pulmonary and allergy
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.
In this presentation, Dr. Molly Howsare first describes the initial work-up for diagnosing cystic fibrosis. She then discusses the pathophysiology and organ system manifestations of cystic fibrosis and finishes with a discussion on treatment.
Dr. Hala Karnib presents Ventilation 101 by defining oxygenation versus ventilation, non-invasive positive pressure ventilation, and mechanical ventilation. With NIPPV, Dr. Karnib discusses indications/ contraindications, equipment, and settings. She then describes indications, modes of mechanical ventilation, and trouble shooting for mechanical ventilation.
Dr. Hiram Rivas Perez presents Asthma by discussing the definition, prevalence, risk of developing asthma, and diagnosis. He then goes on to discuss the history of asthma as well as diagnostic testing. After, he presents different treatments along with various cases as examples.
In this presentation, Dr. Karim El-Kersh discusses the definition, physiology, and risk factors of Obstructive Sleep Apnea. He then discusses diagnosis, consequences, and lastly, treatment.
Dr. Hiram Rivas Perez presents COPD by first discussing pulmonary function tests, the epidemiology and pathophysiology of COPD, and its diagnosis. He then discusses management from stable COPD to COPD exacerbation as well as additional therapies and lung cancer screening.
In this lecture, Dr. El-Kersh discusses the classification of Pulmonary Hypertension as well as the definition of Pulmonary Arterial Hypertension. He then discusses the pathophysiology, pathology, diagnosis, treatment and prognosis of Pulmonary Arterial Hypertension.
Dr. Perez presents sarcoidosis by first taking listeners along the case of a healthy 28 year old nonsmoker with two months of having a dry cough, bilateral ankle pain, no fever and no rashes with normal exams. He then begins to explain and compare the different signs for sarcoidosis and how they may instead be a link to other diseases.
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.
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.
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.
Dr. Frederick Rosenblum covers a series of pulmonology cases from basic pulmonary diagnoses to cases masquerading as pulmonary and pulmonary cerebral syndromes. This is a fast-paced, clinically-relevant lecture!
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).
In this lecture, Dr. Rosenblum discusses the evidence surrounding the indications, pitfalls, and contraindications for non-invasive ventilatory support.
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!
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.
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.
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.
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.
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.
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.
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.