Archive

Tag: COPD

RENOVATE Trial: HFNC vs BPAP in Acute Respiratory Failure

With high flows, modest PEEP, and effective dead-space washout, HFNC can improve oxygenation and decrease work of breathing while preserving the ability to talk, cough, eat, and interact with staff and family. The RENOVATE trial set out to answer a ...

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ResuscitationThoracic and Respiratory

REBEL Core Cast 148.0–Demystifying Non-Invasive Ventilation & HiFlow

Non-invasive ventilation (NIV) refers to respiratory support provided without endotracheal intubation. The most common modalities include continuous positive airway pressure (CPAP), bilevel positive airway pressure (BiPAP), and high-flow nasal cannula (HFNC). These therapies aim to improve oxygenation, reduce the work ...

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Thoracic and Respiratory

Antibiotics in COPD Exacerbations – 2 days vs 7 days

Background: Acute exacerbations of chronic obstructive pulmonary disease (AECOPD) are commonly seen in the ED. AECOPD is characterized by a change in the patient’s baseline dyspnea, cough or sputum purulence. While there are a number of causes for exacerbations, infectious ...

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Thoracic and Respiratory

Does CRP Help Reduce Antibiotic Prescriptions in Acute COPD Exacerbations?

Background: Unwarranted use of antibiotics has several deleterious effects which include, antimicrobial resistance, wasted resources, adverse effects, negative affect on the microbiome of patients, and distracts from potentially more effective interventions. There has recently been a huge push for tests such ...

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Infectious DiseaseThoracic and Respiratory

REBEL Core Cast 3.0 – Asthma, COPD + PNA

Take Home Points Single dose oral dexamethasone is an excellent choice for asthma exacerbations. It takes away the compliance issue for patients who have trouble getting medications or filling medications once they leave the ED. Antibiotics aren’t always indicated in ...

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Thoracic and Respiratory

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