ATS Breathe Easy At The Bedside: Episode 4 – Bronchopleural Fistula Management in Positive Pressure Ventilation
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Sep 12, 2023 The podcast discusses the management of bronchopleural fistulas in positive pressure ventilation, emphasizing the importance of treating the patient rather than just the image. Various strategies such as water sealing, tube placement, and pleuridesis agents are discussed. Surgical options are considered as a last resort due to associated risks.
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Career Path Into Interventional Pulmonology
- Dr. Argento discovered interventional pulmonology during fellowship after working with a new interventional pulmonologist at Yale.
- He completed IP training and held roles at Duke, Emory, Northwestern, and Johns Hopkins.
Understand The Three-Chamber Drainage System
- The chest drainage system has three parts: a fluid collection chamber, a water-seal chamber, and a suction regulation chamber.
- Learn where to attach wall suction and use the air-leak meter to grade bubbling.
Air Leak Grading (1–4)
- Grade air leaks from 1 (forced exhalation) to 4 (continuous) by observing bubbling during respiratory phases.
- Continuous leaks are the largest and usually take the longest to resolve.