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PedsCrit

Cardiopulmonary Interactions with Dr. Bradley Fuhrman -- Part 1

Sep 4, 2023
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.
34:28

Episode guests

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Quick takeaways

  • The interactions between positive pressure ventilation and spontaneous breathing have significant implications for the management of critically ill patients.
  • In septic patients and those with respiratory distress, cardiopulmonary interactions are further complicated, requiring careful management to prevent cardiac arrest and optimize patient outcomes.

Deep dives

Importance of Cardiopulmonary Interactions in Patient Resuscitation

Understanding the interactions between the cardiovascular and respiratory systems is crucial during patient resuscitation. When resuscitating a patient, the circulation and breathing are closely connected, influencing each other. Positive pressure ventilation, such as during intubation, leads to increased intrathoracic pressure, which can impede venous return to the heart but support left ventricular ejection. Spontaneous breathing, on the other hand, promotes venous return but opposes left ventricular ejection. These interactions play a significant role in the management of critically ill patients.

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