DIPSHIS in the ICU: An emerging phenomenon?

From Status Iatrogenicus by Scott Aberegg, M.D., M.P.H. This would be a very informative case report (and it's true and unexaggerated), but I anticipate staunch editorial resistance (even sans puns), so I'll describe it here and have some fun with it. Background:  The author has anecdotally observed for many years that so-called "septic shock" follows [... read more]

The post DIPSHIS in the ICU: An emerging phenomenon? appeared first on PulmCCM.

ICU Physiology in 1000 Words: Venous Excess & the Myth of Venous Return

Jon-Emile S. Kenny MD [@heart_lung] In the last few weeks I have been contacted by curious clinical physiologists craving my conceptions of ‘venous excess’ [1].  These words will address this model, concisely and – I pray – clearly. The Myth of Venous Return The roots of venous excess took hold within the fertile soil of [... read more]

The post ICU Physiology in 1000 Words: Venous Excess & the Myth of Venous Return appeared first on PulmCCM.

FDA approves new phrenic nerve stimulator for central sleep apnea

The US Food and Drug Administration (FDA) approved an implanted phrenic nerve-stimulator device as a new treatment for moderate-to-severe central sleep apnea (CSA). The remedē System (Respicardia) consists of a pacemaker-like battery pack that’s surgically implanted in the upper chest beneath the skin. Wires electrically stimulate the phrenic nerve as it travels from the neck [... read more]

The post FDA approves new phrenic nerve stimulator for central sleep apnea appeared first on PulmCCM.