In this lecture, Dr. Lorrel Brown takes time to discuss the indications, mechanics, and physiology of mechanical circulatory support. She provides a great introduction for internists to some of the most advanced ICU therapies. Dr. Lorrel Brown covers evidence and indications for various modalities like IABP (intra-aortic balloon pump), ECMO (extracorporeal membrane oxygenation), and percutaneous VAD (ventricular assist device).
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In this lecture, Dr. Rosenblum discusses the evidence surrounding the indications, pitfalls, and contraindications for non-invasive ventilatory support.
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In this lecture, Dr. Umair Gauhar reviews pleural anatomy, normal characteristics of pleural effusion and epidemiology of pleural effusions. He then delves into a thorough discussion of parapneumonic effusions (including various classification schemas) as well as treatment options both empiric antibiotic regimens and a comprehensive discussion thoracentesis. This is a must watch lecture for pulmonologists, intensivists, and internists!
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Dr. Umair Gauhar discusses pleural fluid pressure, characteristics, epidemiology and pathophysiology of effusion. He spends a great deal of time teaching the approach to pleural effusion anatomy. This talk is background for Part Two which covers more of the clinical causes of non-malignant pleural effusion.
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Dr. Karem El Kersh describes basics of anatomy, components and indications for tracheostomy. Then he spends time covering when and how to change a trach as well as suggestions for troubleshooting common problems involving tracheostomies.
Dr. Rodrigo Cavallazzi discusses steps toward ventilator liberation including spontaneous breathing trial and other parameters to indicate readiness to wean. He then discusses strategies for weaning: optimizing fluid status, weaning protocols, sedation weaning, rehabilitation therapy.
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Grand Rounds given by Internal Medicine Chairman, Dr. Jesse Roman. He covers the definition of interstitial lung disease as well as it's evaluation and management. He also spends time on idiopathic interstitial pneumonia and idiopathic pulmonary fibrosis.
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Dr, Rodrigo Cavallazzi gives a comprehensive review of ARDS; he includes the definition, pathophysiology, risk factors, prognosis and differential. He spends time discussion the ARDS Network trial including fluid and ventilation strategies as well as advanced treatments (prone positioning, ECMO, neurally adjusted ventilation.
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Dr. Tanya Wiese gives an overview of lung cancer screening then discusses solitary pulmonary nodules in detail; she covers their definition and workup in addition to the use of endobronchial ultrasound and navigational biopsy in diagnosis.
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Dr. Rafael Perez simplifies PFTs for the internist. He reviews the physiologic principles utilized in spirometry, technical aspects of a quality PFT, and common pathologic PFT presentations.
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