Podcasts about pards

Host Elizabeth H. Mack, MD, MS, FCCM, welcomes Elizabeth Y. Killien, MD, MPH, to discuss pediatric acute respiratory distress syndrome (PARDS). Dr. Killien explains the findings from her retrospective study on PARDS severity, emphasizing how factors such as severe hypoxemia can impact health-related quality of life (HRQL) after discharge. (Killien EY, et al. Pediatr Crit Care Med. 2024;25:816-827). Dr. Killien is an attending physician in the pediatric ICU and an assistant professor at Seattle Children's Hospital, University of Washington School of Medicine, in Seattle, Washington.

Host Elizabeth H. Mack, MD, MS, FCCM, welcomes Elizabeth Y. Killien, MD, MPH, to discuss pediatric acute respiratory distress syndrome (PARDS). Dr. Killien explains the findings from her retrospective study on PARDS severity, emphasizing how factors such as severe hypoxemia can impact health-related quality of life (HRQL) after discharge. (Killien EY, et al. Pediatr Crit Care Med. 2024;25:816-827). Dr. Killien is an attending physician in the pediatric ICU and an assistant professor at Seattle Children's Hospital, University of Washington School of Medicine, in Seattle, Washington.

Right then, Tommy Tuchs has got the big job so now we wait for the inevitable chaos that trails in his path. It's going to be box office, but is the entertainment factor worth it?Marcus, Jim & Andy are here to debate whether it's time to bring back managerial double acts and which rules they reckon they could break if they played in the top flight.Plus, a nod to Alan Pardew. Lovely to get a mench in for Pards.Find us on X, Instagram, TikTok and YouTube, and email us here: show@footballramble.com.Sign up to the Football Ramble Patreon for ad-free shows for just $5 per month: https://www.patreon.com/footballramble.***Please take the time to rate us on your podcast app. It means a great deal to the show and will make it easier for other potential listeners to find us. Thanks!*** Hosted on Acast. See acast.com/privacy for more information.

Quand le mensonge prend l'ascenseur, la vérité prend l'escalier.   Les fake news se partagent 6x plus vite que les vraies informations, et touchent au moins 10 fois plus de monde.   Blague à part, nous sommes tous faillibles et concernés, j'ai déjà republié des fakes et il y a de fortes chances que vous l'ayez déjà déjà fait, même sans le savoir.   Dans ces épisodes, nous vous parlons d'exemples magistraux de fakes liés au Vivant. Beaucoup d'entre vous seront surpris voire estomaqués de savoir qu'ils sont tombés dans le panneau ... Dans cet épisode vous apprendrez que la célèbre citation employée à toutes les sauces : "Ils ne savaient pas que c'était impossible, alors ils l'ont fait" n'est pas de Mark Twain, ni de JFK d'ailleurs et qu'on fait dire beaucoup de bullshit à certaines photos ... _______   Pour comprendre les rouages du fake, BSG / Combats a invité un des fondateurs de C'est vrai ça ? (CVC) est un collectif de simples particuliers qui luttent contre les fake news sur LinkedIn.    D'autres sites et collectifs de debunk existent en France : Eucheck.fr, Fake off, Vrai ou fake sur France Info, les décodeurs du Monde.fr, Checknews de Libération, Les Observateurs de France 24, AFP Factuel … _______   Le thème de ces épisodes est très lié aux épisodes sur La société du sans-contact avec François Saltiel : https://bit.ly/saltiel1_CBT https://bit.ly/saltiel2_CBT https://bit.ly/saltiel3_CBT https://bit.ly/saltiel4_CBT _______  

In this World Shared Practice Forum Podcast, Dr. Martin Kneyber discusses the implementation of the PALICC-2 guidelines in bedside monitoring and management of pediatric acute respiratory distress syndrome (PARDS). He shares insights on how the concepts of positive end-expiratory pressure (PEEP), driving pressure, patient self-inflicted lung injury (P-SILI), and the use of non-invasive ventilation are translated to the bedside management of PARDS. LEARNING OBJECTIVES - Explain the concept of driving pressure and its significance in the management of pediatric acute lung injury - Identify the potential benefits and drawbacks of neuromuscular blockade in pediatric acute lung injury patients - Describe the concept of non-invasive ventilation in the management of acute respiratory failure in pediatric patients, including its potential benefits, limitations, and challenges in implementation AUTHORS Martin Kneyber MD, PhD, FCCM Chief of the Division of Paediatric Critical Care Medicine Beatrix Children's Hospital University Medical Center Groningen, Groningen, the Netherlands Jeffrey Burns MD, MPH Chief and Shapiro Chair, Division of Critical Care Medicine; Executive Chair, International Health Services Senior Associate in Critical Care Medicine; Department of Anesthesiology, Critical Care and Pain Medicine Boston Children's Hospital Professor of Anesthesia Harvard Medical School DATES Initial Publication Date: February 26, 2024. ARTICLES REFERENCED 00:58 https://pubmed.ncbi.nlm.nih.gov/36661420/ Emeriaud G, López-Fernández YM, Iyer NP, et al. Executive Summary of the Second International Guidelines for the Diagnosis and Management of Pediatric Acute Respiratory Distress Syndrome (PALICC-2). Pediatr Crit Care Med. 2023;24(2):143-168. 01:46 https://pubmed.ncbi.nlm.nih.gov/29373802/ Khemani RG, Parvathaneni K, Yehya N, Bhalla AK, Thomas NJ, Newth CJL. Positive End-Expiratory Pressure Lower Than the ARDS Network Protocol Is Associated with Higher Pediatric Acute Respiratory Distress Syndrome Mortality. Am J Respir Crit Care Med. 2018;198(1):77-89. 02:53 https://pubmed.ncbi.nlm.nih.gov/30361119/ Khemani RG, Smith L, Lopez-Fernandez YM, et al. Paediatric acute respiratory distress syndrome incidence and epidemiology (PARDIE): an international, observational study [published correction appears in Lancet Respir Med. 2018 Nov 13;:] [published correction appears in Lancet Respir Med. 2019 Mar;7(3):e12]. Lancet Respir Med. 2019;7(2):115-128. 07:45 https://pubmed.ncbi.nlm.nih.gov/25693014/ Amato MB, Meade MO, Slutsky AS, et al. Driving pressure and survival in the acute respiratory distress syndrome. N Engl J Med. 2015;372(8):747-755. 07:49 https://pubmed.ncbi.nlm.nih.gov/36661438/ Yehya N, Smith L, Thomas NJ, et al. Definition, Incidence, and Epidemiology of Pediatric Acute Respiratory Distress Syndrome: From the Second Pediatric Acute Lung Injury Consensus Conference. Pediatr Crit Care Med. 2023;24(12 Suppl 2):S87-S98. 18:09 https://pubmed.ncbi.nlm.nih.gov/20843245/ Papazian L, Forel JM, Gacouin A, et al. Neuromuscular blockers in early acute respiratory distress syndrome. N Engl J Med. 2010;363(12):1107-1116. 18:27 https://pubmed.ncbi.nlm.nih.gov/27779896/ Huang DT, Angus DC, Moss M, et al. Design and Rationale of the Reevaluation of Systemic Early Neuromuscular Blockade Trial for Acute Respiratory Distress Syndrome. Ann Am Thorac Soc. 2017;14(1):124-133. 19:26 https://pubmed.ncbi.nlm.nih.gov/27748627/ Doorduin J, Nollet JL, Roesthuis LH, et al. Partial Neuromuscular Blockade during Partial Ventilatory Support in Sedated Patients with High Tidal Volumes. Am J Respir Crit Care Med. 2017;195(8):1033-1042. Kneyber MCJ, O'Hara JE, Burns JP. Bedside Implementation of the PALICC-2 Guidelines. 2/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/bedside-implementation-of-the-palicc-2-guidelines-by-m-kneyber-openpediatrics.

