100kfnx.com/weekend-featured-shows/   Disclaimer: The views and opinions expressed in this program are those of the Hosts, Guests and Speakers, and do not necessarily reflect the views or positions of any entities they represent (or affiliates, members, managers, employees or partners), or any Station, Podcast Platform, Website or Social Media that this show may air on. All information provided is for educational and entertainment purposes. Nothing said on this program should be considered advice or recommendations in: business, legal, real estate, crypto, tax accounting, investment, etc. Always seek the advice of a professional in all business ventures, including but not limited to: investments, tax, loans, legal, accounting, real estate, crypto, contracts, sales, marketing, other business arrangements, etc.    

PCE
Evidence and Guidelines for COVID-19 In-Hospital Management—Expert Answers to Frequently Asked Questions on Supportive Care and Escalation of Therapy

PCE

Play Episode Listen Later Mar 27, 2023 20:04


In this episode, Vikramjit Mukherjee, MD, and Cameron Smith, MPAS, PA-C, answer audience questions on how best to care for hospitalized patients with COVID-19 from a live, virtual question and answer webinar. This episode includes expert insights on:Supportive care management such as oxygen support, glycemic control, and anticoagulationEscalation of therapy in patients with worsening oxygen requirementsUse of remdesivir in patients with renal dysfunctionBrief commentary on long COVIDPresenters:Vikramjit Mukherjee, MDAssistant Professor  Division of Pulmonary, Critical Care, & Sleep Medicine  New York University School of Medicine  DirectorMedical Intensive Care UnitBellevue HospitalNew YorkCameron Smith MPAS, PA-CLead Advanced Practice ProviderMedical Intensive Care UnitBellevue HospitalNew York Health and Hospitals  New York, New YorkContent based on an online program supported by an independent educational grant from Gilead Sciences, Inc.bit.ly/3z52c00

Brownstone Institute
The Premature Use Of Mechanical Ventilation in the First Wave of the Covid Pandemic

Brownstone Institute

Play Episode Listen Later Feb 27, 2023 12:12


Get full access to Brownstone Insights at brownstone.substack.com/subscribe

PedsCrit
Mechanical Ventilation in Status Asthmaticus Part 2 with Dr. Mekela Whyte-Nesfield

PedsCrit

Play Episode Listen Later Feb 20, 2023 24:28


Listener Feedback SurveyAbout our guest:Dr. Whyte-Nesfield is a Critical Care attending at Children's National Hospital in Washington, DC. She completed her medical degree in her home country of Grenada at St. George's University, and her fellowship in Pediatric Critical Care at Penn State Health Children's Hospital, PA. Mekela's research interest is the role of parent and child traumatic stress management in improving long term outcomes of children in the PICU; she ran a multi-center prevalence study during her fellowship. She is also interested in advanced ventilator modes and educating the next generation of intensivists about pulmonary physiology.Objectives:After listening to this episode, listeners should be able to:Define indications for intubation in a patient with asthma.Review adjunct therapies, including high-dose steroids, mag, epi, terbutaline, isoproterenol, aminophylline, isoflurane, and manual decompression of the chest.Identify the physiologic and logistic rationale supporting each mode of mechanical ventilation in asthma (PRVC vs PCPS).Identify the benefits and risks of paralyzing an intubated asthmatic. Discuss the relationshiop between static compliance, dynamic compliance, and reversible bronchoconstriction.  Describe the complications of mechanical ventilation in asthma, including indications for ECMO.References:Manual external chest compression reverses respiratory failure in children with severe air trapping. Pediatric Pulmonology, 56(12), 3887–3890. https://doi.org/10.1002/ppul.25689 Mechanical ventilation of the intubated asthmatic: How much do we really know? *. Pediatric Critical Care Medicine, 5(2), 191–192. https://doi.org/10.1097/01.CCM.0000113929.14813.51Volatile Anesthetic Rescue Therapy in Children With Acute Asthma. Pediatric Critical Care Medicine, 14(4), 343–350. https://doi.org/10.1097/PCC.0b013e3182772e29Pressure-controlled ventilation in children with severe status asthmaticus*. Pediatric Critical Care Medicine, 5(2), 133–138. https://doi.org/10.1097/01.PCC.0000112374.68746.E8Endotracheal intubation and pediatric status asthmaticus: Site of original care affects treatment*. Pediatric Critical Care Medicine, 8(2), 91–95. https://doi.org/10.1097/01.PCC.0000257115.02573.FCHow to support PedsCrit:Please rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.Support the showSupport the show

