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Lactate = LactHATE - St.Emlyn's

Lactate in health, exercise, sepsis and trauma. Lactate is not always a sign of anaerobic respiration. Rethink your lactates in the ED and ICU  
stemlynsblog.org
about 4 years ago
Sinaiem dark
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cluing-in-to-opioid-overdose

Case: 32-year-old male brought in by EMS for altered mental status, breathing six breaths per minute. You suspect opioid overdose, what clues you in to the culprit?  
sinaiem.org
about 4 years ago
Sinaiem dark
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at-least-the-pad-thai-was-tasty

Your fellow resident just returned from a long lunch break, raving about how good his meal was. He doesn’t seem to notice, but his breathing is labored and his face and arms are covered in an urticarial rash.  
sinaiem.org
about 4 years ago
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1266

Physiology and Mechanics of Breathing

The medical information contained herein is intended for physician medical licensing exam review purposes only.  
youtube.com
about 4 years ago
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APRV Lung Demonstration | Resus Review

Unlike spontaneous breathing or conventional ventilation, the time spent at maximal inflation is typically much longer than time deflated. Time low is minimized to prevent collapse of alveoli and barotrauma. The video below shows shows treated pig lungs being ventilated with typical APRV settings.  
charlesbruen.wpengine.com
about 4 years ago
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Respiratory tract infection associated with seizures

A two year old girl presented to her local hospital with breathing difficulties. She was diagnosed with virus induced wheeze. On day one of admission she deteriorated and developed respiratory failure, which required ventilatory support and transfer to our paediatric intensive care unit. Figure 1⇓ shows her chest radiograph on arrival. A multiplex polymerase chain reaction (PCR) panel performed on respiratory secretions identified a micro-organism. She was successfully extubated to nasal cannula oxygen two days later and transferred to a paediatric ward. Four hours after transfer she had a prolonged tonic-clonic convulsion. Owing to profound respiratory depression after two doses of lorazepam she required re-intubation and transfer back to the paediatric intensive care unit.  
feeds.bmj.com
about 4 years ago
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Respiratory tract infection associated with seizures

A two year old girl presented to her local hospital with breathing difficulties. She was diagnosed with virus induced wheeze. On day one of admission she deteriorated and developed respiratory failure, which required ventilatory support and transfer to our paediatric intensive care unit. Figure 1⇓ shows her chest radiograph on arrival. A multiplex polymerase chain reaction (PCR) panel performed on respiratory secretions identified a micro-organism. She was successfully extubated to nasal cannula oxygen two days later and transferred to a paediatric ward. Four hours after transfer she had a prolonged tonic-clonic convulsion. Owing to profound respiratory depression after two doses of lorazepam she required re-intubation and transfer back to the paediatric intensive care unit.  
feeds.bmj.com
about 4 years ago
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Respiratory tract infection associated with seizures

A two year old girl presented to her local hospital with breathing difficulties. She was diagnosed with virus induced wheeze. On day one of admission she deteriorated and developed respiratory failure, which required ventilatory support and transfer to our paediatric intensive care unit. Figure 1⇓ shows her chest radiograph on arrival. A multiplex polymerase chain reaction (PCR) panel performed on respiratory secretions identified a micro-organism. She was successfully extubated to nasal cannula oxygen two days later and transferred to a paediatric ward. Four hours after transfer she had a prolonged tonic-clonic convulsion. Owing to profound respiratory depression after two doses of lorazepam she required re-intubation and transfer back to the paediatric intensive care unit.  
feeds.bmj.com
about 4 years ago
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Breathing training before surgery for reducing lung complications after surgery in adults undergoing heart and major abdominal surgery | Cochrane

Despite advances regarding patient care in the last few decades, breathing complications as a result of lung injury after surgery such as pneumonia are the leading cause of sickness and death in adults undergoing heart and major abdominal surgery. Training of breathing muscles using a small device at home before surgery seems to make breathing easier and helps strengthen muscles of respiration after surgery. This training may help reduce breathing complications after surgery and may lead to improved patient care and overall health care cost savings for the public health system. We wanted to establish whether training of breathing muscles before surgery can reduce the risk of lung complications and to identify who in particular might benefit from such training.  
cochrane.org
about 4 years ago
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Breathing Easy with a Bag in Hand

