Tag: lungs
How COVID-19 Causes ARDS
As the COVID-19 outbreak continues, we're learning more about the disease, what it does to the body and the damage it causes. Although many people with COVID-19 have no symptoms or only mild symptoms, a subset of patients... read more
CDC Launches Investigation Into Surge Of Severe Lung Disease Cases Linked To Vaping
The federal Centers for Disease Control and Prevention (CDC) is investigating the sudden emergence of severe lung disease linked to vaping in 14 states. CDC is providing consultation to the departments of health in Wisconsin,... read more
How Best to Set the Ventilator on Extracorporeal Membrane Lung Oxygenation
Mechanical ventilation and extracorporeal support are marginally integrated. The best environment for lung healing – complete lung collapse or protective ventilation strategy or fully open and immobile lung (all three conditions... read more
Age and Decisions to Limit Life Support for Patients with ALI
The purpose of this study was to estimate the association between patient age and the rate of new limitations in the use of life support, independent of daily organ dysfunction status, following acute lung injury (ALI) onset. 490... read more
ARDS Survivors Often Leave ICU with Prolonged PICS
Patients who survive acute respiratory distress syndrome (ARDS) often leave ICU with debilitating mental, physical, or cognitive problems that may limit their quality of life. These challenges are called post-intensive care... read more
Ultrasound as a Screening Tool for Central Venous Catheter Positioning and Exclusion of Pneumothorax
Although real-time ultrasound guidance during central venous catheter insertion has become a standard of care, postinsertion chest radiograph remains the gold standard to confirm central venous catheter tip position and rule... read more
Initial Trophic vs Full Enteral Feeding in Patients With Acute Lung Injury
In patients with acute lung injury, compared with full enteral feeding, a strategy of initial trophic enteral feeding for up to 6 days did not improve ventilator-free days, 60-day mortality, or infectious complications but... read more
The Encore: A Memoir in Three Acts
The remarkable true story of acclaimed opera singer Charity Tillemann-Dick, who received not one but two double lung transplants and went from struggling to draw a single breath to singing at the most prestigious venues in... read more
The 16-year-old Girl Who Walks and Eats Tacos While on Life Support
In November, the otherwise healthy teen was placed on life support in the pediatric intensive care unit at Children's Mercy Hospital in Kansas City. Now, more than 130 days later, Zei's determination and independence have... read more
TAC on Computed Tomography and the Risk of COPD Progression
Total Airway Count (TAC) may reflect the airway-related disease changes that accumulate in the “quiet” zone in early/mild Chronic Obstructive Pulmonary Disease (COPD), indicating that TAC acquired with commercially available... read more
Calcium induces chronic lung infections
Researchers have now discovered that calcium induces the switch from acute to chronic infection. One of the most serious pathogens is the bacterium Pseudomonas aeruginosa, which frequently causes hospital infections and is... read more
Higher PEEP versus Lower PEEP Strategies for Patients with ARDS
Use of higher positive end-expiratory pressure (PEEP) is unlikely to improve clinical outcomes among unselected patients with ARDS. We identified eight randomized trials comparing higher versus lower PEEP strategies, enrolling... read more
Ultrasound-guided Mechanical Ventilation
Point-of-care ultrasound (POCUS) is now a tool used worldwide, integrating clinical assessment of the critically ill. In this review, we focus on lung, diaphragm and cardiac ultrasound in the management of the mechanically... read more
Aerosol Delivery During Invasive Mechanical Ventilation
Lung deposition was lower than 20% of nominal dose delivered with nebulizers and mostly occurred in proximal airways. Further studies are needed to link substantial concentrations of antibiotics in infected pulmonary fluids... read more
The World Day of the Critical Lung Event
On November 17th 2017, the first edition of "The World Day of the Critical Lung" will be held. It will be an online, global, free, bilingual (Spanish and English) participatory and non-profit event organized by the Pan American... read more
4m-gait speed test reliable/valid physical function measure in ARDS survivors
The 4-m gait speed is a reliable, valid, and responsive measure of physical function in acute respiratory distress syndrome survivors. The estimated minimal important difference will facilitate sample size calculations for... read more
The Overlaps of Asthma or COPD with OSA
Asthma, chronic obstructive pulmonary disease (COPD) and obstructive sleep apnoea (OSA) are the most common respiratory disorders worldwide. Given demographic and environmental changes, prevalence for each is likely to increase. Some... read more
Utility and Diagnostic Accuracy of Bedside Lung Ultrasonography During MET
Lung ultrasonography can be rapidly performed in the majority of patients with MET activation for respiratory deterioration. As an independent diagnostic test, lung ultrasonography is non-inferior to the medical emergency... read more
Acute Lung Failure – Our Evolving Understanding of ARDS
Since Laennec described the gross pathology of idiopathic anasarca of the lungs in 1821, mortality due to the acute respiratory distress syndrome has been vastly reduced. Yet the poor subsequent condition of ARDS survivors... read more
Frequency of Exacerbations in Patients with COPD
Present treatment strategies to stratify exacerbation risk in patients with chronic obstructive pulmonary disease (COPD) rely on a history of two or more events in the previous year. We aimed to understand year to year variability... read more
A population-based cohort study of rheumatoid arthritis-associated interstitial lung disease
ILD is a serious complication in RA, with a significantly increased mortality compared with a large matched cohort of RA comparisons without ILD. Mortality risks were assessed using Kaplan-Meier mortality curves, and hazard... read more
Volume responsiveness and volume tolerance: a conceptual diagram
So I know I've be-laboured the point about the difference between volume responsiveness (i.e. will there be significant increase in cardiac output with volume infusion) and volume tolerance (is the volume I am considering... read more