Hosts:Pradip Kamat, Children's Healthcare of Atlanta/Emory University School of MedicineRahul Damania, Cleveland Clinic Children's HospitalCase Introduction:6-year-old patient admitted to PICU with severe pneumonia complicated by pediatric Acute Respiratory Distress Syndrome (pARDS).Presented with respiratory distress, hypoxemia, and significant respiratory acidosis.Required intubation and mechanical ventilation.Despite initial interventions, condition remained precarious with persistent hypercapnia.Physiology Concept: Dead SpaceDefined as the volume of air that does not participate in gas exchange.Consists of anatomic dead space (large airways) and physiologic dead space (alveoli).Physiologic dead space reflects ventilation-perfusion mismatch.Pathological Dead Space:Occurs due to conditions disrupting pulmonary blood flow or ventilation.Common in conditions like pulmonary embolism, severe pneumonia, or ARDS.Clinical Implications:Increased dead space fraction (DSF) in PARDS is a prognostic factor linked to severity and mortality.Elevated DSF indicates worse lung injury and inefficient gas exchange.DSF can be calculated using the formula: DSF = (PaCO2 – PetCO2) / PaCO2.Practical Management:Optimize Mechanical VentilationEnhance PerfusionConsider Positioning (e.g., prone positioning)Summary of Physiology Concepts:Bohr equation for physiologic dead space.Importance of lung-protective ventilation strategies.Monitoring and trending dead space fraction.Strategies to improve airway patency and mucociliary clearance.Connect with us!PICU Doc on Call provides concise explanations of critical concepts in pediatric intensive care.Feedback, subscriptions, and reviews are encouraged.Visit picudoconcall.org for episodes and Doc on Call infographics.

Des Lions de l'Atlas aux Éléphants de Côte d'Ivoire, en passant par les Aigles du Mali et les Guépards du Bénin, pourquoi la majorité des sélections nationales de foot en Afrique ont-elles pour emblème des animaux ? La logique a été respectée en ouverture de la Coupe d'Afrique des Nations de football : les Éléphants de Côte d'Ivoire ont battu 2 à 0 les Lycaons de Guinée-Bissau. Le lycaon, ce chien qui ressemble à une hyène, qui chasse en meute, ou en équipe, qui a d'ailleurs totalement disparu de la Guinée-Bissau (il n'en reste que quelques milliers dans toute l'Afrique), ne pouvait, sur le papier, ou la balance, faire le poids face à l'animal terrestre le plus lourd de la planète, l'éléphant.Six équipes de foot africaines sur dix ont pour emblème un animal, parce que l'Afrique abrite quelques-unes des espèces les plus charismatiques, à commencer par le lion. Trois pays se sont choisis comme emblème le roi des animaux, dans l'espoir d'être les dieux du stade : le Cameroun, et les Lions indomptables, le Maroc et les lions de l'Atlas, une sous-espèce disparue à l'état naturel, et le Sénégal, avec les Lions de la Teranga. « Par sa crinière, le lion impose la respectabilité. Il vous fait peur, souligne le journaliste Rémy N'Gono, consultant à Radio Foot Internationale. Quand les Sénégalais entrent dans un stade, ils agissent comme des lions : ils se jettent sur la proie. Ils ont faim. Ils ont envie de te dévorer ! »Des animaux puissantsLes félins, superprédateurs, se taillent d'ailleurs la part du lion. « L'animal représente souvent la puissance dans les totems. Prenez le léopard du Zaïre de Mobutu Sese Seko. Il avait décidé que ce serait et son emblème et l'emblème de l'équipe nationale », rappelle Rémy N'Gono. « Dans le choix d'un emblème, précise le sociologue du sport Patrick Mignon, il y a quelque chose qui relève de ce qu'on va penser être un consensus sur une représentation de soi ; quel est, effectivement, l'animal sur lequel on va pouvoir trouver un accord qui satisfera tout le monde. À partir de là, c'est aussi une image qu'on renvoie à l'adversaire. »La force tranquille des Zébus de Madagascar, le mordant des Scorpions de Gambie, ou la puissance des Étalons, l'animal symbole du Burkina Faso… On choisit un emblème, lié à son pays, pour ses qualités physiques. « En Afrique, il y a des animaux qui sont beaucoup respectés, mais qu'aucune équipe ne peut prendre comme nom ou comme sobriquet. Par exemple : la tortue. Tout le monde te dira en Afrique que c'est l'animal le plus intelligent. Mais le football représente un combat, donc à partir de cet instant, on cherche celui qui peut avoir la force de pouvoir gagner, pas par la ruse, mais par la détermination, l'endurance, le côté physique », explique Rémy N'Gono.La loi de la jungle sur la pelouseTrois pays ont choisi l'aigle : la Tunisie, le Nigeria et le Mali. Mais que dire alors des Hirondelles du Burundi ? L'an dernier, le Bénin a officiellement changé de nom. Les Écureuils sont devenus les Guépards. Ce qui fait sourire Rémy N'Gono : « Dans la forêt, où les fauves sont là, l'écureuil est sur des branches en train de chercher des noix de palmistes. Mais qu'est-ce que l'écureuil peut gagner ? Du coup, [les Béninois] se sont dit : nous allons devenir des guépards. Mais vous le savez très bien : l'âne a beau changer de nom, il restera toujours un âne ! ». Malgré son nouveau surnom, le Bénin ne s'est pas qualifié pour cette Coupe d'Afrique des nations. À l'avant-dernière CAN, en 2019, les Lions de la Teranga se faisaient battre en finale par les Fennecs, les renards rusés du désert algérien. La loi de la jungle n'est pas toujours respectée.À lire aussiCAN 2024: et voici l'éléphant Akwaba, mascotte de la compétition en Côte d'Ivoire

