CONTENTS Gastroenterology Inflammatory bowel disease Cirrhosis Hepatopulmonary syndrome Hepatic hydrothorax ➡️ Spontaneous bacterial pleuritis ➡️ Portopulmonary hypertension ➡️ Pancreas-related pleural effusions ➡️ Hematology TRALI (transfusion-related acute lung injury) Complications after hematopoietic stem cell transplantation Sickle cell disease Acute chest crisis ➡️ Pulmonary hypertension ➡️ Leukostasis due to leukemia ➡️ Questions & discussion abbreviations used in […]
Search Results for: airway
PulmCrit – Correlation confounded by timing: One reason we believe bad therapies are awesome
example 1: anti-emetics Let’s get started with a RCT comparing droperidol versus ondansetron for the treatment of nausea in the emergency department. Meek et. al randomized 144 nauseated patients to receive either droperidol or ondansetron.1 The rates of symptom improvement were indistinguishable (75% vs 80%). So, you might conclude that these drugs are equally efficacious. […]
EMCrit Wee – The Philosophy of APRV – TCAV with Nader Habashi
A zentensivist discussion of ventilator management
Thoracic Radiology – Cavitary lesions
CONTENTS Definition of cavitation & mimics ➡️ Causes Radiological clues Location Number of lesions Wall thickness & irregularity Tree-in-bud opacities Halo sign Meniscus sign (aka air-crescent sign) Cheerios sign Questions & discussion abbreviations used in the pulmonary section: AE-ILD: Acute exacerbation of ILD 📖 AIP: Acute interstitial pneumonia (Hamman-Rich syndrome) 📖 ANA: Antinuclear antibody 📖 […]
Drug induced-lung disease
CONTENTS Preamble – Limitations on the data Medications Antibiotics Daptomycin ➡️ Minocycline Nitrofurantoin Cardiovascular Amiodarone Checkpoint inhibitors ➡️ Immunosuppressives: Methotrexate mTOR inhibitors (e.g., sirolimus) Substance use: Sympathomimetics (cocaine, amphetamines) Crack lung Cannabinoids Opioids Noncardiogenic pulmonary edema Intravenous administration of tablets (talc) ➡️ Questions & discussion abbreviations used in the pulmonary section: 8 ABPA: Allergic bronchopulmonary […]
The Complexity of Simple – Bringing Order to Complex Systems by Chris Hicks
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Additional References for Podcast 104
Griesdale D. Etomidate for intubation of patients who have sepsis or septic shock-where do we go from here? Critical Care [Internet] 2012;Available from: http://ccforum.com/content/16/6/189/abstract Heffner AC, Swords D, Kline JA, Jones AE. The frequency and significance of postintubation hypotension during emergency airway management. Journal of critical care [Internet] 2012;27(4):417.e9-13. Available from: http://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=22033053&retmode=ref&cmd=prlinks Dewhirst E, Frazier […]
Pneumothorax and bronchopleural fistula (BPF)
CONTENTS Definitions & classifications Symptoms Signs Radiology: POCUS for diagnosis and monitoring Chest radiograph Signs of pneumothorax Size determination CT scan Causes of pneumothorax Management of various situations: Primary spontaneous pneumothorax Secondary spontaneous pneumothorax Indications for pleurodesis Management of persistent air leak Traumatic pneumothorax (including iatrogenic) Tension pneumothorax Oxygen to encourage nitrogen reabsorption? Pigtail versus […]
Thoracic Radiology – Nodular patterns
CONTENTS Classification of multinodular patterns, based on size: Macronodular Micronodular Classification of nodules based on distribution: Sorting out the pattern of micronodules Centrilobular Centrilobular nonbranching micronodules Ill-defined centrilobular nodules Well defined nodules Centrilobular branching (tree-in-bud) Perilymphatic nodules Random nodules (including miliary pattern) Related topics Cluster of small nodules Galaxy sign Cluster sign Nodular reverse halo […]
Pulmonary amyloidosis
CONTENTS Amyloidosis basics Interstitial lung disease Tracheobronchial amyloidois Parenchymal nodular amyloidomas Other pulmonary manifestations Amyloid pleural effusion ➡️ Questions & discussion abbreviations used in the pulmonary section: 8 ABPA: Allergic bronchopulmonary aspergillosis 📖 AE-ILD: Acute exacerbation of ILD 📖 AEP: Acute eosinophilic pneumonia 📖 AFB: Acid-fast bacilli AIP: Acute interstitial pneumonia (Hamman-Rich syndrome) 📖 ANA: […]
When to wean the CPAP in SCAPE
A listener asks how to wean CPAP when a SCAPE patient is getting better.
EMCrit Wee – Intubating the Patient with Massive Hemoptysis
Hemoptysis redux
EMCrit Guest Post – Drawing Circles for Bougie Hangup by Neil Dasgupta
A new technique to deal with bougie hold-up
PulmCrit Wee: MDCalc for the perfect tape-measure intubation
Imagine you went to buy an expensive piece of clothing. Rather than measuring your size, the store owner simply said “well, on average most folks require a medium, so let’s try that on, we can always re-size it later.” You would be irritated that they were wasting your time. When you go clothes shopping, you […]
The tale of six blind physicians and the elephant
. An elderly man was admitted to the ICU and evaluated by six blind physicians. . The blind cardiologist noted that the patient had a malignant pericardial effusion with tamponade. She recommended an immediate pericardial drain followed by intra-pericardial chemotherapy. . The blind oncologist noted that the patient had stage IV lung cancer. He recommended […]
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