Critical Issues

Pros and Cons of Extracorporeal Membrane Oxygenation for ARDS Dr Holley reviews arguments made for and against extracorporeal membrane oxygenation (ECMO) as first-line therapy for acute respiratory distress syndrome.
Experts And Viewpoints, January 16, 2018
Protocolized APRV Versus Assist Control for ARDS A recently published, randomized trial compared APRV versus the current standard of care, low-tidal-volume ventilation. Will these results change the minds of skeptics?
Experts And Viewpoints, November 27, 2017
Few Eligible ARDS Patients Receive Low Tidal Volume Ventilation Dr Holley summarizes a survey reporting that while a majority of physicians support use of low tidal volume ventilation for acute respiratory distress syndrome, few initiate it.
Experts And Viewpoints, August 30, 2017
With Hypercapnic Respiratory Failure, Comorbidities Common Patients admitted to the ICU with hypercapnic respiratory failure have multiple comorbid diseases. Make the diagnosis before admission, says Dr Holley.
Experts And Viewpoints, August 09, 2017
What Happens to Patients After They Leave the ICU Dr Holley reviews a new study that tracked outcomes at 6 and 12 months post ICU admission for acute respiratory distress syndrome.
Experts And Viewpoints, June 08, 2017
Which Score to Use When Screening for Sepsis on the Wards Dr Holley reviews a new study that compared SIRS, qSOFA, and the Modiﬁed (MEWS) and National Early Warning Score (NEWS) screenings.
Experts And Viewpoints, April 21, 2017
Why Volume-Controlled Ventilation May Not Be Safe Dr Holley reviews a new study that investigated volume-controlled ventilation in animal models and one patient case.
Experts And Viewpoints, March 24, 2017
How to Interpret a Diffusion Capacity of the Lung for Carbon Monoxide Can POC tests provide reliable hemoglobin measurements for DLCO calculation? Dr Holley reviews a new study.
Experts And Viewpoints, March 07, 2017
Achieving Patient/Ventilator Synchrony -- Good Luck Dr Aaron Holley comments on a study that characterizes the effects of ventilator mode and tidal volume on patient/ventilator synchrony.
Experts And Viewpoints, December 13, 2016
Does Treating Mild OSA Lessen Daytime Sleepiness? Dr Aaron Holley explains the rationale for his opinion on treating mild obstructive apnea.
Experts And Viewpoints, November 28, 2016
Ultrasound to Assess Volume Status--Why Bother? Why use an expensive test to find out whether the patient will respond to a fluid bolus, when a passive leg raise is just as helpful?
Experts And Viewpoints, November 14, 2016
Transfusion Thresholds: Is the Pendulum Swinging Back? Aaron Holley discusses the latest transfusion thresholds for critical care patients, emphasizing areas of continuing controversy.
Experts And Viewpoints, November 03, 2016
Sleep Duration Important in Weight Management Dr Aaron Holley comments on the complex relationship between sleep, caloric intake, and body weight.
Experts And Viewpoints, October 18, 2016
Can a CT Scan Determine Lung Age? Novel imaging techniques document changes in the small airways related to age or disease.
Experts And Viewpoints, October 10, 2016
What Is Transpulmonary Pressure, Really? Dr Aaron Holley admits that critical care physicians might be using the term 'transpulmonary pressure' wrong, but does it really matter?
Experts And Viewpoints, September 30, 2016
From Asthma to COPD: What's Air Got to Do With It? Exposure to higher levels of air pollution significantly raises the odds of progressing to asthma and COPD. What can patients do?
Experts And Viewpoints, September 21, 2016
Assess Those Small Airways With FEV3 The COPDGene study produces valuable data on use of a novel spirometric method to identify a subset of current or former smokers with small airway disease.
Experts And Viewpoints, September 13, 2016
Detecting Sepsis on the Wards Aaron Holley comments on recent advances in sepsis detection in patients on general hospital acute care wards.
Experts And Viewpoints, August 30, 2016
Should We Treat Mild Obstructive Sleep Apnea? Dr Aaron Holley assesses the findings of a recent ATS statement about treating mild OSA in the context of AASM guidelines.
Experts And Viewpoints, August 23, 2016
Oral Appliance Therapy in OSA: A Better Way to Ensure Success The identification of physiologic traits that contribute to obstructive sleep apnea brings us closer to individualized treatment, but how many sleep centers have the expertise to measure these traits?
Experts And Viewpoints, August 16, 2016

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