Dr. Bradley Fuhrman, a pediatrician and specialist in cardiology and neonatology, discusses clinically relevant cardiopulmonary interactions. Topics covered include cardiopulmonary dynamics, septic shock, fluid status assessment in pediatric patients, and the use of passive leg raise as a diagnostic tool.
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question_answer ANECDOTE
Pediatrician's Path
Dr. Bradley Fuhrman initially wanted to be a pediatrician to "play with kids".
He found himself treating very sick children who didn't want balloons and lollipops.
question_answer ANECDOTE
Mentorship and Training
Dr. Fuhrman's mentor, Russell Lucas, supported his unique training path.
This path combined cardiology and neonatology to prepare for pediatric critical care.
volunteer_activism ADVICE
Career Advice
Follow your own career path in medicine.
Adapt and change direction as needed; life accommodates various career shifts.
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Bradley Fuhrman, MD completed his training in pediatrics followed by fellowships in cardiology and neonatology at the University of Minnesota where he went on to found the first PICU and serve as the Chief of critical care at that institution. He has also served as the associate director of the PICU at Children’s Hospital of Pittsburgh, Division Chief of Critical Care at Children’s Hospital Buffalo and Physician-in-Chief at El Paso Children’s Hospital. His career in pediatric critical care exceeds 40 years. He has many peer-reviewed publications with a research career that is focused in cardiac and respiratory physiology. He is also the co-author of Fuhrman and Zimmerman’s Pediatric Critical Care.
Learning Objectives:
By the end of listening to this 2-part series, learners should be able to discuss clinically relevant cardiopulmonary interactions and a fundamental clinical approach to optimizing cardiopulmonary mechanics in patients with:
Spontaneous (negative pressure) respirations with severe work of breathing
Septic shock
Mechanical (positive pressure) ventilation
Pulmonary hypertension with right ventricular systolic dysfunction
Left ventricular systolic dysfunction
Right ventricular diastolic dysfunction
Single ventricle Fontan circulation
References:
Bronicki RA, Penny DJ, Anas NG, Fuhrman B. Cardiopulmonary Interactions. Pediatr Crit Care Med. 2016 Aug;17(8 Suppl 1):S182-93. doi: 10.1097/PCC.0000000000000829. PMID: 27490598.
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