Highlighted Paper: COVID-19 pneumonia: ARDS or not?
They say a picture is worth a thousand words. So that is what we wanted to start with! Do these two pictures look similar in your clinical judgement? If your answer was no,...
Critical Care
Highlighted Paper: Association of Sedation, Coma, and In-Hospital Mortality in Mechanically Ventilated Patients With Coronavirus Disease 2019–Related Acute Respiratory Distress Syndrome: A Retrospective Cohort Study
As we all realize and experience critical care is a complex and challenging balancing act of competing interests, and sedation and patient synchrony on mechanical ventilation to prevent lung damage is an...
Highlighted Paper: Right Ventricular Dysfunction and Its Association With Mortality in Coronavirus Disease 2019 Acute Respiratory Distress Syndrome
With the national board of echocardiography’s launch of the critical care echocardiography boards in 2019, the growth of this knowledge, and its application to clinical practice, we continue to grow within our...
Highlighted Paper: Dexamethasone 12mg versus 6mg for Patients with COVID‑19 and Severe Hypoxaemia: a Pre‑planned, Secondary Bayesian Analysis of the COVID STEROID 2 Trial
Before we dive into this paper perhaps some broad comments about statistics in research is warranted. Since statistics by nature can be overwhelmingly complicated, we aim here to simplify our explanations of...
Quick Tips for Non-invasive Ventilation (NIV)
[embedyt] https://www.youtube.com/watch?v=P70MplQC7tQ[/embedyt]...
Highlighted Paper: Application of High-flow Nasal Cannula in Hypoxemic Patients with COVID-19: A Retrospective Cohort Study
When Roca fist published his paper in June of 2019 in which he described the ROX Index for the first time, we, as of yet, had our first case of COVID-19 in...
COVID-19: High Flow Nasal Cannula (HFNC)/Non-Invasive Positive Pressure Ventilation (NIPPV) Indications
Summary /REVIEW of Recommendations of Universities and Societies ICU Sept 2021 What are the thresholds for intubation and mechanical ventilation for patients who are not responding or deteriorating when on HFNC or NIPPV? Summary of...
Airway Pressure Release Ventilation (APRV) Protocol
Important Notes Mode is relatively contraindicated in: Severe COPD Severe Asthmatics If used in these patients the expiration phase of T-Low is likely required to be longer than average This protocol incorporates APRV being...
Proning Protocol For the ICU– Covid-19 Updated
This Self Proning Protocol is intended to improve oxygenation and reduce the need for ICU admission for COVID 19 positive patients, as well as increase the speed to discharge of COVID-19 positive...
Interview With Patient Who Recovers from Covid19
NBC Las Vegas recently interviewed a patient who had been admitted to the ICU for Covid19 and acute respiratory distress. As part of the treatment, Dr Voscopoulos proned the intubated patient. The...
Proning Procedure of Covid-19 Patient Helps
As ICU Director at Southern Hills Hospital in Nevada, Dr. Voscopoulos instructed for an ICU patient with Covid-19 and ARDS, to be proned to relieve pressure on the lungs. This helped enough...
Flu Season 2019-2020 – TV Interview
Christopher Voscopoulos, MD was recently interviewed by the ABC Nevada network, regarding the increased number of flu cases this year, and the resulting admittance to the ER. He was speaking in his...
Early Use of Norepinephrine in Septic Shock Resuscitation (CENSER):
"Have you frequently wondered, when is the BEST time to start NE drip in the ER when you have a patient in septic shock? How much fluids should a patient get before...