Au programme de ce vendredi 21 avril dans la tranche information de So good Radio: le Canada supprime les intérêts des prêts étudiants pour lutter contre l'inflation et la précarité; un rapport de l'ONU explique qu'érradiquer les inégalités de genre pourrait réduire la pauvreté et la faim dans le monde; et enfin, l'Afrique du Sud envoie des guépards en Inde pour réintroduire l'espèce.Et chaque jour, en plus de votre fil info feel good, retrouvez L'appel du good avec Sarah de l'association Planet Conservation, Le peigne dans l'maillot, la formule secrète pour s'endormir un peu moins con consacrée au livre Retrofutur: une autre histoire des machines à vent; et enfin, la chanson qui va bien avec Feel Good de Polo & Pan. Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

Tu veux que je te raconte l'histoire des bébés guépards nés en Inde ? Ok mais par contre moi, je ne raconte mes histoires qu'aux enfants qui se lavent les dents. Donc attrape ta brosse à dents, ton dentifrice, et tu frottes, jusqu'à ce que l'histoire soit terminée !

Lexman interviews Glenn Loury, a fellow at the Center for Advanced Study in the Behavioral Sciences, about his new book "Pard: The Life and Opinions of Paul Epstein" In the book, Loury argues that Octavian was a good emperor despite some bad conditions he put people under.

In this World Shared Practice Forum podcast, Dr. Khemani discusses the new Second Pediatric Acute Lung Injury Consensus Conference (PALICC-2) guidelines, describing important changes from the previous PALICC guidelines and highlighting topics such as non-invasive ventilation, patient self-inflicted lung injury, and strategies for monitoring the breathing of a patient who is receiving invasive mechanical ventilation. Upon listening to this presentation, learners should be able to: - Identify the differences between the old PALICC guidelines and new PALICC-2 guidelines - Define patient self-inflicted lung injury - Explain new recommendations for monitoring patients receiving invasive mechanical ventilation Publication date: February 28, 2023. Articles referenced: Emeriaud G, López-Fernández YM, Iyer NP, et al. Executive Summary of the Second International Guidelines for the Diagnosis and Management of Pediatric Acute Respiratory Distress Syndrome (PALICC-2). Pediatr Crit Care Med. 2023;24(2):143-168. doi:10.1097/PCC.0000000000003147 Khemani RG, Smith LS, Zimmerman JJ, Erickson S; Pediatric Acute Lung Injury Consensus Conference Group. Pediatric acute respiratory distress syndrome: definition, incidence, and epidemiology: proceedings from the Pediatric Acute Lung Injury Consensus Conference. Pediatr Crit Care Med. 2015;16(5 Suppl 1):S23-S40. doi:10.1097/PCC.0000000000000432 ARDS Definition Task Force, Ranieri VM, Rubenfeld GD, et al. Acute respiratory distress syndrome: the Berlin Definition. JAMA. 2012;307(23):2526-2533. doi:10.1001/jama.2012.5669 Citation: Khemani RG, Daniel D, Burns JP. Second International Guidelines for the Diagnosis and Management of PARDS. 02/2023. Online Podcast. OPENPediatrics. https://youtu.be/OeakKeoWXUk. 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

Tous les jours à 07H10, Isabelle nous donne des bonnes nouvelles !

Tous les jours à 07H10, Isabelle nous donne des bonnes nouvelles !

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:Describe the rationale supporting and “ideal” patient that may benefit from various adjunctive therapies for PARDS:Corticosteroids Neuromuscular blockadeProne positioning Inhaled nitric oxide SurfactantAcknowledgement: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

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 toDescribe the rationale supporting and “ideal” patient that may benefit from various forms of non-conventional ventilation:Neurally adjusted ventilatory assist (NAVA)High-frequency oscillatory ventilation (HFOV)High-frequency percussive ventilation (HFPV)High-frequency jet ventilation (HFJF)Airway pressure release ventilation (APRV)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

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

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:Understand the role of heated high-flow nasal cannula and non-invasive mechanical ventilation in the management of pediatric acute respiratory distress syndrome (PARDS).Recognize the potential for patient self-inflicted lung injury in PARDS.Recognize high-risk situations when non-invasive mechanical ventilation is relatively contraindicated in favor of intubation and mechanical ventilation.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

Quand le mensonge prend l'ascenseur, la vérité prend l'escalier.   Les fake news se partagent 6x plus vite que les vraies informations, et touchent au moins 10 fois plus de monde.   Blague à part, nous sommes tous faillibles et concernés, j'ai déjà republié des fakes et il y a de fortes chances que vous l'ayez déjà déjà fait, même sans le savoir.   Dans ces épisodes, nous vous parlons d'exemples magistraux de fakes liés au Vivant. Beaucoup d'entre vous seront surpris voire estomaqués de savoir qu'ils sont tombés dans le panneau ... Dans cet épisode vous apprendrez que la célèbre citation employée à toutes les sauces : "Ils ne savaient pas que c'était impossible, alors ils l'ont fait" n'est pas de Mark Twain, ni de JFK d'ailleurs et qu'on fait dire beaucoup de bullshit à certaines photos ... _______   Pour comprendre les rouages du fake, BSG / Combats a invité un des fondateurs de C'est vrai ça ? (CVC) est un collectif de simples particuliers qui luttent contre les fake news sur LinkedIn.    D'autres sites et collectifs de debunk existent en France : Eucheck.fr, Fake off, Vrai ou fake sur France Info, les décodeurs du Monde.fr, Checknews de Libération, Les Observateurs de France 24, AFP Factuel … _______   Le thème de ces épisodes est très lié aux épisodes sur La société du sans-contact avec François Saltiel : https://bit.ly/saltiel1_CBT https://bit.ly/saltiel2_CBT https://bit.ly/saltiel3_CBT https://bit.ly/saltiel4_CBT _______  

Hear the launch of a brand new light-entertainemnt show this week. How many beers will Pards and Big Sam order next? You can hear The Kickabout live on Radio X from 11am every Saturday, and if you want to take the boys Around Your Ground or introduce them to your mates in the Sunday League Of Extraordinary Gentlemen then get in touch on kickabout@radiox.co.uk

durée : 00:02:32 - La chronique d'Anthony Bellanger - par : Anthony BELLANGER - La réintroduction de guépards en Inde est une volonté ancienne des autorités indiennes. Même si pour y parvenir, il a fallu prélever des félins en Afrique.

durée : 00:02:32 - La chronique d'Anthony Bellanger - par : Anthony BELLANGER - La réintroduction de guépards en Inde est une volonté ancienne des autorités indiennes. Même si pour y parvenir, il a fallu prélever des félins en Afrique.

