Critical Care Time 48. Interventional Pulmonary In The ICU with Dr. Joshua Boster, MD
8 snips
May 5, 2025 Dr. Joshua Boster, an active duty pulmonary critical care physician and interventional pulmonary fellow, dives into life-saving interventional techniques in the ICU. He discusses managing malignant airway obstructions and highlights the importance of lung stents. Listeners hear about the complexities of airway management and the value of hope in treating critically ill cancer patients. With insights on pleural disease management and the critical role of collaboration, Boster equips medical professionals with innovative techniques to improve patient care.
AI Snips
Chapters
Transcript
Episode notes
Safe Intubation with Airway Stents
- Intubate patients with airway stents cautiously and ideally with fiber optic visualization.
- If fiber optic intubation isn't possible, use a supraglottic airway for oxygenation and assessment.
Therapeutic Bronchoscopy Benefits
- Therapeutic bronchoscopy for central airway obstruction often improves outcomes despite severe respiratory failure.
- Up to 70 to 90% of intubated patients can be extubated after tumor debulking procedures.
Percutaneous Tracheostomy Advantages
- Prefer percutaneous tracheostomy for ICU patients when anatomy allows to reduce infection and procedural delays.
- Reserve surgical tracheostomy for difficult anatomy or special cases.