All Intensivists Are Not Created Equal

I’d like to preface this story by saying that the majority of the intensivists I have worked with have been exceptional, caring, and professional. We had all established a good camaraderie, and we had mutual respect for... read more

All Intensivists Are Not Created Equal

Exhaled Air Dispersion During Bag-mask Ventilation and Sputum Suctioning

Mask ventilation and coughing during oro-tracheal suctioning produce aerosols that enhance nosocomial transmission of respiratory infections. We examined the extent of exhaled air dispersion from a human-patient-simulator... read more

Exhaled Air Dispersion During Bag-mask Ventilation and Sputum Suctioning

Functional Disability 5 Years After ARDS

Exercise limitation, physical and psychological sequelae, decreased physical quality of life, and increased costs and use of health care services are important legacies of severe lung injury. At 5 years, the median 6-minute... read more

Functional Disability 5 Years After ARDS

Effects of Paracentesis on Hemodynamic Parameters and Respiratory Function in Critically Ill Patients

Paracentesis in critically ill patients is safe regarding hemodynamic function, renal function and intervention-related complications. Furthermore, paracentesis in critically ill and mechanically ventilated patients results... read more

Effects of Paracentesis on Hemodynamic Parameters and Respiratory Function in Critically Ill Patients

COVID-19 Acute Lung Injury

There is a lot we still do not know when it comes to COVID-19 pathophysiology. We are learning every day, and as we navigate the waters of the unknown, there are a few that boldly dare to try and understand what is happening... read more

COVID-19 Acute Lung Injury

Use of Supraglottic Airways During COVID-19 Pandemic

This document is produced in response to questions about the use of supraglottic airways (SGAs) during the current pandemic. The advice that it contains is based on the expert opinion of airway specialists and is meant to... read more

Use of Supraglottic Airways During COVID-19 Pandemic

In the Fight to Treat Coronavirus, Your Lungs Are a Battlefield

Ventilators have become the single most important piece of medical equipment for critically ill coronavirus patients whose damaged lungs prevent them from getting enough oxygen to vital organs. The machines work by forcing... read more

In the Fight to Treat Coronavirus, Your Lungs Are a Battlefield

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

How COVID-19 Causes ARDS

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

CDC Launches Investigation Into Surge Of Severe Lung Disease Cases Linked To Vaping

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

How Best to Set the Ventilator on Extracorporeal Membrane Lung Oxygenation

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

Age and Decisions to Limit Life Support for Patients with ALI

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

ARDS Survivors Often Leave ICU with Prolonged PICS

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

Ultrasound as a Screening Tool for Central Venous Catheter Positioning and Exclusion of Pneumothorax

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

Initial Trophic vs Full Enteral Feeding in Patients With Acute Lung Injury

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 Encore: A Memoir in Three Acts

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

The 16-year-old Girl Who Walks and Eats Tacos While on Life Support

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

TAC on Computed Tomography and the Risk of COPD Progression

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

Calcium induces chronic lung infections