Intubation

Vocal Cord Dysfunction Evaluation and Outcome of Conservative Treatment Abstract Objective: This article reports evaluation of 30 patients with Vocal Cord Dysfunction (VCD) and the outcome of conservative management program including voice therapy and breathing exercises. Study design: A prospective observational follow up study. Methods: Thirty consecutive referrals of refractory asthma patients and patients presented by laryngeal symptoms diagnosed as having VCD were assessed, treated and…

with early emphasis on the cardiovascular system and a rapid assessment of neurologic status to facilitate decision-making ○ Airway, breathing and circulation are managed in the initial minutes of encounter: if ventilatory effort is compromised, intubation and initiation of mechanical ventilation is indicated ○ Intravenous fluids and pharmacologic therapy (i.e., pressor agents) to sustain adequate tissue perfusion at a mean arterial pressure of 110 mm Hg…

Program (SMDEP) was the most momentous. SMDEP gave me the opportunity to catch a glimpse at what my future as a physician could look like and solidified my desire to pursue medicine. From deciphering between the trachea and the esophagus during intubation to being faced with ethical challenges such as those of Henrietta Lacks, I witnessed the challenges of medicine. I embrace these challenges because it shows medicine’s lifelong dedication to learning. This dynamic nature excites me and pushes…

with peritonitis they will follow similar treatment method as patients with diverticulitis with modifying their diet and being put on medications (antibiotics). Peritonitis can also be treated with several medical procedures such as nasogastric intubation and surgical drain. Or if needed they can be treated by three different types of surgery; an appendectomy, laparoscopic surgery, or an exploratory…

Dr. Salvatore Silvestri passed suddenly Sunday, February 26, 2017. As many of his colleagues and loved ones know, Sal was passionate about EMS and his community's wellbeing. This great man, Dr. Sal Silvestri. Sal served as an Associate Medical Director for Orange County EMS and was the Program Director for the Orlando Regional Medical Center Emergency Medicine residency. He was an amazing physician, teacher, and mentor and always had a warm and unforgettable smile. The world lost an amazing…

1. Damage control principles in critical care The role of Intensive care unit in the poly-trauma context encompasses patient management and organ support; in other words, on-going physiology resuscitation. The goals of critical care are recognition and treatment of complications which ensue as a result of primary injuries (1st hit) as well as prevention, identification and management of iatrogenic injury (2nd hit). Permissive hypotension, hemostatic resuscitation and damage control surgery…

1. Mr. Hayato was diagnosed with emphysema more than 10 years ago. Define emphysema and explain its underlying pathophysiology. Emphysema is a lung condition that is "characterized by the breakdown of the lungs' elastic structure and destruction of the walls of the bronchioles and aveoli." This condition breaks down the elastic structure of the surface area that is involved in respiration. Emphysema is associated with "abnormal levels of oxygen and carbon dioxide in the blood," which would…

population; they are seen as the most vulnerable along with the elderly. I appreciate their attention to certain populations that seem more at risk than others. More specifically, there are articles referring to specific safety improvements in tracheal intubation. This procedure is a very common practice on my unit and it presents a myriad of issues and challenges particularly for those not well trained. The high error rate, which includes severe consequences for doing the procedure incorrectly,…

My mind and body were instantly numb; the operating room was ice cold and so were my thoughts. I did not fully understand why it had taken the doctors eighteen years to discover that I had been born with a heart defect. AJust as the fearf fills my mind, a warm and gentle hand grasp mine providing comfort. ul thoughts began to flood mind, a warm hand grasped mine. This is my first experience with a It was Megan, my Physician’s Assistant (PA). Her comforting words reassured me that I was in great…

Tracheostomy tubes are inserted into and incision in the windpipe to relieve an obstruction in the airway. Endotracheal tubes are used to intubate a patient during anesthesia or when there is maintenance of the airway (Types of intubation, n.d.). Tracheostomy tubes and endotracheal tubes are often used for the distribution for aerosol therapy. According to the Medical Dictionary, Aerosol deposition is the depositing or the retention of aerosol particles on a nearby surface within the respiratory…