An intensivist on a learning frenzy. Caring for the critically ill using evidence-based medicine.
Many questions on how to extubate these patients. There's no right answer yet. I've read of a high reintubation rate for these patients and cardiac arrest after extubation we need to be prepared for that. This is a living, breathing document. I would like to make changes as you all point out things that I have missed. Let's attempt …
Continue reading COVID-19 Extubation Protocol (in the works)
I am a huge fan of proning patients who are in ARDS. At one point or another I'll cover the data behind proning like the PROSEVA trial (no time today or until at least June). There are a variety of ways to prone patients which reflect the disposable income of the facilities where you work …
Continue reading Prone Positioning for ARDS: A Guide on How to Do It.
There has been quite a bit of variation regarding pressure support trials, spontaneous breathing trials, liberation trials, whatever you want to call it. I recently looked at the data for my academic curiosity and would like your input as to how you do it at your shop. I’d like to apologize in advance if I …
Continue reading Spontaneous Breathing Trials: How Does Your Shop Handle This?
