“… it is a tale. Told by an idiot, full of sound and fury, signifying nothing.” Macbeth: Act V, Scene V The results of the ATACH II trial are out; we have even more guidance when managing the blood pressure of hypertensive patients with supratentorial, intra-cerebral hemorrhage of less than 60 cm3 in volume. The question: [... read more]
The post Blood Pressure Goals in Intracerebral Hemorrhage – ATACH II appeared first on PulmCCM.
Jon-Emile S. Kenny [@heart_lung] While parts 1 and 2 of this trilogy considered the mechanical power applied to the lung skeleton and the effects of lung inhomogeneity [i.e. ‘stress raisers’], respectively; this final installment will draw the reader towards the pulmonary vasculature as a key mediator of ventilator induced lung injury [VILI]. That the pulmonary [... read more]
The post ICU Physiology in 1,000 Words: ARDS – Part 3 appeared first on PulmCCM.
Have you submitted your abstract to the 2016 Pittsburgh – Munich International Lung Conference? Concurrent submissions are accepted! Use the abstracts you have submitted this spring for other national/international conferences (i.e. ATS) for a chance to further showcase your work. Click on the links below to begin. The 2016 Pittsburgh - Munich International Lung Conference [... read more]
The post Call for Abstracts: Pittsburgh-Munich International Lung Conference appeared first on PulmCCM.
How might you answer this oral board examination question? Describe the systemic effect on pH following 2 litres infusion of each of the following solutions: A. normal saline with a pH of 7.0 B. normal saline with a pH of 5.6 C. normal saline with a pH of 4.6. Pick up a bag of [... read more]
The post The Acidity of Normal Saline and the Stewart Approach appeared first on PulmCCM.
The Journal of Intensive Care has newly published a series of sepsis-related organ dysfunction reviews. Additionally, a comprehensive yet concise overview of the cerebral circulation was just disseminated. This summary draws on both of these terrific primary resources as a point-of-departure for discussion of sepsis-associated delirium [SAD]. Cerebral blood flow [CBF] ultimately depends on 1. the [... read more]
The post The Cerebral Circulation and Sepsis-Associated Delirium appeared first on PulmCCM.