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Medical Category: Infectious Disease

COVID-19 Hypoxemia: A Better and Still Safe Way

I have been thinking a lot about patients with COVID-19 and the pulmonary pattern that they develop.  This disease process has been categorized like ARDS, but the reality is it is not like “typical” ARDS.  Lung compliance is often normal …

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Infectious DiseaseResuscitation

Surviving Sepsis Campaign Guidelines on the Management of Critically Ill Adults with COVID-19

Background: The Surviving Sepsis Campaign published their recommendations for the management of patients with COVID-19 on March 20th, 2020 (though as of the date of this blog post, the document has not been peer reviewed).  36 experts from 12 countries …

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Infectious Disease

Lopinavir-Ritonavir in Hospitalized Patients with Severe COVID-19

Background: Since the introduction of SARS-CoV-2 to the world in December 2019, there have been no medications approved or proven effective for the treatment of this pandemic. Lopinavir is an HIV protease inhibitor that is combined with Ritonavir to increase …

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Infectious Disease

COVID-19: A Powerful Message from Italy

On Feb 21st, a patient by the name of Aldo, a 72-year-old male, came to our ED with fever and progressive dyspnea. In addition, his chest x-ray showed an interstitial pattern. It was on this day that COVID19 had arrived …

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Infectious Disease

REBEL Cast Ep 76: The 65 Trial – Shooting for a Lower MAP in Older Patients with Sepsis?

Background: Vasopressors are often used to improve hypotension and perfusion in an effort to decrease mortality of patients with septic shock. Mean arterial pressure (MAP) of >65mmHg has typically been used to guide vasopressor therapy in most patients and higher …

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Infectious DiseaseResuscitation

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