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emcrit.org /1 month ago

PulmCrit Wee: Four reasons that hyperangulated videolaryngoscopy should be the mainstay of ICU intubations

As glorious as direct laryngoscopy was, it's time to transition to hyperangulated videolaryngoscopy as the mainstay of intubation among critically ill patients. There are a few rea...

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emcrit.org /1 week ago

PulmCrit Hot Take: PRAGUE-26 RCT on catheter-directed thrombolysis for intermediate-high risk PE

Another MC-RCT just dropped on catheter-directed tPA for intermediate-high risk PE patients. It’s overall pretty similar to the HI-PEITHO trial (previously discussed here). I doubt...

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nursenacole.com /1 week ago

Nursing Tip of the Day! - Critical Care Nursing

Category: Critical Care Nursing Because parenchymal lung injury is often heterogeneous, appropriate PEEP in one region may be suboptimal in another. Optimizing PEEP is a balance be...

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nursenacole.com /1 week ago

Nursing Tip of the Day! - Critical Care Nursing

Category: Critical Care Nursing The lung can be injured when it is stretched excessively by positive-pressure ventilation. Historically, the most well-recognized injury was alveola...

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nursenacole.com /2 weeks ago

Nursing Tip of the Day! - Critical Care Nursing

Category: Critical Care Nursing Because of alveolar flooding, exudate and collapse, lung injury usually leads to mismatching and intrapulmonary shunt. In many disease processes, ma...

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rebelem.com /1 month ago

HFNC vs. NIV in Acute Cardiogenic Pulmonary Edema: Go with the Flow?

Is HFNC as effective as NIV in reducing respiratory rate and improving respiratory distress within 2 hours in ACPE? The post HFNC vs. NIV in Acute Cardiogenic Pulmonary Edema: Go w...

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nursenacole.com /2 weeks ago

Nursing Tip of the Day! - Critical Care Nursing

Category: Critical Care Nursing Positive-pressure breaths tend to distribute more towards alveolar units with high compliance and low resistance and away from obstructed or stiff u...

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emcrit.org /1 month ago

EMCrit RACC-Lit Review – 2026 July

EMCrit RACC-Lit Review for July 2026 This month: • Does prehospital whole blood actually improve outcomes? • Can DSD damage your defibrillator? • Go big or go home for adenosine &...

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nursenacole.com /1 week ago

Nursing Tip of the Day! - Critical Care Nursing

Category: Critical Care Nursing Other positive-pressure ventilation regional injuries include: Pericardium (pneumopericardium), subcutaneous tissue (subcutaneous emphysema), pleura...

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nursenacole.com /2 weeks ago

Nursing Tip of the Day! - Critical Care Nursing

Category: Critical Care Nursing Alveoli prevented from collapsing, or “derecruiting,” by PEEP receive several potential benefits. First, alveolar recruitment improves matching and...

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nursenacole.com /1 week ago

Nursing Tip of the Day! - Critical Care Nursing

Category: Critical Care Nursing Ventilator-induced lung injury is often a regional phenomenon that occurs when low-resistance/high-compliance units receive a disproportionately hi...

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nursenacole.com /2 weeks ago

Nursing Tip of the Day! - Critical Care Nursing

Category: Critical Care Nursing PEEP can be detrimental. Because the tidal breath is delivered on top of the PEEP, end-inspiratory pressures are usually raised by the application o...

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emdocs.net /1 month ago

Critical Kids: PRoMPT Bolus

Pediatric emergencies are challenging. The Critical Kids series provides summaries of hot-off-the-press guidelines and evidence to support your decisions at the bedside. Today we c...

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nursenacole.com /3 weeks ago

Nursing Tip of the Day! - Critical Care Nursing

Category: Critical Care Nursing The potential for developing intrinsic (auto) PEEP rises with increases in the minute ventilation, decreases in the expiratory time fraction or incr...

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nursenacole.com /1 week ago

Nursing Tip of the Day! - Critical Care Nursing

Category: Critical Care Nursing Because diseased lung units require higher pressures to open than to keep open, additional recruitment can sometimes be provided by the use of recru...

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nursenacole.com /2 weeks ago

Nursing Tip of the Day! - Critical Care Nursing

Category: Critical Care Nursing A positive-pressure tidal breath is distributed among the millions of alveolar units in the lung. Factors affecting this include resistances, compli...

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nursenacole.com /2 weeks ago

Nursing Tip of the Day! - Critical Care Nursing

Category: Critical Care Nursing The flow pattern in mechanical ventilation influences distribution. For example, in obstructive inhomogeneities, slow and constant flows tend to dis...

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nursenacole.com /3 weeks ago

Nursing Tip of the Day! - Critical Care Nursing

Category: Critical Care Nursing Development of intrinsic PEEP (PEEPi) will have different effects in pressure vs. flow targeted ventilation. In flow targeted ventilation, the const...

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emcrit.org /1 month ago

A Study in Priors Part 2

In our previous post, we explored some of the more nuanced considerations when interpreting Bayesian analyses. In Part 2, we’ll apply those concepts to a recently published Bayesia...

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nursenacole.com /2 weeks ago

Nursing Tip of the Day! - Critical Care Nursing

Category: Critical Care Nursing A patient's effort affects ventilation distribution. A passive positive-pressure breath without diaphragmatic contraction distributes to more nondep...

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journals.plos.org /3 weeks ago

Reassessing adult surfactant replacement therapy with mechanics-informed reinforcement learning

by Philippe Meliga, Gregor Roncin, Alejandro Yepes Peñaranda, Elie Hachem Surfactant replacement therapy (SRT) remains clinically limited to neonatal applications, in part because...

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nursenacole.com /5 days ago

Nursing Tip of the Day! - Critical Care Nursing

Category: Critical Care Nursing Volume repletion can be used, if appropriate, to maintain cardiac output in the setting of high intrathoracic pressure. Lung distention can increase...

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emcrit.org /1 month ago

The Case of the Malignant Cohort

The YEARS protocol has gained popularity as a straightforward approach to identify a subset of patients undergoing a workup for suspected pulmonary embolism (PE) who are at suffici...

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nursenacole.com /3 weeks ago

Nursing Tip of the Day! - Critical Care Nursing

Category: Critical Care Nursing Intrinsic (auto) PEEP depends on three factors: the minute ventilation, the expiratory time fraction and the respiratory system’s expiratory time co...

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