SECOND WIND: LUNG TRANSPLANTATION BY DR. DAVID NUNLEY
Dr. Nunley presents lung transplantation by taking listeners along the case of a specific patient, his lungs, and the process that occurs before and after lung transplantation. From matching a donor to retrieving the organs, Dr. Nunley explains the ins and outs of organ donors and their road to transplantation.
DAVID R. NUNLEY, M.D., F.C.C.P., F.C.C.M.
Dr. Nunley is a Professor of Medicine on faculty at the University of Louisville. He is the Clinical Director of the Lung Transplant Program at Louisville and is a teaching attending in the MICU. He has received multiple awards from national organizations including UNOS, American College of Chest Physicians and American College of Critical Care Medicine.
Dr. Christopher Chan presents an Introduction to Mechanical Ventilation by first defining respiratory physiology and indications for mechanical ventilation. He then presents the initial parameters/modes of ventilation as well as supportive care. After, Dr. Chan discusses troubleshooting the vent, weaning, successful liberation from the vent, and finally, the checklist.
Dr. Sally Suliman defines Sepsis and its history. She then presents the guidelines for surviving sepsis as well as the updates in literature. After, she discusses the recognition and diagnosis of sepsis as well as treatment. And finally, bundles and compliance.
In this Grand Rounds, Dr. Jonathan Bernstein discusses chronic cough by first describing the evaluation and differential diagnosis of a patient presenting with chronic cough. He then determines the pathogenesis of chronic cough and defines the approach to diagnosis and treatment of chronic cough.
Dr. Sally Suliman presents "Interstitial Lung Disease" by first introducing the classification of ILDs. She then defines the micro-anatomy of the lung as well as clinical signs and symptoms of ILDs. After, she discusses testing and finally, IPF diagnosis and treatment.
Dr. Bilal Jalil presents part one of three talks on Point of Care Ultrasound. He first discusses the need to take care of the ultrasound machine by keeping it clean and placing probes onto their side cups. After, Dr. Jalil goes into the history of the ultrasound and then into Point of Care Ultrasound.
Dr. Bilal Jalil presents "Positive Pressure Ventilation" through the following questions:
Why is my patient intubated?
What MV modes do I need to know about?
How do I set the initial ventilator settings?
Am I harming my patient with a ventilator?
The ventilator is alarming!!! What do I do?
Can I extubate my patient?
Dr. Bilal Jalil presents 'Oxygen Delivery and Devices" by first building and narrowing the differential for hypoxemia. He then discusses the factors that affect oxygen delivery as well as the nasal cannula flow and Fi02 relationship. Finally, he finishes with a talk on oxygen beyond nasal cannula.
Dr. Yvonne J. Huang presents Human Microbiomes and Asthma Phenotype: Next Frontiers by first reviewing evidence linking the microbiome in early life to childhood asthma. She then discusses recent evidence linking the airway microbiome to asthma phenotype in adults. After, she discusses the challenges and new directions to understanding how microbiota influence asthma phenotype.
Dr. Said Chaaban presents Interstitial Lung Disease by discussing the historical and physical history as well as lung exams. He then discusses risks, causes of death, disease progression and various treatments.
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Dr. Sara Ellingwood presents a talk on Asthma starting with its definition and phenotypes. She discusses making a diagnosis, differential diagnosis, and management. After, Dr. Ellingwood ends with a discussion on when to refer.