Louisville Lectures

Open Access Medical Education

Committed to sharing Internal Medicine focused lectures as free open access medical education.

Filtering by Category: Pulmonary and Allergy

Mechanical Ventilation by Dr. Rodrigo Cavallazzi

Dr. Cavallazi presents mechanical ventilation by first discussing the physiology of respiratory failure.  He then describes how to tailor mechanical ventilation to different forms of respiratory failure. He finishes with a discussion of the latest studies defining how to best use mechanical ventilation. 

Read More

100th Lecture! Changing Medicine or The Life of Tom Petty by Dr. Roman

As we celebrate our 100th lecture and the certification of many of our lectures as worthy of CME, we want to ask our viewers and listeners to take a step back with us and reflect on what is possible if we forget to imagine the impossible.  Dr. Roman takes us on a journey exploring the life of a man who changed pulmonary medicine in the 20th century. A story of an ordinary man, with extraordinary drive and a passion for medicine. Dr. Roman challenges us all to dream and to believe in our own ability to reshape our profession in the 21st century. 

Read More

Mechanical Circulatory Support: IABP, VADs & ECMO with Dr. Brown

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). 

Read More

Non-Malignant Pleural Effusions - Part Two with Dr. Gauhar

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! 

Read More

Non-malignant Pleural Effusions - Part One With Dr. Gauhar

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. 

Read More

Tracheostomy Care and Weaning from Mechanical Ventilation

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.

 

Read More

Idiopathic Interstitial Pneumonias with Dr. Roman

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. 

Read More