PedsCrit
Mechanical Ventilation in Status Asthmaticus Part 1 with Dr. Mekela Whyte-Nesfield

PedsCrit

Play Episode Listen Later Feb 6, 2023 31:43


Listener Feedback SurveyAbout our guest:Dr. Whyte-Nesfield is a Critical Care attending at Children's National Hospital in Washington, DC. She completed her medical degree in her home country of Grenada at St. George's University, and her fellowship in Pediatric Critical Care at Penn State Health Children's Hospital, PA. Mekela's research interest is the role of parent and child traumatic stress management in improving long term outcomes of children in the PICU; she ran a multi-center prevalence study during her fellowship. She is also interested in advanced ventilator modes and educating the next generation of intensivists about pulmonary physiology.Objectives: After listening to this episode, listeners should be able to:Define indications for intubation in a patient with asthma.Review adjunct therapies, including high-dose steroids, mag, epi, terbutaline, isoproterenol, aminophylline, isoflurane, and manual decompression of the chest.Identify the physiologic and logistic rationale supporting each mode of mechanical ventilation in asthma (PRVC vs PCPS).Identify the benefits and risks of paralyzing an intubated asthmatic. Discuss the relationshiop between static compliance, dynamic compliance, and reversible bronchoconstriction.  Describe the complications of mechanical ventilation in asthma, including indications for ECMO.References:Manual external chest compression reverses respiratory failure in children with severe air trapping. Pediatric Pulmonology, 56(12), 3887–3890. https://doi.org/10.1002/ppul.25689 Mechanical ventilation of the intubated asthmatic: How much do we really know? *. Pediatric Critical Care Medicine, 5(2), 191–192. https://doi.org/10.1097/01.CCM.0000113929.14813.51Volatile Anesthetic Rescue Therapy in Children With Acute Asthma. Pediatric Critical Care Medicine, 14(4), 343–350. https://doi.org/10.1097/PCC.0b013e3182772e29Pressure-controlled ventilation in children with severe status asthmaticus*. Pediatric Critical Care Medicine, 5(2), 133–138. https://doi.org/10.1097/01.PCC.0000112374.68746.E8Endotracheal intubation and pediatric status asthmaticus: Site of original care affects treatment*. Pediatric Critical Care Medicine, 8(2), 91–95. https://doi.org/10.1097/01.PCC.0000257115.02573.FCHow to support PedsCrit:Please rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.Support the show

JACC Speciality Journals
JACC: Advances - Liberation from Mechanical Ventilation in the Cardiac Intensive Care Unit

JACC Speciality Journals

Play Episode Listen Later Jan 27, 2023 17:23


ICU Ed and Todd-Cast
New/Old: Early Mobilization and Albumin

ICU Ed and Todd-Cast

Play Episode Listen Later Jan 22, 2023 39:40


Episode 2! In this episode we again go to a new and old article 1)"Early Active Mobilization during Mechanical Ventilation in the ICU" by the ANZICS group published NEJM 2022 and 2) "Albumin Replacement in Patients with Severe Sepsis or Septic Shock" by Caironi et al published NEJM 2014. Be sure to follow us on the social @icucast for the associated figures, comments, and other content not available in the audio format! Email us at icuedandtoddcast@gmail.com with any questions or suggestions! Thank you Mike Gannon for the intro and exit music!

PedsCrit
PARDS--Beyond the Basics Part 2 with Dr. Nadir Yehya: Conventional Mechanical Ventilation

