Tag: pulmonary

Concise Critical Appraisal: Early Sedation Using Dexmedetomidine in Critically Ill Patients
Shehabi et al (N Engl J Med. 2019;380:2506-2517) set out to examine the effects of using dexmedetomidine as the primary agent for early sedation among patients receiving ventilatory support and found that the dexmedetomidine group had a higher risk of adverse events and needed additional sedatives to achieve sedation goals.

pulmonary

For patients who fail to adequately oxygenate with less invasive methods, what are your triggers for starting mechanical ventilation? What would you want the non-ICU clinician to know before going down that path? When do you decide to intubate someone?
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on December 9, 2020.

Coronavirus, COVID-19, Intubation, pulmonary

My Patient Won't Wean. Acute Neuromuscular Respiratory Failure: Multiprofessional Neurology, Pulmonary, and Nursing Perspectives
This is a presentation from the 47th Critical Care Congress on weaning. 

Congress, Neurology, Nursing, On Demand, pulmonary

Concise Critical Appraisal: Effect of Low Versus Intermediate Tidal Volume Strategy
Simonis et al (JAMA. 2018;320;1872-1880) set out to evaluate the effect of an LTVV strategy versus an intermediate tidal volume ventilation strategy in intensive care unit patients without ARDS.

Education, Pulmonary

What is a general go-to ventilator setting? Once you have intubated the patient, how would you recommend that the clinician set up the ventilator for a hypoxemic patient with evolving ARDS?
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on December 9, 2020.

ARDS, Coronavirus, COVID-19, Intubation, pulmonary

Physiology-Guided CPR: Optimizing Outcomes from Prehospital to Discharge
This is a presentation from the 47th Critical Care Congress on Physiology-Guided CPR.

Congress, On Demand, pulmonary

Concise Critical Appraisal: The Efficacy of ECMO for Severe ARDS
Combes et al (N Engl J Med. 2018;378:1965-1975) set out to determine whether the use of ECMO reduced mortality in patients with ARDS when defined by one of three criteria: P/F ratio < 50 mm Hg for > 3 hours, P/F ratio < 80 mm Hg for > 6 hours, or pH < 7.25 coupled with Paco2 ≥ 60 mm Hg for > 6 hours (with respiratory rate < 35 beats/min and plateau pressure ≤ 32 cm H2O). 

pulmonary, research

SCCM Pod-401 Enteral Nutrition in the Critically Ill
Michael Smith, MD, and Jayshil Patel, MD, discuss the factors associated with managing malnutrition in the critical ill utilizing enteral nutrition and the stages of critical care illness and how it effects nutrition assessment.

Malnutrition, Nutrition, Pulmonary

SCCM Pod-403 Sepsis: The Hour-1 Bundle, the Future of Research, and More
Margaret M. Parker, MD, MCCM, and Mitchell M. Levy, MD, MCCM discuss the Hour-1 Bundle, the controversies of the Surviving Sepsis Campaign, and the future of sepsis.

Pulmonary, Research, Sepsis

SCCM Pod-425 Outcomes in Cystic Fibrosis PICU Admissions
Cystic fibrosis patient care has advanced greatly in recent years and the mortality rate has improved. Explore  PICU mortality and the factors associated with death among critically ill children with cystic fibrosis in this iCritical Care podcast.

care, critical, cystic, fibrosis, intensive, medicine, outcomes, pediatric, pediatrics, pulmonary, respiration, units