Critical Care Scenarios

Matt Siuba, an intensivist at the Cleveland Clinic and a master of zentensivism, dives deep into the critical assessment of the right heart using echocardiography. He discusses the dynamics of the right ventricle and its interplay with the left ventricle, especially during patient shock. Listeners will learn about innovative non-invasive techniques to evaluate right heart function and the significance of pulmonary artery dynamics in cases of pulmonary hypertension. Siuba emphasizes the need for systematic assessments to enhance patient management in critical care.

We explore the fascinating world of artificial intelligence and its role in medicine, with Nawar Shara (@NawarShara), PhD, Chief of Research Data Science at Medstar Health Research Institute and cofounding director of the AI Collab between Medstar and Georgetown. Check out the Intensive Care Academy here! Find us on Patreon here! Buy your merch here!

We share our grand new project, the Intensive Care Academy, an online, video-based, subscriber-only educational platform. Check it out at icu101.com!

Rory Spiegel, an emergency physician and intensivist at MedStar Washington Hospital Center, dives deep into the world of Airway Pressure Release Ventilation (APRV). He discusses the practicalities of APRV through a case study of a patient with respiratory distress, highlighting its advantages over conventional methods. Listeners learn about crucial settings, spontaneous breathing's role, and how to tailor ventilation to individual needs. Spiegel also addresses the implications of lung injuries and hypotension, advocating for APRV's benefits in critical care scenarios.

We learn about the training, role, and benefits of hospital chaplains, with Christine V. Davies, MDiv, MSW, Director of Chaplaincy at Robert Wood Johnson University Hospital. Find us on Patreon here! Buy your merch here!

We discuss the field of rehabilitation psychology, and how it can help patients with persistent critical illness, with Dr. Megan Hosey (@DrMeganHoseyPhD), clinical psychologist and assistant professor at Johns Hopkins School of Medicine, where she practices in the medical ICU. Find us on Patreon here! Buy your merch here! Takeaway lessons Resources

We explore the profession of respiratory therapy in the US, including their role and training and how to optimize our clinical relationships, with Keith Lamb (@kdlamb1), RRT, RRT-ACCS, FAARC, FCCM. Keith is an RT at the University of Virginia in Charlottesville, working clinically in neuro/surgical/trauma critical care, who has been active in research and has … Continue reading "Lightning rounds 41: Respiratory therapy with Keith Lamb"

Exploring the balance between familiarity and pushing boundaries in clinical practice, stepping out of comfort zone for growth. Emphasizing the significance of thorough preparation and knowledge acquisition before medical procedures. Stressing active learning and structured preparation for safe experiences.

Ben Fabry, a biophysics professor, discusses automatic tube compensation in modern ventilators. They cover ATC's role in reducing patient breathing effort, comparing it to CPAP, and addressing airway resistance. The podcast explores pressure-controlled ventilation, calculating tracheal pressure, and optimizing tube compensation for patients on breathing trials. They also touch on negative airway pressure risks, using ATC in pressure-targeted modes, and challenges in implementing ATC across different ventilator devices.

Brandon summarizes his recent publication describing best practices for performing POCUS. Read the paper open access at POCUS Journal. Find us on Patreon here! Buy your merch here!