In this episode, episode 40, I go over the basics of Vent modes and settings in the operating room and how they differ from the ICU. I also discuss a few common special cases and how to adjust the vent to deal with them.
CME: https://earnc.me/LPbeCp
Outline by April Liu: Episode 40
In this episode, episode 36, I welcome Dr. Deb Schwengel, one of our pediatric anesthesiologists and our residency program director, to the show to discuss the differences in anatomy and physiology in pediatric versus adult patients.
CME: https://earnc.me/BfBc4g
Outline by April Liu: Outline
In this episode, number 35, I welcome Dr. David Feller-Kopman to the show. Dr. Feller-Kopman is an associate professor of medicine and Otolaryngology and the director of Bronchoscopy and Interventional Pulmonology here at Johns Hopkins. I interview him about pleural effusions including what they are, where they come from, how to categorize them, how to treat them and how to deal with them if they recur.
CME: https://earnc.me/aQSyFi
The NEJM article on the use of TPA and DNAse is here: http://www.nejm.org/doi/full/10.1056/NEJMoa1012740#t=abstract
In this episode I am joined once again by Dr. Scott Stephens as we review advanced ventilator modes, prone positioning, and ventilation of patients on VV ECMO.
CME: https://earnc.me/GCVOTe
Outline by April Liu: Outline
The fantastic review article I mentioned is: Mireles-Cabodevila E. Et al. Alternative Modes of mechanical ventilation: A review for the hospitalist. Cleveland Clinic Journal of Medicine. 2009(75);7:417-430.
Pubmed link here
In this episode I welcome Dr. Scott Stephens, Pulmonary Critical Care Physician at Johns Hopkins to the show. Dr. Stephens and I discuss basic ventilator settings, how to appropriately ventilate patients with hypoxemic vs. hypercarbic respiratory failure and how to think about weaning patients off of the ventilator.
CME: https://cmefy.com/moment?id=K8lsklY
Outline by Brian Park: Outline
In this episode I discuss hyperoxia and review the evidence in regards to the damage it can cause in patients with a wide variety of illnesses.
CME: https://cmefy.com/moment?id=t4l2-JC
Slides to accompany the episode can be found here: hyperoxia slides
This is the second and final episode dealing with the management of respiratory diseases. In the first episode I covered the initial evaluation and preop preparation. In this episode I cover intraoperative management, post-operative management, special issues related to one lung ventilation and special issues related to total pneumonectomy.
CME: https://cmefy.com/moment?id=25jRxL5
Slides to go along with the episode can be downloaded here: Management of Respiratory Diseases part 2 slides
This is the first of a two part series of episodes on the management of patients with respiratory disease. In this, part 1, I cover the preoperative evaluation, history and physical exam, and the preoperative planning and optimization of the patient. This includes the key board topics of smoking cessation and cardiac risk assessment.
CME: https://cmefy.com/moment?id=nH8vxYC
Here are the slides that go along with this episode: Management of Respiratory Diseases slides part 1
In this episode I review restrictive lung disease. This is meant to be a companion episode to Episode 4 which covered obstructive lung disease.
CME: https://cmefy.com/moment?id=39_hgzN
I cover the following topics:
-Definition and diagnosis of restrictive lung disease
-Spirometry
-Extra-pulmonary causes (neurologic, musculoskeletal, pleural/mediastinal)
-Parenchymal causes
-Infant RDS
-ARDS
-Pulmonary Fibrosis
The accompanying slides can be downloaded here: Restrictive Lung Disease slides
Remember to join the mailing list by clicking on the link at the top right on the website. You can leave comments on the website or email accrac@accrac.com or accracpodcast@gmail.com.
In this episode I mention the new ACCRAC mailing list which you can sign up for with the link right below the show description on the website accrac.libsyn.com. You can also post comments on the website and email questions to accrac@accrac.com or accracpodcast@gmail.com. I also highlight Rob MacSweeney’s fantastic critical care site called criticalcarereviews.com and his newsletter which you can subscribe to on his site. The weekly newsletter includes the week’s top trials and papers in critical care.
CME: https://cmefy.com/moment?id=j8C2-wW
The rest of the episode is a high yield board review of the ABA topic of obstructive lung disease. I cover the following topics:
#Upper airway obstruction including extra thoracic and intra thoracic obstruction
#Flow volume loops and how to interpret them
#Lower airway and parenchymal obstruction including
#COPD
#Asthma
#Cystic Fibrosis and bronchiectasis
#Mediastinal masses
The slides to go along with this episode can be downloaded here: Obstructive_Lung_Disease_slides
And the article that I mentioned about full helmet Bipap can be found here:
