PRISM Rounds: Pulmonary, Critical Care & Sleep Medicine copertina

PRISM Rounds: Pulmonary, Critical Care & Sleep Medicine

PRISM Rounds: Pulmonary, Critical Care & Sleep Medicine

Di: bronchoscope
Ascolta gratuitamente

A proposito di questo titolo

 PRISM Rounds is a Pulmonary, Critical Care & Sleep Medicine podcast that reviews one new article every other week. We break down the study design, statistics, results, and bedside implications—so you can interpret the trial quickly and stay current with the latest research.bronchoscope Disturbo fisico e malattia Igiene e vita sana
Episodi
  • S01E21 Acute Pulmonary Embolism: 2026 AHA/ACC Multisociety Guideline

    S01E21 Acute Pulmonary Embolism: 2026 AHA/ACC Multisociety Guideline
    Feb 27 2026

    We walk through the 2026 AHA/ACC/ACCP/ACEP/CHEST/SCAI/SHM/SIR/SVM/SVN guideline for evaluation and management of acute pulmonary embolism in adults (Circulation, 2026). We focus on the guideline’s top take-home messages trainees need on rounds: the new A–E clinical categories for severity/triage, who can be discharged early, who should be hospitalized, when to activate PERT, and how to think about escalation therapies in the sickest patients—plus practical anticoagulation choices (LMWH vs UFH, DOACs vs warfarin) and follow-up to screen for post-PE limitations/CTEPD. Educational use only—not medical advice.

    Source (guideline):

    https://www.ahajournals.org/doi/10.1161/CIR.0000000000001415


    Pubmed: https://pubmed.ncbi.nlm.nih.gov/41712677/

    Tags

    #CriticalCare #ICU #PulmonaryEmbolism #PE #VTE #Thrombosis #Anticoagulation #DOAC #Heparin #LMWH #PERT #EmergencyMedicine #HospitalMedicine #Cardiology #PulmonaryMedicine #MedEd #FOAMed #Guidelines #Circulation #ResidentEducation #FellowEducation #RVRstrain #CTPA #D_Dimer #CTEPD
    Mostra di più Mostra meno
    42 min
  • S01E20 PreVent 2 and Subglottic Secretion Drainage After Emergency Intubation (Lancet Respir Med)

    S01E20 PreVent 2 and Subglottic Secretion Drainage After Emergency Intubation (Lancet Respir Med)
    Feb 24 2026
    On today’s PRISM Rounds we discuss PreVent 2, the multicenter randomized trial in The Lancet Respiratory Medicine (2025) testing whether a polyurethane cuff + subglottic secretion drainage (PU-EVAC) endotracheal tube improves outcomes after emergency intubation—and what the accompanying editorial argues about the real-world value of subglottic suction devices.We translate the methods and results into what matters on shift: CDC ventilator-associated event metrics (IVAC / possible VAP), workflow realities (cuff pressure checks, suction setup), and why “VAP reduction” only matters if it moves objective outcomes. We also step back to the 2016 AnnalsATS Deem et al. pilot trial as historical context—then return to the core question: should these tubes be routine in emergency intubations, or is it time to move on?Friendly ICU banter included (with love for RTs and nursing). Educational use only.Sources (PubMed):PreVent 2 (Lancet Respir Med, 2025):https://pubmed.ncbi.nlm.nih.gov/41319662/Deem et al. pilot (AnnalsATS, 2016): https://pubmed.ncbi.nlm.nih.gov/26523433/Tags#CriticalCare #ICU #MechanicalVentilation #AirwayManagement #Intubation #VAP #VentilatorAssociatedPneumonia #VentilatorAssociatedEvents #IVAC #SubglotticSuction #EndotrachealTube #RespiratoryTherapy #Nursing #FOAMed #MedEd #JournalClub #EvidenceBasedMedicine #LancetRespiratoryMedicine #AnnalsATS
    Mostra di più Mostra meno
    48 min
  • S01E19 PROMIZING: PAV+ vs PSV for Ventilator Liberation

    S01E19 PROMIZING: PAV+ vs PSV for Ventilator Liberation
    Feb 24 2026
    In this PRISM Rounds episode, we break down the PROMIZING randomized trial in the New England Journal of Medicine (2025) comparing proportional-assist ventilation with load-adjustable gain factors (PAV+) versus pressure-support ventilation (PSV) during weaning. We cover the physiology case for PAV+, the pragmatic reasons the primary outcome was neutral, and the most actionable takeaway for ICU teams: a consistent liberation workflow (readiness checks, SBT quality, timely extubation, and sedation strategy) often matters more than the ventilator mode itself. Education only — not medical advice. PubMed: https://pubmed.ncbi.nlm.nih.gov/40513024/Tags#CriticalCare #ICU #MechanicalVentilation #VentilatorWeaning #RespiratoryTherapy #RT #ARDS #SBT #PAVplus #PSV #NEJM #JournalClub #EvidenceBasedMedicine #FOAMed #Pulmonary #IntensiveCare #Sedation #PatientVentilatorSynchrony
    Mostra di più Mostra meno
    30 min
Ancora nessuna recensione