Discover and read the best of Twitter Threads about #chesttrainees

Most recents (3)

1/ Have you ever been confused about the pulmonary management of neuromuscular disorders? If so, I promise you aren’t the only one! Check out this #tweetorial primer on the basics of NMD management. @VCU_PCCM @crit_caring_MD @AvrahamCooperMD @PulmPEEPs #CHESTTrainees #MedEd
2/ Neuromuscular diseases affect the respiratory system in 3 main areas:
1⃣Ventilatory Function
2⃣Cough Function
3⃣Swallowing and Airway Protection

As muscle weakness progresses, this will lead to alveolar hypoventilation with subsequent hypoxemia and hypercapnia.
3/ Objective means to assess respiratory muscle function include:
1⃣Maximal Inspiratory Pressure
2⃣Maximal Expiratory Pressure
3⃣Forced Vital Capacity (Supine)
4⃣Peak Cough Flow

MIP <60 mmHg and nocturnal oximetry are effective in detecting early respiratory insufficiency.
Read 15 tweets
Next up for me: Changing Landscape of Prone Positioning with @sqsimp @GallodeMoraesMD @md_ritwick and Dr. Bosch.

Follow this thread 🧵 for pearls from this session.

#CHEST2021 #CHESTtrainees
Abbreviations:
PP = Prone Positioning
APP = Awake Prone Positioning
ARDS = You know it!
ARF = Acute Resp Failre

So then, let's learn!

#CHEST2021
Dr. Bosch:
What is APP? Proning patients who are not mechanically ventilated (MV)

He's presenting a case, let me ask you in the meanwhile; Do you perform Awake Proning?
Read 20 tweets
@CritCareReviews @emcrit @PulmCrit @adamdavidthomas @nielsen_niklas @ttm2trial @neurocritical Variability in evidence, lack of definitive answer for TTM/clinical equipoise @ttm2trial @WICSBottomLine power calculation based on ARR of 7.5, n=1900. Inclusion: Adult, comatose, cardiac arrest-cardiac/unknown; stable ROSC, no ECMO, not asystole, max time from arrest 180 mins
Read 14 tweets

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