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Search Results for: airway
Pulmonary complications from malignancy and its treatments
CONTENTS Approach to pulmonary dysfunction in a patient with cancer Specific disorders Parenchymal lung metastases Leukostasis Pulmonary leukemic infiltrates Airway metastases Malignant pleural effusion (MPE) ➡️ Lymphangitic carcinomatosis Pulmonary tumor emboli Pulmonary tumor thrombotic microangiopathy (PTTM) Pulmonary tumor macroemboli ➡️ Benign metastasizing leiomyoma (BML) Iatrogenic: Radiation pneumonitis Checkpoint inhibitor pneumonitis Other topics: Pulmonary complications from […]
Nontuberculous mycobacteria (NTM)
CONTENTS Basics Epidemiology Clinical manifestations Fibrocavitary disease Nodular bronchiectatic disease (Lady Windermere syndrome) NTM in cystic fibrosis NTM in non-CF (cystic fibrosis) bronchiectasis Disseminated Mycobacterium avium complex (MAC) Hypersensitivity pneumonitis due to NTM Diagnosis Significance of positive culture Relative pathogenicity of different species Diagnostic criteria Decision to treat Treatment Treatment overview Antibiotic regimens for various […]
Video for Podcast 43 – Inserting the Air-Q
Here is a video to go along with podcast 43 on the insertion and use of the Air-Q intubating laryngeal airway
Lymphoproliferative diseases
CONTENTS Pulmonary lymphoid neoplasms MALT lymphoma PP-DLBCL (Primary pulmonary diffuse large B-cell lymphoma) Lymphomatoid granulomatosis Pulmonary involvement from systemic lymphoma PTLD (posttransplant lymphoproliferative disorder) IgG4-related lung disease Pleural involvement ➡️ Benign hyperplastic disorders Follicular bronchiolitis (aka BALT hyperplasia) ➡️ GLILD (Granulomatous and lymphocytic interstitial pneumonia) ➡️ Questions & discussion abbreviations used in the pulmonary section: […]
Chronic obstructive pulmonary disease (COPD)
CONTENTS Definitions Epidemiology & risk factors Symptoms Clinical examination Laboratory evaluation PFTs in COPD Radiology: Hyperinflation on radiography Centrilobular emphysema Paraseptal emphysema Panlobular (panacinar) emphysema Chronic bronchitis Bronchiectasis-COPD overlap syndrome (BCOS) ➡️ Diagnosis of COPD Differential diagnosis Differentiation of asthma vs. COPD Disorders causing emphysema (without tobacco exposure) Management Integrated approach to COPD therapies (Inhalation […]
Unanswered Crucial Critical Care and Resuscitation Questions
How long after thrombolytics should we still give reversal agents? How does hypovolemia/hypervolemia affect lab values? Why does albumin & Hb/HCT change, but sodium doesn’t seem to? — Critical Care Questions (If anyone knows the attribution of this list, please write me) Explain the mechanics of dependent lung consolidation in ARDS as seen on CT […]
PulmCrit- APRV: Resurrection of the open-lung strategy?
APRV is often used in surgical ICUs, but not medical ICUs. APRV may be viewed as a “new” technique by medical intensivists, whereas it’s been used for decades in surgical ICUs with great results. A fresh RCT may help resolve this.
PulmCrit blogitorial: Why I don’t believe the AMIKINHAL trial
Some folks on twitter asked my thoughts on AMIKINHAL trial, so I thought I’d jot them here. AMIKINHAL is a multi-center RCT that evaluated the ability of inhaled amikacin to prevent VAP (ventilator-associated pneumonia) among patients who had been intubated for three days. It’s available here at NEJM. It was a positive trial, which is […]
Lung abscess
CONTENTS Basics Common causes: Epidemiology & clinical presentation Laboratory investigations Radiology Differential diagnosis Bronchoscopy Treatment Antibiotics Antibiotics for anaerobic abscess due to aspiration Antibiotics for other types of lung abscess Drainage Treatment failure Related: Echinococcosis Questions & discussion abbreviations used in the pulmonary section: 3 ABPA: Allergic bronchopulmonary aspergillosis 📖 AE-ILD: Acute exacerbation of ILD […]
EMCrit 342 – More Cardiac Arrest Mastery with PO Berve – Pre-Tidal CO2
More cardiac arrest mastery with the sonorambler
EMCrit 363 – Retrograde Intubation
Retrograde, in 2023 is basically a backwards way of doing things…
Proposal: Early ventilator weaning to HFNC in hypoxemic respiratory failure
. Case example . A previously healthy 45-year-old man was transferred to the Genius General Hospital ICU for management of pneumonia. He was intubated prior to transfer due to hypoxemia (details unavailable). His chest radiograph showed dense right lower lobe consolidation, which was confirmed with ultrasonography. He was treated with a regimen of dexamethasone, […]
Asthma
CONTENTS Rapid Reference 🚀 Non-intubated asthmatic 🚀 Intubated asthmatic 🚀 Initial evaluation Asthma exacerbation diagnosis Risk stratification Non-intubated patients Inhaled bronchodilators Systemic bronchodilators Noninvasive ventilation (BiPAP) Sedation strategies Dexmedetomidine IV haloperidol/droperidol Benzodiazepines Opioids Ketamine Unable to tolerate BiPAP: Heliox vs. HFNC Steroid Other medications Evaluation & goals Beware of asthma treatment pseudofailure Intubation Indications for […]
NeuroEMCrit – Clinical Pearls for Coma
Clinical pearls on the exam and differential of coma patients
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