PedsCrit

Play Episode Listen Later Jan 9, 2023 39:50


About our Guest:Dr. Yehya is a graduate of the University of California at Berkeley and the University of California at Los Angeles School of Medicine. After completing pediatrics training at Children's Hospital of Los Angeles, he completed his pediatric critical care fellowship at Children's Hospital of Philadelphia (CHOP), and joined the faculty after graduation in 2011. He is currently an Assistant Professor of Anesthesiology and Critical Care and Pediatrics at the Perelman School of Medicine at the University of Pennsylvania and an attending physician in the pediatric intensive care unit at CHOP.Dr. Yehya's research interests encompass all aspects of pediatric respiratory failure, with a particular emphasis on pediatric acute respiratory syndrome (ARDS) and mechanical ventilation. ARDS consists of sudden, severe flooding of the lungs in response to an inflammatory insult causing difficulty breathing, frequently requiring mechanical ventilation. Sepsis is a leading cause of ARDS in children. His long-term goal is better characterization of ARDS in children and to test therapies designed to improve outcomes. His NIH-funded work is assessing the utility of specific plasma biomarkers in pediatric ARDS, with subsequent proteomic characterization and testing in pre-clinical models. Dr. Yehya has several active studies involving biomarkers, clinical epidemiology, and pathophysiological mechanisms in the field of pediatric ARDS, and is involved in several multicenter and multinational collaborations.Objectives:After listening to this episode, learners should be able to:Develop a mental model for titrating PEEP in PARDS with the acknowledgement of standardized ARDSnet PEEP-FiO2 tables. (High vs Low PEEP strategy? Is this applicable to children?)Understand the relationship between peak inspiratory pressure and plateau pressure in managing patients with PARDS in pressure control modes of ventilation.Develop a mental model for understanding various measures of respiratory support and understand their strengths, limitations, and value as markers of ventilator induced lung injury (peak inspiratory pressure, plateau pressure, driving pressure, mechanical power).Recognize the potential benefits of measuring esophageal pressure as a surrogate of transpleural pressure to titrate respiratory support in PARDS.Acknowledgement:Thank you to Dr. Nick Bartel for his help in creating learning objectives for this series.How to support PedsCrit:Please rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.Selected references:PMID: 10793162PMID: 25693014.PMID: 15269312PMID: 30361119PMID: 17426195PMID: 31112383PMID: 25647235PMID: 19001507PMID: 32043986.PMID: 15671432. Support the show

Maryland CC Project
Oweis – Mechanical Ventilation in Obstructive Lung Disease

Maryland CC Project

Play Episode Listen Later Jan 4, 2023 60:53


Dr. Emil Oweis is a board-certified pulmonary and critical care attending physician and is an Associate Medical Director of Respiratory Therapy at MedStar Washington Hospital Center. He gives a lecture as part of the DC5 Lecture Series entitled "Mechanical Ventilation in Obstructive Lung Disease".

CCO Infectious Disease Podcast
Key COVID-19 Studies Influencing My Practice Following IDWeek 2022—Audio Recap

CCO Infectious Disease Podcast

Play Episode Listen Later Nov 18, 2022 37:17


In this episode, Princy N. Kumar, MD, and Paul E. Sax, MD, discuss new COVID-19 data from IDWeek 2022, including:COVID-19 vaccines, including omicron BA.1 bivalent boosterRisk factors for breakthrough COVID-19 infectionsCOVID-19 diagnostics, including digital droplet PCRCOVID-19 therapeutics, including:Nirmatrelvir plus ritonavirTixagevimab plus cilgavimabBaricitinibTocilizumabInhaled interferon β-1aCOVID-19 therapeutics and outcomes in patients with immunocompromiseLong COVIDPresenters:Princy N. Kumar, MD, FIDSA, MACPProfessor of Medicine and MicrobiologyChief, Division of Infectious Diseases and Travel MedicineSenior Associate Dean of StudentsGeorgetown University School of MedicineWashington, DCPaul E. Sax, MDClinical DirectorHIV Program and Division of Infectious DiseasesBrigham and Women's HospitalProfessor of MedicineHarvard Medical SchoolBoston, MassachusettsFollow along with the downloadable slideset at:http://bit.ly/3gkJI67Link to full program:http://bit.ly/3TSVthM

Beyond the Pearls: Cases for Med School, Residency and Beyond (An InsideTheBoards Podcast)