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.How to support PedsCrit:Please rate and review on Spotify or 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.Objectives for this series:By the end of listening to this three-part series, learners should be able to:Recall the diagnostic criteria for pediatric acute respiratory distress syndrome (PARDS). Recall many of different direct and indirect causes of PARDS.Recall the methods used to stratify the severity of PARDS.Recognize the limitations of P/F ratios and the clinical utility of instead using oxygenation index (OI).Describe the rationale and limitations of adjunctive therapies for moderate to severe PARDS.CitationsPediatric Acute Lung Injury Consensus Conference Group. Pediatric acute respiratory distress syndrome: consensus recommendations from the Pediatric Acute Lung Injury Consensus Conference. Pediatr Crit Care Med. 2015;16(5):428-439. doi:10.1097/PCC.0000000000000350 Acute Respiratory Distress syndrome Incidence and Epidemiology (PARDIE) Investigators, & Pediatric Acute Lung Injury and Sepsis Investigators (PALISI) Network (2019). Paediatric acute respiratory distress syndrome incidence and epidemiology (PARDIE): an international, observational study. The Lancet. Respiratory medicine, 7(2), 115–128. https://doi.org/10.1016/S2213-2600(18)30344-8Thank 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 updatesSupport the show

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.How to support PedsCrit:Please rate and review on Spotify or 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.Objectives for this series:By the end of listening to this three-part series, learners should be able to:Recall the diagnostic criteria for pediatric acute respiratory distress syndrome (PARDS). Recall many of different direct and indirect causes of PARDS.Recall the methods used to stratify the severity of PARDS.Recognize the limitations of P/F ratios and the clinical utility of instead using oxygenation index (OI).Describe the rationale and limitations of adjunctive therapies for moderate to severe PARDS.CitationsPediatric Acute Lung Injury Consensus Conference Group. Pediatric acute respiratory distress syndrome: consensus recommendations from the Pediatric Acute Lung Injury Consensus Conference. Pediatr Crit Care Med. 2015;16(5):428-439. doi:10.1097/PCC.0000000000000350 Acute Respiratory Distress syndrome Incidence and Epidemiology (PARDIE) Investigators, & Pediatric Acute Lung Injury and Sepsis Investigators (PALISI) Network (2019). Paediatric acute respiratory distress syndrome incidence and epidemiology (PARDIE): an international, observational study. The Lancet. Respiratory medicine, 7(2), 115–128. https://doi.org/10.1016/S2213-2600(18)30344-8Thank 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 updatesSupport the show

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.How to support PedsCrit:Please rate and review on Spotify or 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.Objectives for this series:By the end of listening to this three-part series, learners should be able to:Recall the diagnostic criteria for pediatric acute respiratory distress syndrome (PARDS). Recall many of different direct and indirect causes of PARDS.Recall the methods used to stratify the severity of PARDS.Recognize the limitations of P/F ratios and the clinical utility of instead using oxygenation index (OI).Describe the rationale and limitations of adjunctive therapies for moderate to severe PARDS.CitationsPediatric Acute Lung Injury Consensus Conference Group. Pediatric acute respiratory distress syndrome: consensus recommendations from the Pediatric Acute Lung Injury Consensus Conference. Pediatr Crit Care Med. 2015;16(5):428-439. doi:10.1097/PCC.0000000000000350 Acute Respiratory Distress syndrome Incidence and Epidemiology (PARDIE) Investigators, & Pediatric Acute Lung Injury and Sepsis Investigators (PALISI) Network (2019). Paediatric acute respiratory distress syndrome incidence and epidemiology (PARDIE): an international, observational study. The Lancet. Respiratory medicine, 7(2), 115–128. https://doi.org/10.1016/S2213-2600(18)30344-8Thank 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 updatesSupport the show

Does caring for a pediatric patient with ARDS make you feel a little dyspneic too? No reason to be nervous - in a collaboration with the PedsCrit Podcast, Dr. Nadir Yehya, CHOP, joins us to discuss the fundamentals of PARDS and his bedside approach.  In addition, Dr. Yehya includes his rationale of the strengths and weaknesses of various adjunctive therapies and provides insight into some of the “cutting edge” areas of PARDS research. We hope that you enjoy our mega episode on this core pediatric critical care topic!

Who managed Wimbledon in 1999/00? Who stole a taxi in Barcelona? Who has Mark Hughes managed? To find out all these plus much more football trivia drivel listen to this week's episode of Career We Go: The Football Trivia Podcast. Follow us on Instagram and Twitter @careerwegopod 

Everton need to calm their nerves after Burnley took a scary step closer last night - a Merseyside derby at Anfield will be just the tonic.Kate, Andy and Vish look ahead to a weekend of derbies across the land, as Chelsea take on West Ham and Man Utd will no doubt puncture any joy from the Erik ten Hag announcement by captiluating at Arsenal. All of that and loads more on today's Preview Show, sponsored by Betway!Tweet us @FootballRamble and email us here: show@footballramble.com. Plus, you can now find us on TikTok! Just search 'Football Ramble'.***Please take the time to rate and review us on Apple Podcasts or wherever you get your pods. It means a great deal to the show and will make it easier for other potential listeners to find us. Thanks!*** See acast.com/privacy for privacy and opt-out information.

