Archive

Medical Category: Thoracic and Respiratory

Helmet CPAP vs Venturi Mask in Severe Acute Hypoxemic Respiratory Failure due to Pneumonia

Background: Although Helmet CPAP is not something commonly used in the US, I think its nice to know what other potential options there are to help patients in the midst of a COVID-19 pandemic. Hypoxemic acute respiratory failure (hARF) is a ...

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Thoracic and Respiratory

REBEL Crit Cast Ep 4.0: Lung Protective Mechanical Ventilation

Goals of lung protective mechanical ventilation: Minimizing harm during mechanical ventilation with a lung-protective strategy with: Low tidal volume (TV) Limit plateau pressure to <30mmHg Optimal positive end expiratory pressure (PEEP) set to decrease driving pressure

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Thoracic and Respiratory

COVID-19 NIV: Helmet vs Mask

Background: Over the past few weeks there has been a shift in the management of critically ill COVID-19 patients.  Many seem to have moved away from an intubate early strategy to the use of high flow nasal cannula (HFNC) and ...

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Thoracic and Respiratory

COVID-19: Home O2 Protocol

Needs Assessment: As the COVID19 pandemic continues to mount, hospitals will rapidly reach maximal capacity. As a result, patients are boarding longer in the ED and, new patients are waiting longer to be seen. This dynamic poses numerous threats to ...

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Thoracic and Respiratory

COVID-19: Awake Proning

Background: Awake proning, or having patients lie on their stomachs, can help oxygenation by helping to recruit posterior portions of the lungs and by helping with perfusion to oxygenated lung segments. The literature around proning centers on intubated patients with ...

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Infectious DiseaseThoracic and Respiratory

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