Today's Episode Today is the last part of Dr. Raj's Mechanical Ventilation Made Ridiculously Easy lecture. This was originally a presentation for The Pass Machine that we are now breaking up and streaming here for all students to enjoy and benefit from. About Dr. Raj Dr Raj is a quadruple board certified physician and associate professor at the University of Southern California. He was a co-host on the TNT series Chasing the Cure with Ann Curry, a regular on the TV Show The Doctors for the past 7 seasons and has a weekly medical segment on ABC news Los Angeles. More from Dr. Raj www.BeyondThePearls.net The Dr. Raj Podcast Dr. Raj on Twitter Dr. Raj on Instagram Want more board review content? Crush Step 1 Step 2 Secrets Physiology by Physeo Step 1 Success Stories The InsideTheBoards Study Smarter Podcast The InsideTheBoards Podcast Study on the go for free! Download the Audio QBank by InsideTheBoards for free on iOS or Android. If you want to upgrade, you can save money on a premium subscription by customizing your plan until your test date on our website! Produced by Ars Longa Media To learn more about us and this podcast, visit arslonga.media. You can leave feedback or suggestions at arslonga.media/contact or by emailing info@arslonga.media. Produced by: Christopher Breitigan Executive Producer: Patrick C. Beeman, MD Legal Stuff InsideTheBoards is not affiliated with the NBME, USMLE, COMLEX, or any professional licensing body. InsideTheBoards and its partners fully adhere to the policies on irregular conduct outlined by the aforementioned credentialing bodies. The information presented in this podcast is intended for educational purposes only and should not be construed as professional or medical advice. Learn more about your ad choices. Visit megaphone.fm/adchoices

Beyond the Pearls: Cases for Med School, Residency and Beyond (An InsideTheBoards Podcast)

Today's Episode We continue with part 3 (of 4) of Dr. Raj's Mechanical Ventilation Made Ridiculously Easy lecture. This was originally a presentation for The Pass Machine that we are now breaking up and streaming here for all students to enjoy and benefit from. About Dr. Raj Dr Raj is a quadruple board certified physician and associate professor at the University of Southern California. He was a co-host on the TNT series Chasing the Cure with Ann Curry, a regular on the TV Show The Doctors for the past 7 seasons and has a weekly medical segment on ABC news Los Angeles. More from Dr. Raj www.BeyondThePearls.net The Dr. Raj Podcast Dr. Raj on Twitter Dr. Raj on Instagram Want more board review content? Crush Step 1 Step 2 Secrets Physiology by Physeo Step 1 Success Stories The InsideTheBoards Study Smarter Podcast The InsideTheBoards Podcast Study on the go for free! Download the Audio QBank by InsideTheBoards for free on iOS or Android. If you want to upgrade, you can save money on a premium subscription by customizing your plan until your test date on our website! Produced by Ars Longa Media To learn more about us and this podcast, visit arslonga.media. You can leave feedback or suggestions at arslonga.media/contact or by emailing info@arslonga.media. Produced by: Christopher Breitigan Executive Producer: Patrick C. Beeman, MD Legal Stuff InsideTheBoards is not affiliated with the NBME, USMLE, COMLEX, or any professional licensing body. InsideTheBoards and its partners fully adhere to the policies on irregular conduct outlined by the aforementioned credentialing bodies. The information presented in this podcast is intended for educational purposes only and should not be construed as professional or medical advice. Learn more about your ad choices. Visit megaphone.fm/adchoices

Beyond the Pearls: Cases for Med School, Residency and Beyond (An InsideTheBoards Podcast)

Today's Episode We continue with part 2 (of 4) of Dr. Raj's Mechanical Ventilation Made Ridiculously Easy lecture. This was originally a presentation for The Pass Machine that we are now breaking up and streaming here for all students to enjoy and benefit from. About Dr. Raj Dr Raj is a quadruple board certified physician and associate professor at the University of Southern California. He was a co-host on the TNT series Chasing the Cure with Ann Curry, a regular on the TV Show The Doctors for the past 7 seasons and has a weekly medical segment on ABC news Los Angeles. More from Dr. Raj www.BeyondThePearls.net The Dr. Raj Podcast Dr. Raj on Twitter Dr. Raj on Instagram Want more board review content? Crush Step 1 Step 2 Secrets Physiology by Physeo Step 1 Success Stories The InsideTheBoards Study Smarter Podcast The InsideTheBoards Podcast Study on the go for free! Download the Audio QBank by InsideTheBoards for free on iOS or Android. If you want to upgrade, you can save money on a premium subscription by customizing your plan until your test date on our website! Produced by Ars Longa Media To learn more about us and this podcast, visit arslonga.media. You can leave feedback or suggestions at arslonga.media/contact or by emailing info@arslonga.media. Produced by: Christopher Breitigan Executive Producer: Patrick C. Beeman, MD Legal Stuff InsideTheBoards is not affiliated with the NBME, USMLE, COMLEX, or any professional licensing body. InsideTheBoards and its partners fully adhere to the policies on irregular conduct outlined by the aforementioned credentialing bodies. The information presented in this podcast is intended for educational purposes only and should not be construed as professional or medical advice. Learn more about your ad choices. Visit megaphone.fm/adchoices

