Pulmonology

Respiratory Failure

Questions discussed in this category

What factors do you consider while selecting high risk patients for prophylactic NIV after planned extubation?

1 Answer available

Does your approach to extubating obese patients differ from your approach in non-obese patients?

1 Answer available

Do you increase sedation or consider the use of neuromuscular blockade to prevent potential self-induced lung injury in patients with high respiratory drive?

2 Answers available

Do you discontinue proning due to a perceived lack of response to intervention in a patient with ARDS?

2 Answers available

What strategies do you employ to prevent post-intubation hypotension in a profoundly hypoxic patient given a paralytic for intubation?

1 Answer available

What is your approach to PEEP titration in the management of a morbidly obese patient with ARDS?

1 Answer available

Do you routinely use inhaled pulmonary vasodilators in the management of patients with ARDS with refractory hypoxemia?

1 Answer available

Do you start steroid therapy in a patient with pure ARDS without septic shock, or would you only consider steroids only in those with severe community acquired pneumonia?

To help interpret clinical applications of the CAPE COD (2023) and DEXA ARDS (2020) trials.

2 Answers available

What is your perspective on the role of respiratory therapists in managing a patient who is dyssynchronous on their current mode of mechanical ventilation?

Do your respiratory therapists independently adjust ventilator settings without direct physician involvement?

2 Answers available

Do you use prednisone in the management of patients with persistent respiratory symptoms following acute COVID-19 infection?

4 Answers available

What steroid regimen do you use in patients with both septic shock and ARDS?

Do you use hydrocortisone 200 mg/day as studied in ADRENAL/APROCCHSS or dexamethasone 20 mg/day as studied in DEXA-ARDS?

2 Answers available

What are your preferred ventilatory settings/mode(s) for patients with acute hypoxic respiratory failure presenting with severe biventricular dysfunction in cardiogenic shock?

1 Answer available

Do you employ the use of external chest compression with sandbags in the management of patients with severe ARDS who are not candidates for proning?

1 Answer available

Papers discussed in this category

Crit Care, 2021 Jul 28

Improving lung compliance by external compression of the chest wall.

JAMA, 2005-10-05

Evaluation study of congestive heart failure and pulmonary artery catheterization effectiveness: the ESCAPE trial.

Trials, 2016 Jul 22

Evaluating the efficacy of dexamethasone in the treatment of patients with persistent acute respiratory distress syndrome: study protocol for a randomized controlled trial.

N Engl J Med, 2023 Mar 21

Hydrocortisone in Severe Community-Acquired Pneumonia.

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