Paediatric Acute Respiratory Distress Syndrome (PARDS) is one of the very difficult situations which paediatric intensivists fear. As part of the UK Paediatric Critical Care Society Hot Topics series, this PicPod episode interviews Heidi Flori, Clinical Associate Professor at the University of Michigan, and PALICC member, who was a speaker […]

Invité : Michel Goya, colonel (en retraite) de l'Armée de Terre, historien et écrivain, auteur du « Temps des guépards » (Tallandier, 2022) 4:30 L'angle et la nécessité de l'ouvrage 6:00 La facilité d'emploi des forces armées sous la Ve République 13:30 Les engagements en Afrique depuis la présidence du général de Gaulle 24:30 Les années 1980, les « soldats de la paix » au Liban et au Tchad 41:30 L'engagement au Rwanda et les ferments du désastre 49:00 La guerre du Koweït et la place de la France dans l'après-guerre froide 55:05 Le livre blanc de 1994, la réorganisation des armées et les problèmes budgétaires 1:03:30 Les années casques bleus 1:22:00 Réussites et échecs des OPEX françaises 1:34:00 Dimensionnements et investissements pour les armées françaises de demain Extraits audio : - Wyclef Jean, « Million voices », sur la BO du film « Hotel Rwanda », 2005 - Iggy Pop, « I'm Bored », 1979

Le Temps des Guépards. La guerre mondiale de la France de 1961 à nos jours. Sortie en janvier 2022 Entretien avec Michel GOYA

Dans cet épisode, nous partons en Afrique du Sud, dans la réserve d'Askari. Notre guide s'appelle Ed et connaît tout sur les guépards que nous allons observer ! Un podcast d'Ambre Gaudet avec Tristan de la Fléchère.Mis en musique et mixé par Morgane PeyrotRetrouvez tous nos podcasts sur maisondupodcast.frUnique Heritage Media / La Maison du Podcast Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

Le professeur Sapions a décidé de s'entraîner pour participer aux Jeux Olympiques grâce à l'aide de deux guépards. Et il a bien raison ! Les guépards sont des félins super-athlétiques qui sont même plus rapides que des formules 1. Nous allons tout comprendre de leurs secrets grâce à notre guide, Ed, qui nous raconte ce qu'il sait sur les guépards. See acast.com/privacy for privacy and opt-out information.

Daha önceki yazılarımda COVİD-19'un sonucu olarak özellikli yaş gruplarından “PEDİATRİK MIS-C” ve “PEDİATRİK ARDS”yi ele aldım. Bu yazımda da COVİD-19'un sebep olduğu pediatrik yaş gruplarındaki şok yönetimini ele alacağım. Şimdiden istifadeli okumalar. Pediatrik yaş gruplarında COVID-19'da kardiyak fonksiyon bozukluğu ya da ciddi sistemik inflamatuvar yanıt sendromu (SİRS) şoka neden olabilir. Şok açısından genel görünüm, bilinç değişikliği, deri rengi, periferik nabızlar, kapiller geri dolum zamanı (KDZ) (normal ≤ 2 sn), solunum sayısı, kan basıncı, idrar miktarı, serum laktat düzeyi değerlendirilmelidir.​1,2​ COVID-19 pozitif hastalarda şok bulguları varsa sekonder bakteriyel enfeksiyon olasılığı açısından uygun geniş spektrumlu antibiyotik başlanmalıdır. Antibiyotik öncesi kan kültürü alınmalı fakat antibiyotik tedavisi gecikmemelidir ​1–3​ Çocuklarda COVID-19 şok yönetimini şu şekilde sıralayabiliriz.​2​ 0-15 dk. Solunum sıkıntısı/yetmezliği, bilinç değişikliği, perfüzyon bozukluğunu tanı.Yüksek konsantrasyonda oksijen ver, monitörize et.PARDS varsa NİV/İMV düşün.İV/İO damar yolu sağlaBaşlangıç Resüsitasyon: Kristaloid solüsyon 20 ml/kg İV puşe, perfüzyon düzelene kadar devam et,40-60 ml/kg ilk 1 saatte (Akciğerde raller ve hepatomegali gelişmediği sürece), (çocuk yoğun bakım şartları yok ise 40 ml/kg)Hipoglisemi/Hipokalsemiyi düzelt.Antibiyotik başla ŞOK DÜZELMİYOR15-60 dk. Sıvıya Dirençli Şok: İV/İO inotrop başla. Tercihen;Adrenalin veya Noradrenalin düşün (0.05-0.3 ugr/kg/dk.)Adrenalin/Noradrenalin temin edilemiyor ise Dopamin başla.Olabiliyorsa ultrason kullanarak santral venöz kateter tak.Entübe değil ise entübasyon düşün (Sedasyon için İV/İO/İM atropin-ketamin) >60 dk. Katekolamin Dirençli Şok: Sıvı ve İnotrop/Vazopresöre yanıtsız hastada hidrokortizon başlanabilir.İleri monitörizasyon ve Doppler USG ile sıvı, inotrop, vazopresör ve vazodilatör tedavileri düzenle.Hedef: ScvO2 > % 70, CI: 3,5-5,5 L/dk./m Dekompanse şok bulguları devam ediyor ise: Santral venöz basınç (SVB) < 8 mmHg ise sıvı vermeyi düşün, ScvO2< % 70 ve laktat artışı devam ediyor ise dolaşım desteğine devam et, Adrenalin/Noradrenalin/Dopamin dozunu titre et.CI düşük ise Dobutamin/Milrinon/Levosimendan eklemeyi düşün.Kalp fonksiyonları normalse; Noradrenalin, Terlipressin, Adrenalin dozunu titre et. ŞOK DÜZELMİYOR *Israrlı katekolamin dirençli şok: Pnömotoraks, kalp tamponadı, İntraabdominal hipertansiyon (>12 mmHg) varlığını değerlendir, varsa düzelt*Refrakter Şok: VA ECMO Genel Yaklaşım Çocuk acil veya yoğun bakım şartları yeterli ise şoku olan çocuklarda ilk bir saatte 40-60 mL/kg İV (her dozda 10-20 mL/kg) sıvı bolusu verilmelidir. Her 10-20 ml/kg İV sıvı sonrası kalp hızı, kan basıncı, KDZ, karaciğer büyüklüğü, akciğer sesleri, idrar çıkışı değerlendirilmelidir. Çocuk yoğun bakım şartları olmayan yerlerde ve kan basıncı normalse sıvı bolusu verilmemelidir. Çocuk yoğun bakım şartları yok ve hipotansiyon varsa 40 mL/kg > 1 saatten fazla sürede İV sıvı verilmelidir. Sıvı olarak %0.09 NaCl, Ringer Laktat, Hartman, Isolayte-S solusyonu gibi kristaloidler kullanılmalıdır. Albumin rutin kullanılmamalıdır. Sentetik kolloidler ve jelatin kullanılmamalıdır. Yatak başında soğuk/sıcak şok ayırımı yapılmasına gerek yoktur.​2,3​ İleri hemodinamik monitörizasyon yöntemleri olarak kalp debisi (CO), kardiyak indeks (CI), sistemik vasküler direnç (SVR) ve ScvO2 ölçümü önerilmektedir. Hastaların laktat takibi önemlidir. Laktatın başlangıçtaki seviyesinden daha cok laktat düzeyindeki artış veya azalma hastanın iyiye ya da kötüye gidişinin göstergesidir.​1–3​ Takip önerileri Sıvıya yanıt vermeyen şok tablosunda inotrop kullanılmalıdır. Burada ilk ilaç olarak adrenalin veya noradrenalin kullanılabilir. Adrenalin ve/veya noradrenalin sağlanamıyorsa dopamin kullanılabilir. Adrenalin ve noradrenalin kullanımında klinisyenin tercihi, hastayla ilgili faktörler ve ilacın sağlanabilmesi belirleyicidir.

