An intensivist on a learning frenzy. Caring for the critically ill using evidence-based medicine.
This topic is very dear to me because I am a huuuuuuuge proponent for appropriate end of life care. I'm an Intensivist after all and people unfortunately die on my service. We all are going to have our day. My goal with the patients I take care of is to make their passing to the …
Continue reading Do Not Resuscitate (DNR) does NOT mean you can’t use high flow.
A few days ago I discussed how the resuscitator, BVM, aka "the ambu" could provide extremely high volumes, up to 1600cc if you get every last cc of O2 out of there, and therefore cause harm to your patient. A new buddy of mine via instagram, Matt, sent me a link to this article discussing this …
Continue reading Pediatric BVM/resuscitator bags in adults? Could this possibly work?
The article I'm referencing in this post is titled: An Index Combining Respiratory Rate and Oxygenation to Predict Outcome of Nasal High-Flow Therapy. It was published in the American Journal of Respiratory and Critical Care Medicine in June of 2019. We see this every day in the intensive care unit. A patient with pneumonia sucking wind. Tachypenic. Slightly …
Continue reading High Flow Nasal Cannula: Does my patient need to be intubated?
I originally posted this article on 6/21/19 while preparing my NIV/BiPAP lecture. During that process, I learned and shared on IG about using a helmet rather than a mask for NIV (non-invasive ventilation). Looking at the footage that has been coming out of Italy and other parts of the world, you can catch a glimpse …
High-Flow Oxygen through Nasal Cannula in Acute Hypoxemic Respiratory Failure (FLORALI Trial) I first shared this article in June of 2019 on Instagram when my account had a mere 2500 followers. Since then the amount of followers to my account have skyrocketed and I could not have done it without the help of each and …
Continue reading High-Flow Nasal Cannula in Respiratory Failure: FLORALI Trial
