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276

Pathophysiology of Pneumonia

What pneumonia does to the lungs and gas exchange effects  
youtube.com
about 4 years ago
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Pneumonia Phenotypes by Feldman - Intensive Care Network

Charles Feldman discusses the alphabet soup that represent pneumonia phenotypes and clarifies what it's all about. Recorded live at an ICN Victoria meeting  
intensivecarenetwork.com
about 4 years ago
Sinaiem dark
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respiratory-failure

As we all know, NiPPV is a well established practice and therapy of choice in patients with COPD and CHF exacerbations.  It is typically used in patients with hypercarbic respiratory failure.  But for those patients who come to the ED with pure hypoxemic respiratory failure (in say, someone with pneumonia) is there a better way to oxygenate them when standard nasal cannula isn’t doing the trick and you want to avoid intubation?  According to 2 recent studies high flow nasal cannula may provide the answer.  In comparing NiPPV to standard oxygen delivery therapy to high flow nasal cannula the intubation rates did not differ significantly, but appear to be lower in the high flow NC group.  Additionally, the 90 day mortality rate was significantly lower and ventilator free days were increased in the the high flow NC group compared to the other two.  The other benefit is that there was less patient discomfort in the high flow NC group.  
sinaiem.org
about 4 years ago
Sinaiem dark
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legion-umbrella-ella-ella

Yesterday, the 7th mortality from legionella in NYC occurred. There have been 71 cases since July 10, all of them in the South Bronx after Legionella was found in cooling towers. This bacteria typically live in reservoirs of water or humidified spaces. It is a common cause (2 to 9 percent) of community-acquired and hospital-acquired pneumonia known as Legionnaire’s disease. The NYC Department of Health has issued suggestions on diagnosis and management of these patients; new cases should be reported to 866-NYC-DOH1 (1-866-692-3641).  
sinaiem.org
about 4 years ago
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Proposal: Most community acquired pneumonias with extensive ultrasonographic consolidation are pneumococcus

Introduction with a case . A 45-year-old man was transferred to the Genius General Hospital ICU for management of pneumonia.  His chest radiograph is shown  
pulmcrit.org
about 4 years ago
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10

Tracheal Bronchus: High Resolution Computed Tomography diagnosis in a symptomatic patient

A 75-year-old female underwent a High Resolution Computed Tomography (HRCT) scan for recurrent bronchitis and cough. HRCT images showed an anomalous supernumerary bronchus to the right upper lobe directly arising from the right side of distal trachea, corresponding to Tracheal Bronchus (TrB). TrB can cause recurrent right upper lobe pneumonia and special care is requiring during endotracheal intubation.  
ac.els-cdn.com
about 4 years ago
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2
38

Clinical Cases and Images: ClinicalCases.org: Prerenal Acute Renal Failure due to Volume Depletion

This is a good practical case and very useful for new clinicians. For any clinician:No foley catheter unless oliguric, anuric, obstructed since any catheter is a foreign body and increases infection risk.Rehydrate if U/A has high spec gavity, mucous membranes dry, or if BUN is >30 times the creatinine as in this case. Even CHF pts get dry if not in heart failure. If in doubt, do CXR, BNPT, listen for crackles.Start with 250cc IVF if BNPT not less than 150 or give carefully while checking lung bases posteriorly after each bolus along with pulse ox, etc as above. Half of pts in acute renal failure are septic. Look for and eliminate source such as pneumonia, foreign body, pyelonephritis, joint infections. May be afebrile/ low temp or low WBCs with sepsis. Do cultures, check lactate ASAP to detect sepsis BEFORE the BP drops. Lactic acid "the troponin of sepsis." If septic, give a lot of fluids (up to 10 liters often) since capillary leak syndrome will lead to severe hypotension. If septic expect edema to develop with IV boluses yet be aware pt is intravascularly depleted. No pressors without fluids "pressors are not your friend" as per lecturers on Surviving Sepsis campaign.  
clinicalcases.org
about 4 years ago
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10

Silver-coated endotracheal tubes (ETTs) for prevention of ventilator-associated pneumonia in critically ill people | Cochrane

We reviewed the evidence of whether silver-coated endotracheal tubes (ETTs) are effective in reducing the risk of ventilator-associated pneumonia (VAP) and hospital mortality in comparison with standard non-coated ETTs in people who require mechanical ventilation for 24 hours or longer.  
cochrane.org
about 4 years ago
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watch

ADDENDUM: Not all S. aureus pneumonias will have cavitary lesions, and cavitary lesions can be caused by other pathogens. The blood cultures will help; if ca...  
youtube.com
about 4 years ago
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Evidence-based treatment for severe community-acquired pneumonia

Introduction  . Community-acquired pneumonia (CAP) remains the leading cause of infectious disease death in developed countries.  Described by Sir William  
pulmcrit.org
about 4 years ago
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11

Proposal: Early ventilator weaning to HFNC in hypoxemic respiratory failure

  . Case example . A previously healthy 45-year-old man was transferred to the Genius General Hospital ICU for management of pneumonia.  He was intubated p  
pulmcrit.org
almost 4 years ago
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37

Doctor explains differences between a cold, bronchitis, and pneumonia

SALT LAKE CITY, Utah (ABC 4 Utah) - Winter can be rough for people with colds, bronchitis, and pneumonia - and Utah's air quality can make it even worse.  
good4utah.com
almost 4 years ago
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Short-course versus long-course antibiotic treatment for hospital-acquired pneumonia in adult intensive care patients | Cochrane

Review question We reviewed the evidence from randomised controlled trials (RCTs) that compared the effects of a short course of antibiotics with a long course for intensive care patients with hospital-acquired pneumonia (HAP).  
cochrane.org
almost 4 years ago
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Critical Care

Methicillin-resistant Staphylococcus aureus (MRSA) remains an important pathogen in pneumonia. Bacteremia may secondarily complicate MRSA pneumonia. The epidemiology and outcomes associated with bacteremia in the setting of MRSA pneumonia are unknown. We sought to describe the prevalence of bacteremia in MRSA pneumonia and its impact on hospital mortality and length of stay (LOS).  
ccforum.com
almost 4 years ago
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Critical Care

We aimed to compare intensive care unit mortality due to non-pneumococcal severe community-acquired pneumonia between the periods 2000–2002 and 2008–2014, and the impact of the improvement in antibiotic strategies on outcomes.  
ccforum.com
almost 4 years ago
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Pneumonia Explained Clearly

Pneumonia explained with illustrations by Dr. Roger Seheult. Understand the pathophysiology of pneumonia, signs and symptoms of pneumonia, the difference bet...  
youtube.com
almost 4 years ago
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Corticosteroids Improve CAP Outcomes CME/CE

: For adult inpatients with community-acquired pneumonia, systemic corticosteroids may lower mortality rates by 3%, the need for mechanical ventilation by 5%, and length of hospital stay by 1 day.  
medscape.org
almost 4 years ago
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Pneumonia Explained Clearly | 2 of 3

Dr. Seheult continues his illustrations of pneumonia, highlighting the key differences in diagnosis and treatment between typical pneumonia and atypical pneu...  
youtube.com
almost 4 years ago