Is HFNC noninferior to NIV for Acute Respiratory Failure?

Critical Care Perspectives in Emergency Medicine

Critical Care Perspectives in Emergency Medicine

Player FM - Internet Radio Done Right

44 subscribers

Hozzáadva hat éve

A tartalmat a Critical Care Perspectives in Emergency Medicine biztosítja. Az összes podcast-tartalmat, beleértve az epizódokat, grafikákat és podcast-leírásokat, közvetlenül a Critical Care Perspectives in Emergency Medicine vagy a podcast platform partnere tölti fel és biztosítja. Ha úgy gondolja, hogy valaki az Ön engedélye nélkül használja fel a szerzői joggal védett művét, kövesse az itt leírt folyamatot https://hu.player.fm/legal.

The Vanished

1
Lost on Route 66: The Disappearance of Diana Hayes 6:47

6 weeks6:47

Lejátszás később

Listák

Tetszik

Kedvelt

6:47

Was she the victim of foul play, an accident, or did she choose to disappear? In this episode of The Vanished, we retrace Diana’s last known movements, strange witness accounts, and the lingering mystery that has never been solved or.. was never meant to be solved.

körülbelül egy éve 31:44

MP3•Epizód kép

Both NIV and HFNC are used to treat patients with acute respiratory failure. Current guidelines recommend NIV for acute respiratory failure caused by COPD and acute cardiogenic pulmonary edema. However, NIV may be hard for some patients to tolerate. When compared to low-flow oxygen therapy, HFNC has been shown to improve oxygenation, improve alveolar recruitment, and enhance clearance of secretions. HFNC may be easier to use and tolerate than NIV, but there remains uncertainty regarding the effectiveness of HFNC compared to NIV for acute hypoxemic respiratory failure. In this podcast, we discuss the RENOVATE trial that sought to compare HFNC with NIV on rates of intubation in patients with acute respiratory failure.

98 epizódok

#Medicine #Fitness #Podcasting Education #Critical Care Perspectives In Emergency Medicine #On Covid19

Critical Care Perspectives in Emergency Medicine

Is HFNC noninferior to NIV for Acute Respiratory Failure?

Critical Care Perspectives in Emergency Medicine

44 subscribers

published körülbelül egy éve

Megosztás

MP3•Epizód kép

98 epizódok

#Medicine #Fitness #Podcasting Education #Critical Care Perspectives In Emergency Medicine #On Covid19

Minden epizód

Critical Care Perspectives in Emergency Medicine

1
IV or IO Vascular Access for OHCA? 26:09

14 napja26:09

26:09

Nearly 4 million patients sustain out-of-hospital cardiac arrest (OHCA) worldwide each year. International guidelines for the resuscitation of patients with OHCA recommend early administration of epinephrine in those with an initial nonshockable rhythm. Both intravenous (IV) and intraosseous (IO) access are routinely attempted to gain vascular access to administer medications. While IV access is recommended, this is based on very low certainty evidence. In this podcast, we discuss three recently published randomized trials that investigated IO and IV access in patients with OHCA.…

Critical Care Perspectives in Emergency Medicine

1
Is HFNC noninferior to NIV for Acute Respiratory Failure? 31:44

6 weeks31:44

31:44

Critical Care Perspectives in Emergency Medicine

1
High-Intensity NIPPV for Acute COPD Exacerbations? 25:46

14 weeks25:46

25:46

NIPPV is frequently used in the management of critically ill patients presenting with an acute COPD exacerbation, as NIPPV decreases the rates of intubation and is associated with lower in-hospital mortality. Typically, "low" intensity NIPPV, whereby inspiratory positive airway pressures less than 18 cm H2O are used. More recently, the use of "high" intensity NIPPV, with IPAPs between 20-30 cm H2O, has been shown to improve gas exchange, ventilatory function, and improve arterial PCO2 values. In this podcast, we review the HAPPEN Trial, which compared low intensity to high intensity NIPPV on the need for intubation in patients with an acute COPD exacerbation and hypercapnia.…