Source: Breathing Easy with a Bag in Hand  
prehospitalmed.com
about 4 years ago
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Enterovirus D68 Appears More Virulent, Not More Lethal in Kids

Infected pediatric patients were more likely to have breathing difficulties than patients infected with other enterovirus strains, but were no more likely to die from their infection.  
medscape.com
about 4 years ago
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Tonsillectomy with or without adenoidectomy versus no surgery for obstructive sleep-disordered breathing in children | Cochrane

This review compared the benefits and harms of surgical removal of the tonsils (tonsillectomy) with or without removal of the adenoids (adenoidectomy) against non-surgical management in children with disturbed sleep caused by breathing problems due to blockage of the upper airways (called obstructive sleep-disordered breathing; oSDB). We included any studies in which children were randomly allocated to surgery or no surgery published up to March 2015.  
cochrane.org
about 4 years ago
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Rescue high-frequency jet ventilation versus conventional ventilation for severe pulmonary dysfunction in preterm infants | Cochrane

Background: In very low birth weight infants who require support on breathing machines (ventilators), ventilator-associated lung injury and toxic effects of oxygen may be important factors in creating a chronic disturbance in lung function. Compared with routine conventional ventilators, high-frequency jet ventilators (breathing machines that introduce short-duration pulses of gas under pressure into the airway at a very fast rate) may reduce the severity of lung injury associated with mechanical ventilation.  
cochrane.org
about 4 years ago
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Lab Case 76

An 8 year old boy is brought to your ED by his mum. The mum complains that her son has developed a cough and high temperature for the last two days. She also states that he is breathing rapidly and has been off his food.  
emergucate.com
about 4 years ago
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DFTB in EMA #3 – Easing the Wheeze – Don't Forget the Bubbles

Wheezing children commonly present to the ED. Bronchiolitis, preschool wheeze and asthma are common causes of such presentations. It is important to note that the term ‘wheeze’ is frequently misused by parents to describe a number of respiratory noises, including transmitted upper airway sounds and stridor.[1] Wheeze is, in itself, a symptom manifested by ‘a continuous whistling sound during breathing that suggests narrowing or obstruction in some part of the respiratory airways’.[2] One British study reported that 29.3% of children have had a wheeze by the age of three, and 30% of preschoolers with recurrent wheeze are diagnosed with asthma by 6 years of age.[3, 4] This article briefly reviews the diagnosis and management of preschool wheeze, while considering recent guidelines on bronchiolitis and asthma.  
dontforgetthebubbles.com
about 4 years ago
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Yoga versus standard care for schizophrenia | Cochrane

Yoga comes from ancient India and involves physical postures and breathing exercises to promote balance between mind and body. Yoga has now been widely adopted as a method of relaxation and exercise, improving strength, flexibility, co-ordination, endurance, and breathing control and concentration. Yoga has also been shown to reduce stress and promote health and feelings of well-being. Yoga has been used as a complementary therapy for many health conditions, including improving blood pressure control as well as mental health conditions such as depression and anxiety disorders.  
cochrane.org
about 4 years ago
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Comparison of two muscle relaxants, rocuronium and succinylcholine, to facilitate rapid sequence induction intubation | Cochrane

Which drug (rocuronium or succinylcholine) is better at providing excellent conditions to quickly insert breathing tubes into participants of all ages for elective and emergency situations?  
cochrane.org
about 4 years ago
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Weaning Mechanical Ventilation with Dr. Cavallazzi

Dr. Rodrigo Cavallazzi discusses steps toward ventilator liberation including spontaneous breathing trial and other parameters to indicate readiness to wean....  
youtube.com
about 4 years ago
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Physiology and Mechanics of Breathing

Great slideshow covering lung volumes, spirometry, obstructive Vs. restrictive disease, flow-volume loops, A-a gradient and CO diffusion capacity.  
youtube.com
about 4 years ago
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Critical Care

We have almost no information concerning the value of inferior vena cava (IVC) respiratory variations in spontaneously breathing ICU patients (SBP) to predict fluid responsiveness.  
ccforum.com
about 4 years ago