ICU Physiology in 1,000 Words: ARDS – Part 2

Jon-Emile S. Kenny [@heart_lung] As mentioned in part 1, Gattinoni and Quintel have outlined their approach to managing the acute respiratory distress syndrome [ARDS] [1].  They argue that treatment of ARDS should minimize firstly, the mechanical power applied to the lungs – as described in part 1.  Secondly, Gattinoni and Quintel note that, in the [... read more]

The post ICU Physiology in 1,000 Words: ARDS – Part 2 appeared first on PulmCCM.

Corticosteroids for Community-Acquired Pneumonia

A 66 year old man presents to the emergency department with sudden-onset fevers, chills, and scant hemoptysis.  He is hypoxemic, tachypneic and noted to have egophony with focal crackles and wheezing across his right, anterior chest.  Further, he is found to be in acute kidney injury and his chest x-ray reveals a bulging fissure sign [... read more]

The post Corticosteroids for Community-Acquired Pneumonia appeared first on PulmCCM.

ICU Physiology in 1,000 Words: ARDS – Part 1

Jon-Emile S. Kenny [@heart_lung] “Often, as new knowledge progresses, old knowledge is abandoned or forgotten.” -Luciano Gattinoni In a succinct and current treatise, Gattinoni and Quintel outline the modern management of the acute respiratory distress syndrome [ARDS] [1].  It is imperative, they reason, that treatment of ARDS minimizes firstly, the mechanical power applied to the [... read more]

The post ICU Physiology in 1,000 Words: ARDS – Part 1 appeared first on PulmCCM.

The Physiologically Difficult Airway – Part 2

In part 2, I continue the summary of this excellent review; part 1 may be found here.  In this post I will consider patients with severe metabolic acidosis and those with right ventricular [RV] dysfunction and/or failure. Severe Metabolic Acidosis In patients with severe metabolic acidosis, alveolar ventilation tends to be maximal as a compensatory [... read more]

The post The Physiologically Difficult Airway – Part 2 appeared first on PulmCCM.