Best of 2019 on PulmCCM: Keep O2 saturations at 96% or below for hospitalized patients, says expert panel Major asthma guideline update: ICS-LABA as-needed replaces albuterol 2019 IDSA Guidelines for Community Acquired Pneumonia Prolonged hypothermia improved neurologic outcomes after non-shockable cardiac arrests Hospitals should not implement one-hour sepsis bundles, say SCCM and ACEP Vitamin C [… read more]
Update 9/6/19: we removed the video at Jon’s request. Frequent PulmCCM contributor Jon-Emile Kenny is also a co-founder of the medical device start-up Flosonics Medical who (as I understand it) are working to develop and market a wearable ultrasound patch that would help direct fluid resuscitation and vasopressor use in patients in shock. PulmCCM has [… read more]
Jon-Emile S. Kenny MD [@heart_lung] Background Concepts have been clanging around my head since I participated in Philippe Rola’s [@thinkingCC] sedulous Hospitalist & Resuscitationist Conference in Montreal. Initially, the abstractions of ventriculo-arterial coupling, Guytonian physiology and venous Doppler seemed insuperably sundered; but the cognitive haranguing recently gave way to harmony. What is ventriculo-arterial coupling and [… read more]
Jon-Emile S. Kenny MD [@heart_lung] “Our deeds determine us, as much as we determine our deeds.” -George Eliot Considering the independent and dependent variables of ventilation marked my final contribution to the “Hospitalist and the Resuscitationist” conference in Montreal, Canada; I gave a workshop on graphical analyses of ventilation. This began with the basics of [… read more]
As a few of you found out with some frustration, the password reset function (to get access to the PulmCCM quizzes) has been glitchy. Occasionally the password reset emails were not delivered, even to your spam folder. Sorry about that. This should be fixed now. Click the link below to get a new password. The password [… read more]
Jon-Emile S. Kenny MD [@heart_lung] “The truth is rarely pure and never simple.” -Oscar Wilde In part 1, the crux of this ‘Great Lactate Debate’ was distilled into the unclear origin of the proton in the setting of ‘lactic acidosis.’ Is the [H+] secondary to biochemical work and ATP hydrolysis or is the proton from [… read more]
Dear colleagues, Since 2012, PulmCCM has sought to bring you “all the best in pulmonary and critical care”: up-to-date, useful information in our specialties, presented in the most efficient way. To that end, I am pleased to announce a new partnership between PulmCCM and MedPage Today, the leading medical news service for health-care professionals. This relationship will [… read more]
Jon-Emile S. Kenny [@heart_lung] “A rising tide lifts all boats.” -John F. Kennedy Two years ago, heart-lung.org went live – a project borne out of my deep interest of the inter-connectedness of the cardiovascular and respiratory pumps. I have been truly amazed and deeply appreciative of the kind words which I have received from around [… read more]
Have you submitted your abstract to the 2016 Pittsburgh – Munich International Lung Conference? Concurrent submissions are accepted! Use the abstracts you have submitted this spring for other national/international conferences (i.e. ATS) for a chance to further showcase your work. Click on the links below to begin. The 2016 Pittsburgh – Munich International Lung Conference [… read more]
Jon-Emile S. Kenny [@heart_lung] I didn’t know Paul Kalanithi, but I knew of him; we shared patients. It was in January of my final year of fellowship, sitting in Tressider Union, when I received a link to his New York Times article from a colleague. Alone I sat, reading his reflection on being diagnosed with [… read more]
… not you. Sorry, that’s a pretty mean way to start out someone’s Monday. The brand new edition of Murray & Nadel’s Textbook of Respiratory Medicine goes to Craig Scanlan of New Jersey. Congratulations, Craig! If you were among the non-winners, you can buy the new edition from the publisher for a paltry $319.99 — [… read more]
Issue #3 of PulmCCM Journal, an open-access, peer-reviewed journal in pulmonary and critical care medicine, is now available online. Click the link, or the “Journal” tab in the menu bar on PulmCCM to read the latest issue of PulmCCM Journal. This issue’s featured concise clinical review is “Who should undergo intracranial pressure monitoring in acute liver failure?” by [… read more]
Best of 2013 in PulmCCM (Part 2) Read Part 1 2013 brought us a bumper crop of interesting and useful journal articles. No one could read them all, much less review them, but we at PulmCCM did our best. Here are the ones we found most worth your time. Happy New Year from PulmCCM, and [… read more]
Best of 2013 (1 of 2) Read Part 2 As we wave goodbye to 2013, take another look at the studies that got people thinking and talking this past year. New posts will resume January 6 in the new year. Happy and safe holidays to all, and thanks for visiting PulmCCM in 2013! High frequency [… read more]
We are quickly approaching the 2013 Pittsburgh International Lung Conference on October 17-18, 2013. The theme, “Acute and Chronic Lung Infections: Novel Pathogens, Diagnostics, and Therapeutics aims to describe and discuss the latest clinical and research advances as they apply to respiratory infections by bringing together leading regional, national, and international experts in the field. [… read more]
Definition of Severe Sepsis by the Surviving Sepsis Guidelines Severe sepsis is sepsis (known or suspected infection with systemic manifestations of sepsis) along with sepsis-related tissue hypoperfusion or organ dysfunction. Organ dysfunction or tissue hypoperfusion are defined by the Surviving Sepsis Campaign as any of the below signs or findings: Signs of Severe Sepsis: Organ [… read more]
For a great video example of dynamic extra-thoracic airway obstruction, click the below link to the July 5, 2012 New England Journal of Medicine. This 53-year-old woman had a traumatic laryngeal fracture as a child, and presented with daytime somnolence and inspiratory stridor. On laryngoscopy, she had proliferation of the mucosa over the vocal cords, [… read more]
Janssen et alsurveyed and prospectively followed 105 Dutch patients with severe COPD and 80 with severe heart failure. Seventy percent of the respondents with COPD wanted full life support in the event of an arrest; ~64% of the CHF patients did. Sixteen to 20% of the doctors reported they had discussed these issues. However, only 4-6% [… read more]
Using expression of the c-kit antigen as an identifier, Brigham researchers Kajstura et al identified stem cells in adult human lungs (from unused donor lungs and a Brigham tissue bank), established a clonal cell line from the isolated stem cells, and infected those cells with a fluorescing lentivirus. With a cryoprobe, they destroyed some mice’s [… read more]
Sara Erickson et al examined data from 9,518 ICU patients in California hospitals, and concluded that race & ethnicity did not influence mortality or length of stay, after adjusting for disease severity and other factors. Crit Care Med 2011;39:429-435.
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