ATSfellows

When should I use neuromuscular blockade in moderate/ severe ARDS? Link podcast: thoracic.org/about/ats-podca… Link @NEJM article: nejm.org/doi/full/10.1056/NE… We spoke with Drs Moss and Angus about their NEJM publication, and gained their insights about NMB and ARDS!

My patient has sepsis 🤒- how do I decide which therapies to administer to whom and when? Podcast link: thoracic.org/about/ats-podca… Article link: ncbi.nlm.nih.gov/m/pubmed/31… We discuss 4 newly identified sepsis phenotypes and their implications for therapy with Dr Seymour #jama

Why is it so difficult for clinicians to agree on an ARDS diagnosis? What parameters can we use to better agree on ARDS? Podcast link: thoracic.org/about/ats-podca… Article link: atsjournals.org/doi/abs/10.1… We asked Dr Michael Sjoding about his article published in Annals of ATS

Which septic shock patients benefit from steroids? How do I choose the right patient to receive steroids? Podcast link: thoracic.org/about/ats-podca… Article link: ncbi.nlm.nih.gov/m/pubmed/30… We asked Dr Anthony Gordon how sepsis signatures could help us make the right decision

How do I better manage atrial fibrillation in my ICU patient? Which therapies should I choose? Podcast link: thoracic.org/about/ats-podca… Pubmed link: ncbi.nlm.nih.gov/m/pubmed/29… We asked Dr. Allan Walkey about his recent publication in CHEST

Can I predict my sepsis patient’s clinical course and outcome using their temperature? Link: ncbi.nlm.nih.gov/m/pubmed/30… Podcast: thoracic.org/about/ats-podca… We interviewed Dr Bhavani to share his insights.

Should I start precedex (dexmedetomidine) as early sedation in my critically ill patient? Article: ncbi.nlm.nih.gov/m/pubmed/31… Podcast: thoracic.org/about/ats-podca… We interviewed the first author of the recent @NEJM publication to gain his insights on the SPICE III trial

Read the recent SPICE III randomized trial on early sedation use of dexmedetomidine in critically ill patients, published in @NEJM ? Link: thoracic.org/about/ats-podca… We discussed the findings and implications of the study with Dr Shehabi

Should we bag-mask from induction to laryngoscopy in critically ill adults? Link: thoracic.org/about/ats-podca… We asked Dr. Matt Semler to share the rationale, results and implications of the PreVent trial, just published in @NEJM

How to best manage dyspnea in the the ICU for those with terminal illness? Link: ncbi.nlm.nih.gov/m/pubmed/29… Reviews indications for interventions: - opioids - BZPs - corticosteroids - diuretics - oxygen (NC vs HFlow vs NIPPV)

ATS summary of LAM for clinicians Link: ncbi.nlm.nih.gov/pmc/article… 1. What is LAM? 2. Indications for sirolimus 3. Indications for VEGF testing 4. Avoid doxycycline and hormonal therapy

How do we liberate our critically ill patients from mechanical ventilation? Link: ncbi.nlm.nih.gov/m/pubmed/28… This guideline summarizes the evidence for measures we use to liberate patients from mechanical ventilation

What are the lung effects of marijuana smoking? What do you need to tell your patient? Link: ncbi.nlm.nih.gov/m/pubmed/29… Reviews effects of marijuana on the lung, particularly chronic bronchitis

My patient has sub-massive PE😳 Should I use catheter-directed thrombolysis? Link: ncbi.nlm.nih.gov/m/pubmed/29… Review summarizes data regarding catheter-directed thrombolysis for the treatment of sub-massive PE

A lot of people smoke or have smoked cigarettes in the US. Do you know all the smoking-related interstitial lung diseases? Link: ncbi.nlm.nih.gov/m/pubmed/29… Great review discussing smoking-related PFTs, CT scans, pathology and key management strategies

My critically ill patient is in refractory shock 😳 What do I do? Link: ncbi.nlm.nih.gov/m/pubmed/29… This recent review provides excellent insights/ suggestions on the management of refractory vasodilatory shock

How do we best ventilate those with COPD/asthma? Link: medintensiva.org/en-invasive… This review describes strategies to perform invasive mechanical ventilation in critically ill adults with COPD or asthma

Are you up to date with the latest advances in managing cystic fibrosis? Link: ncbi.nlm.nih.gov/m/pubmed/29… Review summarizes key new therapies including indications for ivacaftor

How should we manage pain in the critically ill affected by the opioid epidemic? Link: ncbi.nlm.nih.gov/m/pubmed/29… NB to identify and distinguish: 1. Acute opioid toxicity 2. Chronic intensive care related pain 3. Iatrogenic opioid withdrawal syndrome