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Tag: pulmonary

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SCCM Pod-159 Continuous Capnography and the Difficult Airway

The Fourth National Audit Project of the Royal College of Anaesthetists and Difficult Airway Society was designed to identify and study serious airway complications occurring during anaesthesia in the intensive care unit and emergency department. The group recently published its results in the British Journal of Anesthesia and lead author Tim M. Cook, FRCA, discusses the findings.

SCCM Pod-216 PCCM: Critical Pertussis Illness in Children

Margaret Parker, MD, FCCM, speaks with John T. Berger, MD, FCCM, about his article “Critical Pertussis Illness in Children, A Multicenter Prospective Cohort Study” which was published in the May 2013 Pediatric Critical Care Medicine.

SCCM Pod-273 Basic Critical Care Echocardiography by Pulmonary Fellows

Todd Fraser, MD, speaks with Kay Choong See, MRCP, about the article, “Basic Critical Care Echocardiography by Pulmonary Fellows: Learning Trajectory and Prognostic Impact Using a Minimally Resourced Training Model*,” published in the October 2014 issue of Critical Care Medicine.

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.

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.

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.

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.

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).