Merhabalar acilci.net ailesi. Uzun bir birlikteliğin kısa başlangıçları olmalı. Ben de kısa bir giriş ile sizlerle uzun bir yolculuğa çıkmayı düşünüyorum. Bu bölümde farklı klinik tablolar ile prezente olabilen kritik COVID-19 çocuk hastalarda ARDS takip ve tedavisini güncel literatür bilgileri ışığında derlemeyi planladım. Giriş COVID-19 erken döneminde pediatrik vakaların daha az olduğu algısı mevcut iken ilerleyen dönemde özellikle varyantların artmasıyla literatüre sunulan vaka serilerindeki artışla birlikte çocukların da erişkinler kadar SARS-CoV2 ile enfekte olabildikleri tespit edilmiştir.​1​ New York şehrindeki 9 çocuk yoğun bakım ünitesine yatan 70 çocuk hastayı değerlendiren bir başka çalışmada hastaların %17’sinde ciddi sepsis, %30’unde pediatrik ARDS (PARDS), %20’sinde inotrop ihtiyacı, %12,9’unde akut renal hasar gelişmiş ve 2 hastada mortalite bildirilmiştir. ​2​ Önce İngiltere ve İtalya sonrasında pek çok ülkede 2020 yılının sonlarına doğru çocuklarda COVID-19 ilişkili PARDS geliştiği bildirilmiştir. COVID-19 ilişkili septik şok, akut akciğer hasarı, invazif olmayan ve invazif mekanik ventilasyon gereksinimi, ekstrakorporeal solunum ve / veya dolaşım desteği ihtiyacı, akut renal hasar, MIS-C(Multisistem İnflamatuar Sendrom) , Kawasaki hastalığı gibi kritik çocuk hastaların çocuk yoğun bakım ünitesinde takip ve tedavisi gerekmektedir. COVID-19 ile ilişkili PARDS COVID19’a bağlı PARDS yönetiminde Pediatric Acute Lung Injury Consensus Conference (PALICC) önerileri geçerlidir. Hastalarda solunum yetmezliğinin boyutuna göre değişik düzeylerde oksijen ihtiyacı olmaktadır. New York’dan bildirilen çok merkezli bir çalışmada çocuk yoğun bakıma kabul edilen hastaların %70’inde oksijen desteğine gerek duyulmuş, bunların %20’sine NİMV, %28,6’sına İMV uygulandığı bildirilmiştir. Oksijen tercihen rezervuarlı oksijen maskesi ile uygulanmalıdır. Eğer rezervuarlı oksijen maskesi yetersiz kalırsa seçilmiş hipoksemik solunum yetmezliği olgularında yüksek akımlı nazal oksijen tedavisi (HFOV) ve MİMV desteği uygulanabilir. Ancak bu noninvaziv yöntemler uygulanırken diğer hastalarda olduğu gibi normal prosedür uygulanmalı gecikmiş entübasyondan kaçınılmalıdır. Tablo 1. İnvaziv mekanik ventilasyondaki COVID19 PARDS hastaları için öneriler​3​ Ventilatör ayarlarıTidal Volüm-5-7 mL/kg, akciğer kompliyansı azalmışsa daha düşük tidal volüm hedefleyin.PEEP ve FiO2-PEEP/FiO2’yi ağır PARDS için %88-92, orta PARDS için %92-96 oksijen saturasyonu sağlayacak şekilde titre edin.Driving Pressure≤ 15 cm H2OPplato 7.20Kas gevşeticiEğer PaO2/FiO2

Mile's House Radio is back! Every Sunday at 10 am a new episode will be on online. Hit the follow button if you don't want to miss out on future episodes. Mile's House Spotify playlist: http://spoti.fi/2vcly4K Tracklist: 1) Ellie Sax - Don't Lie To Me 2) Matoma - The Bender (with Brando) 3) Midsplit, BREM, A-SHO - Good Dream 4) Lost Found - So Into You [UNRELEASED] 5) DirtyLoud - Running Back [UNRELEASED] 6) AVAION - Pieces (LOVRA Remix) 7) Antoine Simar - Be Alright 8) Dua Lipa - Levitating (feat. DaBaby) (Don Diablo Remix) 9) Niiko x SWAE - Friends (eSQUIRE Late Night Remix) [UNRELEASED] Eye-Opener: 10) Tinlicker, Helstoot, Hero Baldwin - Tell Me 11) Chris River, Pards, Sarey Savy - Games 12) Bhaskar, Kohen - For You (feat. Bel Marcondes) 13) Michael Prado, Vandelux - NEW DAY 14) DLMT - Restart 15) Jozels, Jon Hazel - Uplifted 16) Going Deeper, Trove - Long Way Home (EMBERS Remix) Deepest Grooviest Track: 17) Malone Still Alive [UNRELEASED]

Football fans: welcome back to your happy place! Alan Pardew: welcome to the army!Jules, Jim and Luke are here to celebrate the scheduled return of (some) football fans to stadiums and the prospect of some normality. It was certainly back to normality for Burnley last night, as they ground out a win in a 1-0 classic, while the 80s detectives derby saw Theo Walcott bag a goal for Southampton.Elsewhere, a 9-year-old applies for the Derby job yet is somehow still more qualified than Pards, and Neil Warnock has been headhunted for I’m A Celebrity. Please make it happen. Join us!Search ‘Football Ramble’ on social media to find us, and email us here: show@footballramble.com.***Please take the time to rate and review us on Apple Podcasts or wherever you get your pods. It means a great deal to the show and will make it easier for other potential listeners to find us. Thanks!*** See acast.com/privacy for privacy and opt-out information.

