03.+Respiration


 * Module 3** :

__15th of December 2009: PIMS Auditorium__ 2-3PM: Ventilation, perfusion and gas exchange in the critically ill - Dr Rubina Aman (PIMS) 3-4PM: The difficult airway - Dr Badar Us Saman (PIMS) 4-5PM: Pleural diseases in the ICU - Pakistani faculty 5-6PM: Severe acute asthma and exacerbation of COPD - Dr Aftab Akhtar (Shifa Hospital, Islamabad)

__16th of December 2009: PIMS Auditorium / Saint Antoine Hospital, France (videoconferencing)__ 2-3PM: Mechanical ventilation, the basics - Dr Vincent Ioos (Saint Antoine Hospital, Paris) 3-4PM: Weaning from mechanical ventilation - Prof Eric Maury (Saint Antoine Hospital, Paris) 4-5PM: Adult Respiratory Distress Syndrome - Prof Charles-Edouard Luyt (Pitie-Salpetriere Hospital, Paris) 5-6PM: Severe community acquired pneumonia - Prof Charles Mayaud (Tenon Hospital, Paris)


 * Useful links

[|Learning bronchoscopy on-line] [|Ventilation with face-mask and bag-valve device NEJM] [|Oro-tracheal intubation NEJM] [|Surgical tracheostomy] [|Percutaneous tracheostomy] [|Chest tube insertion NEJM] [|Lung function fundamentals] [|Devices for difficult airway]

Lectures **
 * [[file:Prevention of ventilator acquired pneumonia Dr V.Ioos 2008.pdf]]

References**
 * 1) Pham LH, Brun-Buisson C, Legrand P, Rauss A, Verra F, Brochard L, Lemaire F. Diagnosis of nosocomial pneumonia in mechanically ventilated patients. Comparison of a plugged telescoping catheter with the protected specimen brush. Am Rev Respir Dis 1991 May; 143(5 Pt 1): 1055-61.
 * 2) Kollef MH; Bock KR; Richards RD; Hearns ML. The safety and diagnostic accuracy of minibronchoalveolar lavage in patients with suspected ventilator-associated pneumonia. Ann Intern Med 1995 May 15; 122(10):743-8.
 * 3) Fine MJ; Auble TE; Yealy DM; Hanusa BH; Weissfeld LA; Singer DE; Coley CM; Marrie TJ; Kapoor WN. A prediction rule to identify low-risk patients with community-acquired pneumonia. N Engl J Med 1997 Jan 23; 336(4):243-50.
 * 4) The Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med 2000 May 4; 342(18):1301-8.
 * 5) British Thoracic Society guidelines on diagnostic flexible bronchoscopy. Thorax 2001; 56 Suppl 1:i1.
 * 6) Chastre J, Fagon JY. Ventilator-associated pneumonia. Am J Respir Crit Care Med 2002 Apr 1; 165(7): 867-903.
 * 7) Gacouin A; Le Tulzo Y; Lavoue S; Camus C; Hoff J; Bassen R; Arvieux C; Heurtin C; Thomas R. Severe pneumonia due to Legionella pneumophila: prognostic factors, impact of delayed appropriate antimicrobial therapy. Intensive Care Med 2002 Jun; 28(6):686-91.
 * 8) Leatherman JW; McArthur C; Shapiro RS. Effect of prolongation of expiratory time on dynamic hyperinflation in mechanically ventilated patients with severe asthma. Crit Care Med 2004 Jul;32(7):1542-5.
 * 9) Mandell LA; Wunderink RG; Anzueto A; Bartlett JG; Campbell GD; Dean NC; Dowell SF; File TM Jr; Musher DM; Niederman MS; Torres A; Whitney CG. Infectious Diseases Society of America/American Thoracic Society consensus guidelines on the management of community-acquired pneumonia in adults. Clin Infect Dis. 2007 Mar 1; 44 Suppl 2:S27-72.
 * 10) Mercat A; Richard JC; Vielle B; Jaber S; Osman D; Diehl JL; Lefrant JY; Prat G; Richecoeur J; Nieszkowska A; Gervais C; Baudot J; Bouadma L; Brochard L. Positive end-expiratory pressure setting in adults with acute lung injury and acute respiratory distress syndrome: a randomized controlled trial. JAMA. 2008 Feb 13; 299(6):646-55.