Archive

Author: Frank Lodeserto MD

High Flow Nasal Cannula (HFNC) – Part 1: How It Works

The use of heated and humidified high flow nasal cannula (HFNC) has become increasingly popular in the treatment of patients with acute respiratory failure through all age groups.  I first started using it as a pediatric intensive care fellow, but ...

Read More
Thoracic and Respiratory

The Approach To The Most Common Cardiac Dysrhythmia: 8 Causes of Sinus Tachycardia

Have you ever heard an entire lecture on sinus tachycardia? Neither have I. It is the most common cardiac dysrhythmia seen in critically ill adults and kids, but it is the least frequently talked about. Sinus tachycardia may not be ...

Read More
Cardiovascular

Pediatric DKA: Do Fluids Really Matter?

Background: The most feared complication in the clinical course of children with diabetic ketoacidosis (DKA) is the development of cerebral edema. Cerebral edema is rare (<1%) but is the leading cause of death in pediatric DKA. Many of the details ...

Read More
Pediatrics

Simplifying Mechanical Ventilation – Part 5: Refractory Hypoxemia & APRV

Refractory Hypoxemia: Now maybe you have intubated a patient secondary to hypoxemic respiratory failure who is at high risk for the development of acute respiratory distress syndrome (ARDS). These patients, and really all patients, with exception of severe obstructive disease, I ...

Read More
Thoracic and Respiratory

Simplifying Mechanical Ventilation – Part 4: Obstructive Physiology

Obstructive Physiology: Setting up the ventilator for a patient with severe obstructive physiology like asthma or COPD is almost a completely opposite strategy compared to the patient with severe metabolic acidosis. They both have problems with ventilation (removal of carbon dioxide), ...

Read More
Thoracic and Respiratory

Sponsored