ReMar Nurse Radio
Mechanical Ventilation FREE NCLEX Lecture & Questions

ReMar Nurse Radio

Play Episode Listen Later Oct 31, 2022 47:07


Join the #1 community of nursing students on the planet with 12,000+ students studying now inside of the NCLEX Virtual Trainer review on sale now at http://www.ReMarNurse.com   Your NCLEX RN & LPN Study Tools:  ► Get NCLEX Virtual Trainer: http://www.ReMarNurse.com/NCLEXVT ► Get the Question Bank: http://www.ReMarNurse.com/NCLEXQBank ► Get Quick Facts for NCLEX: http://bit.ly/QuickFactsNCLEX Get MORE from Regina MSN, RN: ► WATCH MORE: http://bit.ly/PassNCLEXPlayList/ ► GET THE PODCAST: https://remarnurse.podbean.com/ ► WATCH LESSONS: http://bit.ly/ReMarNCLEXLectures/ ► FOLLOW ReMar on Instagram: https://www.instagram.com/ReMarNurse/ ► LIKE ReMar on Facebook: https://www.facebook.com/ReMarReview/   ReMar Review features weekly NCLEX review questions and lectures from Regina M. Callion MSN, RN.  ReMar is the #1 content-based NCLEX review and has helped thousands of repeat-testers pass NCLEX with a 99.2% student success rate!   ReMar focuses on 100% core nursing content and as a result, has the best review to help nursing students pass boards - fast!

Beyond the Pearls: Cases for Med School, Residency and Beyond (An InsideTheBoards Podcast)

Today's Episode Dr. Raj beings part 1 (of 4) of his Mechanical Ventilation Made Ridiculously Easy lecture. This was originally a presentation for The Pass Machine that we are now breaking up and streaming here for all students to enjoy and benefit from. About Dr. Raj Dr Raj is a quadruple board certified physician and associate professor at the University of Southern California. He was a co-host on the TNT series Chasing the Cure with Ann Curry, a regular on the TV Show The Doctors for the past 7 seasons and has a weekly medical segment on ABC news Los Angeles. More from Dr. Raj www.BeyondThePearls.net The Dr. Raj Podcast Dr. Raj on Twitter Dr. Raj on Instagram Want more board review content? Crush Step 1 Step 2 Secrets Physiology by Physeo Step 1 Success Stories The InsideTheBoards Study Smarter Podcast The InsideTheBoards Podcast Study on the go for free! Download the Audio QBank by InsideTheBoards for free on iOS or Android. If you want to upgrade, you can save money on a premium subscription by customizing your plan until your test date on our website! Produced by Ars Longa Media To learn more about us and this podcast, visit arslonga.media. You can leave feedback or suggestions at arslonga.media/contact or by emailing info@arslonga.media. Produced by: Christopher Breitigan Executive Producer: Patrick C. Beeman, MD Legal Stuff InsideTheBoards is not affiliated with the NBME, USMLE, COMLEX, or any professional licensing body. InsideTheBoards and its partners fully adhere to the policies on irregular conduct outlined by the aforementioned credentialing bodies. The information presented in this podcast is intended for educational purposes only and should not be construed as professional or medical advice. Learn more about your ad choices. Visit megaphone.fm/adchoices

Critical Care Reviews Podcast
PILOT Trial Result Livestream

Critical Care Reviews Podcast

Play Episode Listen Later Oct 25, 2022 99:54


Matthew Semler presents the results of the PILOT trial, comparing low, intermediate and high oxygenation targets in critically ill mechanically ventilated patients. Paul Young delivers an editorial and Chris Nutt asks questions from the viewers. The expert panel discussion includes Victoria Cornelius, Angelique de Man, Bodil Steen Rasmussen and Gilles Capellier. The paper was simultaneously published in the New England Journal of Medicine.

ICUedu
Vents 201 Part II: Goal of Mechanical Ventilation

ICUedu

Play Episode Listen Later Aug 2, 2022 9:01


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

FlightCrit Podcast
021 - Vent Management: Optimizing Flow w/ Joe Lewis, The Respiratory Coach

FlightCrit Podcast

Play Episode Listen Later Jul 28, 2022 43:32


In this episode of the podcast Hunter and I sit down with Joe again to discuss the role of optimizing Flow in our mechanically ventilated patients, and how to manipulate this on our vents.We also discuss some of the risks associated with certain vent modes for patients who Flow Hunger and one strategy for correcting ventilator asynchrony.We highly recommend you check out the video that accompanies this podcast over in the FlightCrit Academy.Support the show

Fierce Fatty Podcast
128: The Benefits of Being Fat!

