Reading Time: < 1 minute Clinical correlates of transpulmonary pressure In the absence of airflow, transairway (resistive) pressure is zero. Hence, transpulmonary pressure equals transalveolar…
Aman Thind
Aman Thind
Critical care medicine fellow at the Cleveland Clinic. Interests: Cardiopulmonary physiology, shock, POCUS, mechanical ventilation, and ARDS. Music genres: Blues, Rock, and Heavy metal
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Reading Time: 2 minutes The Pre-brief This is the first lecture of the series on respiratory mechanics presented to the Critical Care Medicine fellows…
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Reading Time: 3 minutes The Pre-brief A 38-year-old male presented two-days ago with severe ARDS and was intubated on arrival. He is currently paralyzed…
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Pros and Pitfalls of Disconnecting the Ventilator During Acute Respiratory Decompensation
by Aman Thindby Aman ThindReading Time: 5 minutes During acute hypoxemia and/or increased ventilatory pressures, why is it that we opt to switch to a more primitive form of ventilatory assist?
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Reading Time: 4 minutes The term ‘spontaneous mode’ is generally used for a mode that only allows spontaneous breath. . .
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Reading Time: 4 minutes Dr. Thind discusses how to assess the intensity of inspiratory effort on an intubated patient.
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Reading Time: 4 minutes Inspiratory drop in CVP can be used as a surrogate for inspiratory drop in PPl/Pes
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Reading Time: 9 minutes It has long been known that excessive degrees of PPV may result in lung injury. This has been termed ventilator-induced lung injury (VILI). More recently, the idea of patient self-inflicted lung injury (P-SILI) has come to light.
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Basics of transpulmonary pressure: towards a better surrogate of lung stress
by Aman Thindby Aman ThindReading Time: 5 minutes High transpulmonary pressures causes harm. Aman further breaks down the concept.
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Reading Time: 6 minutes It is inherently true that extremely high pressures delivered by the ventilator may lead to lung injury. It is natural to have some inherent dread about high Peak Inspiratory Pressure (PIP), but there is more to it than just PIP.