Leipzig are looking to do the double over Paris Saint-Germain. Along with defeat at Monaco on Friday, are PSG set for Thursday night football?Erling Haaland scores 4 – is he going to another level? Was his performance against Hertha Berlin striking perfection? And who's the 16-year-old challenging him for the headlines?A Zlatan inspired Milan stay top but their star man could be out for a while. It's a make or break week for Real Madrid and Inter in the Champions League. Is it Atletico's year in La Liga? Plus Pardew's on his way to Bulgaria.RUNNING ORDER:  • PART 1: Headlines around Europe (02m 00s)• PART 2a: PSG v Leipzig preview (06m 30s) • PART 2b Barcelona's struggles continue (14m 30s)• PART 3a: Haaland and Moukoko dominate Dortmund headlines (22m 00s) • PART 3b: Lazio latest on Covid cases (33m 00s)• PART 4: Lille v MIlan preview (36m 30s)• PART 5a: Real Madrid v Inter preview (43m 30s)• PART 5b: Group C & D preview (50m 00s) • PART 6: Pards to Sofia & the German inquest into the 6-0 (55m 00s)   SIGN UP TO THE ATHLETIC FOR £1 A WEEK:• theathletic.com/totally GET IN TOUCH:• follow us on Instagram• find us on Facebook• send us a tweet: @TheTotallyShow PARISH NOTICES:• we're sponsored by Paddy Power - home of the Money Back Special READ STUFF ON OUR WEBSITE:• check out thetotallyfootballshow.com. Hosted on Acast. See acast.com/privacy for more information.

Leipzig are looking to do the double over Paris Saint-Germain. Along with defeat at Monaco on Friday, are PSG set for Thursday night football? Erling Haaland scores 4 – is he going to another level? Was his performance against Hertha Berlin striking perfection? And who’s the 16-year-old challenging him for the headlines? A Zlatan inspired Milan stay top but their star man could be out for a while. It’s a make or break week for Real Madrid and Inter in the Champions League. Is it Atletico’s year in La Liga? Plus Pardew’s on his way to Bulgaria. RUNNING ORDER:    • PART 1: Headlines around Europe (02m 00s) • PART 2a: PSG v Leipzig preview (06m 30s)  • PART 2b Barcelona’s struggles continue (14m 30s) • PART 3a: Haaland and Moukoko dominate Dortmund headlines (22m 00s)  • PART 3b: Lazio latest on Covid cases (33m 00s) • PART 4: Lille v MIlan preview (36m 30s) • PART 5a: Real Madrid v Inter preview (43m 30s) • PART 5b: Group C & D preview (50m 00s)  • PART 6: Pards to Sofia & the German inquest into the 6-0 (55m 00s)     SIGN UP TO THE ATHLETIC FOR £1 A WEEK: • theathletic.com/totally   GET IN TOUCH: • follow us on Instagram • find us on Facebook • send us a tweet: @TheTotallyShow   PARISH NOTICES: • we’re sponsored by Paddy Power - home of the Money Back Special   READ STUFF ON OUR WEBSITE: • check out thetotallyfootballshow.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Episode 30 This week, Mr. Ainsworth and Mr. Cummings give out their Gold Stars and Detentions, and then jump into the most important sports story of the week as they discuss the impact that the attempted murder of Jacob Blake has had on sports. From the NBA to the MLB and, even the response of Bruce Arians to protesting- it is all here as the teachers go all in on this thesis statement.

Tous les matins à 09H10, Glandu répond aux questions que personne ne se pose !

Tous les matins à 09H10, Glandu répond aux questions que personne ne se pose !

Tous les matins à 09H10, Glandu répond aux questions que personne ne se pose !

Erling Haaland scores 3 on his Dortmund debut, but it’s Timo Werner who’s the top scorer in the Bundesliga. 16 year-old Rayan Cherki scores twice and assists twice for Lyon while Ciro Immobile chases down the Serie A scoring record. Plus we bring you the attempted murder mystery involving the former Leeds defender and the former Sheffield Wednesday striker. RUNNING ORDER:    • PART 1: Headlines from around Europe (01m 00s) • PART 2: The Bundesliga’s back with Haaland and Werner hitting high numbers (03m 30s) • PART 3: La Liga latest– Setien settles in at Barca & an attempted murder mystery (16m 00s) • PART 4: Serie A update – Lazio soar while Napoli suffer (29m 30s) • PART 5a: Eredivisie – a winning start for Pards (45m 00s) • PART 5b: Ligue 1 round-up – Cherki on the rise & Cavani on the move (47m 30s) • PART 6: The odds with Lee Price from Paddy Power (56m 00s) • PART 7: Your questions (58m 00s)   GET IN TOUCH: • follow us on Instagram (https://www.instagram.com/totallyfootballshow/) • find us on Facebook (https://www.facebook.com/thetotallyfootballshow/) • send us a tweet: @TheTotallyShow (http://www.twitter.com/thetotallyshow)   PARISH NOTICES: • we’re sponsored by Paddy Power - home of the Money Back Special (http://www.paddypower.com/)   WE’VE GOT A NEW WEBSITE! • check out thetotallyfootballshow.com (http://thetotallyfootballshow.com/) !

Time for a new episode of The Ramble, fresh out of the oven! We begin with the inevitable chat about VAR in City’s game against Spurs, but also take the time to acknowledge Kevin De Bruyne and Érik Lamela looking back to their imperious best as well as Pep's wild gesticulating.Elsewhere, we try and unravel that dismal Newcastle performance at Norwich as Teemu Pukki grabbed a glorious hat-trick. And Marcus tells us about his trip to the Emirates with Camerman Sam to watch Dani Ceballos and David Luiz have a lovely old time.Oh, and with no apology, we get a glimpse into the mind of a horny Alan Pardew. It's just the service we aim to provide.Get in touch via email at: show@footballrambledaily.com or search 'Football Ramble Daily' on social media.***Please take the time to rate and review us on Apple Podcasts or wherever you get your pods. It means a great deal to the show and will make it easier for other potential listeners to find us. Thanks!*** See acast.com/privacy for privacy and opt-out information.

Alan Pardew, celebrity coins, Steve Bruce and a bit of Sid James. Oh, and an exclusive interview with Sam’s son Len. See acast.com/privacy for privacy and opt-out information.

En Indonésie,un site recense les vidéos témoignant des violences subies par les Papous, notamment de la part de l'armée indonésienne. Dans le Golfe, la nouvelle mode est de frimer avec son guépard domestique sur Instagram... En Tunisie, une initiative de reboisement rare.

Jönsson tar över spakarna när Syk har påsklov och vad kan då passa bätte än att slå en sista spik i Pardews kista. Dessutom såklarten hel del om matcherna som avgör striden om topp fyra. See acast.com/privacy for privacy and opt-out information.