Critical Care Perspectives in Emergency Medicine

1
Naloxone for OHCA? 22:22

18 weeks22:22

22:22

The incidence of opioid-associated out-of-hospital cardiac arrests continues to rise. Current guidelines for the resuscitation of patients with OHCA advise the clinician to consider the administration of naloxone of patients with suspected opioid-associated OHCA. In this podcast, we review a recenlty published study in JAMA that evaluated the association of naloxone with patient outcomes in opioid-associated OHCAs.…

Critical Care Perspectives in Emergency Medicine

1
Continuous or Intermittent B-Lactam Infusions for Sepsis? 29:51

24 weeks29:51

29:51

Timely administration of broad-spectrum antibiotics is a critical pillar in the resuscitation of patients with sepsis. B-lactam antibiotics are an important class of antibiotics commonly administered to patients with sepsis. Typically, B-lactam antibiotics are administered over 30 minutes, but optimal bactericidal activity requires the concentration of free drug to be above the MIC of the organism for 40-70% of the dosing interval. In this podcast we discuss two recent publications that compare continuous infusions of B-lactam antibiotics with intermittent effusions in patients with sepsis.…

Critical Care Perspectives in Emergency Medicine

1
What Oxygenation Strategy Should We Use for COVID-19 Patients? 20:23

32 weeks20:23

20:23

Patients with COVID-19 can require supplemental oxygen for acute hypoxemic respiratory failure. While international guidelines recommend a target SpO2 between 90-96%, a safe oxygenation strategy has not been identified. In this podcast, we discuss the recently published HOT-COVID Trial, which compared a lower oxygenation strategy with a higher oxygenation strategy in adult ICU patients with COVID-19.…

Critical Care Perspectives in Emergency Medicine

1
Should We Use NIPPV for Preoxygenation for All Intubations? 26:28

35 weeks26:28

26:28

Over 1 million critically ill patients are intubated each year in the US. Hypoxemia occurs in up to 20% of patients and can lead to peri-intubation cardiovascular collapse and cardiac arrest. As such, adequate and appropriate preoxygenation is critical in increasing the safe apnea time and decreasing the risk of hypoxemia. At present, the majority of patients receive preoxygenation through a non-rebreather mask. In this podcast, we discuss a recent study that evaluated the use of noninvasive ventilation for preoxygenation in critically ill patients.…

Critical Care Perspectives in Emergency Medicine

1
Cefepime vs. Piperacillin-Tazobactam for Infection? The ACORN Trial 22:24

39 weeks22:24

22:24

Timely and appropriate administration of empiric broad-spectrum antibiotics for adult patients with sepsis is critical. Current guidelines recommend an antipseudomonal antibiotic for those at risk of a resistant gram-negative organism. The two most common antipseudomonal antibiotics prescribed in this setting are cefepime and piperacillin-tazobactam. In recent years, observational studies have reported an association with cefepime and neurotoxicity, whereas piperacillin-tazobactam has been associated with AKI especially when given with vancomycin. In this podcast, we discuss the recently published ACORN Trial, a randomized trial that evaluated cefepime and piperacillin-tazobactam for adult patients with suspected infection.…

Critical Care Perspectives in Emergency Medicine

1
Are We Ventilating our OHCA Patients? 18:44

46 weeks18:44

18:44

In recent years, there has been intense focus on delivering high-quality compressions during the resuscitation of patients with OHCA. In contrast, ventilation metrics in OHCA resuscitation have not been well studied. In this podcast, we discuss a recent publication from Circulation that evaluated ventilation waveforms during OHCA resuscitation and the association of these metrics on patient outcomes. Can we do better?…

Critical Care Perspectives in Emergency Medicine

1
Steroids in Sepsis, ARDS, and CAP – A Focused Clinical Update 22:04

51 weeks22:04

22:04

Critically ill patients commonly develop a dysregulated inflammatory response. Corticosteroids are hypothesized to be beneficial due to their anti-inflammatory properties. In recent years, several studies have been published on the use of corticosteroids in select critical illnesses. In this podcast, we review a recently published clinical update on the use of corticosteroids in sepsis, ARDS, and community acquired pneumonia.…

Critical Care Perspectives in Emergency Medicine

1
A Year in Review – The 2023 Critical Care and Resuscitation Literature 39:43

1 year39:43

39:43

In this podcast we review a few key articles from the 2023 critical care, emergency medicine, and resuscitation literature that pertain to our care of the critically ill ED patient.