Fierce Fatty Podcast

Play Episode Listen Later Jun 7, 2022 82:40


We hear so often how awful fatness is and how fat people are all going to imminently die and being fat is the worst thing ever…but is it? Are there any good sides to fatness? What about the health and mortality of fat people? Are we in fact, at an advantage? In this episode I share 28 benefits of being fat, how many can you think of? TW: brief mention of O Words Episode show notes: http://www.fiercefatty.com/128 Free Training: The 4 Simple Steps to Feel Confident in Your Body and Around Food ... Even If You Believe It's Not Possible! https://event.webinarjam.com/channel/org Obese patients who fall have less injury severity but a longer hospital stay than normal-weight patients: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4700636/ Why I Only Want to Have Sex with Fat Bodies: By Gina Tonic https://www.cosmopolitan.com/uk/love-sex/sex/a32823682/fat-sex/ The Weight of Medical Authority: The Making and Unmaking of Knowledge in the Obesity Epidemic, Rogers, Julia: https://www.proquest.com/openview/39a652352f0a180b82a29539ccd72f4e/1?pq-origsite=gscholar&cbl=18750 Study: Overweight People Live Longer https://www.webmd.com/diet/news/20090625/study-overweight-people-live-longer?fbclid=IwAR0pJyF7CaHV6deTttRdAjIWkcwu1tkDnVVBGrWn6jgVElIs4N5LpVgQkXQ ​​Rethinking Obesity: https://www.researchgate.net/publication/327475628_Rethinking_Obesity by Paul Ernsberger Risk Factors for Hospitalization, Mechanical Ventilation, or Death Among 10 131 US Veterans With SARS-CoV-2 Infection: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2770946?utm_source=convertkit&utm_medium=email&utm_campaign=Weight-Stigma+Awareness+About+COVID-19%20-%204524753 Study – Body Size NOT a COVID-19 Risk Factor: https://danceswithfat.org/2020/10/05/study-body-size-not-a-covid-19-risk-factor/ Fat Dr post: ​​https://www.instagram.com/p/CeRCmdRIFIg/?igshid=YmMyMTA2M2Y%3D Fat groups: Fat Acceptance Cloud https://www.facebook.com/groups/584497762388427/?ref=share Fat Chat Community: https://www.facebook.com/groups/ChatWithFatFeminists/?ref=share Chat with Fat Feminists: https://www.facebook.com/groups/ChatWithFatFeminists/

Coffee Break HEMS Podcast
03.06 Picking the Proper Pressor

Coffee Break HEMS Podcast

Play Episode Listen Later Apr 15, 2022 39:57


In this episode we'll be going over the basics of what shock really is, and how to conquer it. We'll also be going deep into the various pressors we use in the field to resuscitate the sickest humans on the planet. Reach out with your suggestions for further episodes via email or IG: kisercpr@gmail.com @coffeebreakhems Go get your copy of "The Flight Medics Guide to Mechanical Ventilation" www.kisercpr.com/shop

Coffee Break HEMS Podcast
03.05 The Septic Trainwreck

Coffee Break HEMS Podcast

Play Episode Listen Later Mar 25, 2022 38:58


In this episode we'll be discussing lab interpretation of the septic patient, what our goals are, and how to perform bedside care when your patient is dying. Don't forget to snag your copy of "The Flight Medics Guide to Mechanical Ventilation". www.kisercpr/shop

Coffee Break HEMS Podcast
03.04 Level Up Your Trauma Resus Package

Coffee Break HEMS Podcast

Play Episode Listen Later Mar 5, 2022 29:17


In this episode we'll be discussing the interventions you HAVE to do when faced with a dying multi-system trauma patient. When we start missing these interventions, our patients don't do as well! Do not miss out on getting your copy of "The Flight Medic's Guide to Mechanical Ventilation". If you have struggled with vent's, if you're new, or if you're a veteran in critical care; it doesn't matter! This book will elevate your game, and deepen your understanding of mechanical ventilation. Get the book here: www.kisercpr.com/shop