Happy Easter you lot! We drag ourselves to the studio even on a Bank Holiday to bring you news of Alan Pardew’s departure from West Brom, David Wagner’s relaxed attitude towards the relegation battle and Man City preparing their championship champagne. Elsewhere there’s some ‘instinctual’ reactions from Marko Arnautovic, some unsurprising contractual stipulations from Ronaldinho and, of course, the gift that keeps on Kevin. Search ‘Football Ramble’ on social media to find us, and email us here: show@thefootballramble.com***Please take the time to rate and review us on iTunes or wherever you get your pods. It means a great deal to the show and will make it easier for other potential listeners to find us. Thanks!***Further reading:Pochettino is changing the mentality at Spurs:https://www.independent.co.uk/sport/football/premier-league/tottenham-news-mauricio-pochettino-chelsea-things-we-learned-eriksen-alli-goals-miguel-delaney-a8284751.htmlMarko Arnautovic has no sympathy for Mark Hughes:http://www.skysports.com/football/news/11685/11313663/west-hams-marko-arnautovic-has-no-sympathy-for-former-boss-mark-hughesZlatan makes an instant impact:https://www.theguardian.com/football/2018/apr/02/los-angeles-derby-lafc-la-galaxy-mls-zlatan-ibrahimovic-soccer See acast.com/privacy for privacy and opt-out information.

It was a stunning week for the English sides in the Champions League, with goals and guts galore. Caroline Barker, David Preece, Julien Laurens and Jame Horncastle review all of those games - and an entirely expected stumble by PSG in Madrid - and lookahead to the return of the FA Cup. All of that, and…. RUNNING ORDER: • PART 1a: Spurs fight back at Juventus; a year too many for Buffon?; Dembélé runs the show - again (02m 00s) • PART 1b: Liverpool put 5 past Porto; Van Dijk’s calmness spreads (10m 00s) • PART 2a: City brush Basel aside; why are the English sides doing so well? (16m 00s) • PART 2b: PSG falter again as Real take control; Areola’s hard hands; a fair and balanced view on Unai Emery (19m 30s) • PART 3: FA Cup 5th round previews: Sheff W v Swansea; Brighton v Coventry; the Hard Hands scale; au revoir Julien (28m 50s) • PART 4a: More FA Cup: Leicester v Sheff U; Huddersfield v Man U; (38m 20s) • PART 4b: Golazzo teaser (43m 30s) • PART 4c: [David Preece’s FA Cup nightmare](https://www.youtube.com/watch?v=PrZhgBwwZK0) (45m 40s) • PART 5a: Rochdale host Spurs (47m 30s) • PART 5b: Wigan on the rise, West Brom’s race for the bottom (50m 00s) • PART 6: Paddy Power’s Movers and Shakers (55m 00s) • PART 7: Adios (57m 10s) [](https://www.youtube.com/watch?v=PrZhgBwwZK0) LIVE NEWS: • we’re live at **Vicar Street in Dublin on Monday 19 March**. Jimbo will be joined by James Horncastle, Julien Laurens and Pat Nevin - who’ll also be doing an exclusive DJ set. [Get your tickets now!](http://www.ticketmaster.ie/The-Totally-Football-Show-Live-tickets/artist/5242479?tm_link=artist_artistvenue_module) PARISH NOTICES: • join [**Paddy Power’s Rewards Club**](http://www.paddypower.com/) • get your shave on with our friends [**Cornerstone**, who are giving you £10 off your first order](https://www.cornerstone.co.uk/totally) GET IN TOUCH: • find us on **Facebook**, where we're having a quiz every Friday at 1230 GMT • send us a [tweet: **@TheTotallyShow**](http://www.twitter.com/thetotallyshow)

Folge 299: Wenn beim pimpern des Gépards im Stau auf dem Weg zur legendären Spliss-Con die Bremsen versagen, während der feudale Memtest in der Fritzbox Plätzchen backt und der Honk im Ghetto der Alaburg auf dem Lesepulti einschläft

This week Jim's grin is audible following Arsenal's win over Chelsea, FIFA fix an age old problem and Pards dramatically arrests a slide. Elsewhere, a welcome return from an old friend. Find us online at thefootballramble.com, @footballramble on Twitter and facebook.com/footballramble on Facebook. See acast.com/privacy for privacy and opt-out information.

This week David Luiz makes his second Chelsea debut as Liverpool visit Stamford Bridge, European heavyweights Leicester host Burnley and Pards and Mark Hughes prepare for a grump off as Palace host Stoke. Elsewhere Spurs get ready for what Sunderland have got and Arsenal visit potential banana skin Hull. Visit us at thefootballramble.com, follow us on Twitter @footballramble and like us on Facebook at facebook.com/footballramble. This show is sponsored by bet365. See acast.com/privacy for privacy and opt-out information.

In this episode Nick talks Buckaroo Bonzai review shooting, his new shelf, and lack of lamps. Derek and Steven give a tell-all about the show they tried to shoot last weekend and their miserable failure. The above plus Nick vaguely remembers Star Trek, Derek sexes a turtle, Leo Pards, bumper stickers, and more!

Pards is back on top and when Pards is happy the Ramble is happy. Mostly. Elsewhere Leicester ramp it up, Rafa comes home to pick up some goals he left behind and Nivea make a mess at the San Siro. Find us online at thefootballramble.com, @footballramble on Twitter and facebook.com/footballramble on Facebook. Run if you have to. See acast.com/privacy for privacy and opt-out information.

The Manchester derby is upon us, promising a nervous game of wits. The Tyne-Wear derby is also upon us, promising whatever the opposite of that is. Pards tries not to be too good a host as Crystal Palace welcome Leicester and Chelsea try to halt West Ham's impressive gurn up the league. Gertcha. Visit us on that internet at thefootballramble.com, follow us on Twitter @footballramble and like us on Facebook at facebook.com/footballramble. This show is sponsored by Bet365. See acast.com/privacy for privacy and opt-out information.

Dave gets ready for his trip to Old Trafford, Richie's backing United, Adrian nominates Pards for Manager of the Year and a Spanish cameo from Nathan.

An unofficial foray into El Diego’s dark corners kicks off this week’s episode of the Football Ramble, and before Luke, Pete and Jim can recover from Marcus’s Pele related bedroom fantasy, Ronald Cow-man has wrangled three points from Manchester United, Pards has beaten Poch and Vincent Tan’s mum has become involved. Download, subscribe, follow us on Twitter @FootballRamble, facebook.com/footballramble, Instagram: thefootballramble & visit thefootballramble.com. 'Haunting'. See acast.com/privacy for privacy and opt-out information.

This week Martin and host Joe discuss the midweek Champion's League fixtures, and all the news from last weekend Premier League. They also scat on Pards in a big way, and it's major amuse bro. See acast.com/privacy for privacy and opt-out information.

Greg Johnson and James Dutton are joined by Jonny Singer to talk Champions League, the top four trap door, Alan "Pards" Pardew and Scotland's all-time XI.