Critical Care Perspectives in Emergency Medicine

1
Should We Intubate For GCS < 8? 24:55

1 year24:55

24:55

Acute mental status changes after the ingestion of alcohol or other substances are a common presentation to the ED. Those with severe obtundation may require intubation for airway protection while the substance metabolizes. In fact, more than 20,000 patients are intubated each year in the United States for acute poisoning or intoxication. Notwithstanding, intubation and mechanical ventilation are not benign procedures. In this podcast we discuss the recently published NICO Trial, that evaluated a strategy of withholding intubation in patients with coma due to acute poisoning.…

Critical Care Perspectives in Emergency Medicine

1
Should We Be Placing REBOA? 24:31

1 year24:31

24:31

REBOA is a relatively new and novel technique that in animal studies has demonstrated benefit in controlling hemorrhage. However, the evidence for the efficacy of REBOA in humans remains scant. In this podcast, we discuss the recently published UK-REBOA Trial, which randomized patients to receive REBOA with standard care compared to those randomized to standard care alone. You may be surprised by these results!…

Critical Care Perspectives in Emergency Medicine

1
SCCM Guidelines for RSI in the Critically Ill 33:10

1 year33:10

33:10

RSI is one of the most common procedures in critically ill patients. Despite its frequency, there remains significant practice variation on numerous aspects of RSI in the critically ill. In this podcast, we review pertinent recommendations from the recently published SCCM Guidelines on RSI in the critically ill patient.…

Critical Care Perspectives in Emergency Medicine

1
Post-Arrest Care Updates – Are Mild Hypercapnia and a Pan-CT Protocol Useful? 34:29

2 years34:29

34:29

Care of the patient with ROSC following OHCA can be complex and typically includes a protocolized approach to optimizing oxygenation, ventilation, hemodynamics, early cardiac catheterization for patients with STEMI, seizure detection, and possibly TTM. In this podcast, we review two recent articles that focused on the use of mild hypercapnia compared with normocapnia in post arrest patients and the use of a pan-CT protocol to detect critical time sensitive conditions and complications.…

Üdvözlünk a Player FM-nél!

A Player FM lejátszó az internetet böngészi a kiváló minőségű podcastok után, hogy ön élvezhesse azokat. Ez a legjobb podcast-alkalmazás, Androidon, iPhone-on és a weben is működik. Jelentkezzen be az feliratkozások szinkronizálásához az eszközök között.

Hallgasson 500+ témát

44 subscribers

Hasonló a(z) Critical Care Perspectives in Emergency Medicine sorozathoz

The Let Them Theory: A Life-Changing Tool That Millions of People Can't Stop Talking About

Tubi: Watch Free Movies & TV Shows

Minecraft

Podcastok, amelyeket érdemes meghallgatni

Critical Care Perspectives in Emergency Medicine « » Is HFNC noninferior to NIV for Acute Respiratory Failure?

Is HFNC noninferior to NIV for Acute Respiratory Failure?

Podcastok, amelyeket érdemes meghallgatni

Üdvözlünk a Player FM-nél!

The Let Them Theory: A Life-Changing Tool That Millions of People Can't Stop Talking About

The Let Them Theory: A Life-Changing Tool That Millions of People Can't Stop Talking About

Sunrise on the Reaping (A Hunger Games Novel) (The Hunger Games)

Amazon Fire TV Stick HD (newest model), free and live TV, Alexa Voice Remote, smart home controls, HD streaming

The Let Them Theory: A Life-Changing Tool That Millions of People Can't Stop Talking About

Hasonló a(z) Critical Care Perspectives in Emergency Medicine sorozathoz

Gyors referencia kézikönyv

Critical Care Perspectives in Emergency Medicine « »
Is HFNC noninferior to NIV for Acute Respiratory Failure?