4.8 • 1K Ratings
🗓️ 8 March 2023
⏱️ 43 minutes
🧾️ Download transcript
What is your approach to trach complications? What do all the words in the one liner of a trach patient mean? What are best practices for airway clearance? When is a patient ready for a speaking valve? What is the process for decannulation?
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Show notes, Transcript and References:
https://www.coreimpodcast.com/2023/03/08/trac/
Time stamps
2:56 Trach Components
12:47 Trach Complication Management
27:48 Airway Clearance
34:53 Speaking Valve
38:54 Decannulation
Tags: IM Core, CoreIM, pulmonary, critical care, ICU, nursing care, respiratory therapy, pharmacy
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0:00.0 | Hi everyone before we get into today's episode we are thrilled to have |
0:04.6 | Ambos as our sponsor for the episode. Hi guys my name is Virginia Véles |
0:09.8 | Quignonas I am a University of Miami, JFK, |
0:14.0 | Internal Medicine resident, |
0:16.0 | and I'm going to talk a little bit about why I like I emboss, |
0:19.0 | because literally since the beginning of residency, |
0:22.0 | I use it all the time, even with like stroke, CBA, it tells you like allow permissive hypertension for the first 24 hours if it's a schematic, you know, CT brain to make sure it's not |
0:33.8 | hemorrhagic before you do anything giving anti-coagulation, things like that. |
0:38.3 | Yeah, do you find that like you still go on up-to-date to like double check or like you don't use up to see at all? |
0:45.0 | I use it but when I want the like the latest latest research I'll go to up to date and like confirm it but to be |
0:56.4 | honest 90% 99% of the time Ambos has the latest information and it's quick and I have so many patients coming in all the time and |
1:07.0 | I sometimes don't have time to sit down during work hours and like read the whole thing. |
1:12.2 | And Korya listeners can get a one month free trial using the code Koryam-Ambos. |
1:17.0 | We'll link all that in the show notes for you. |
1:19.0 | And with that, cue the intro. |
1:22.0 | I was at Home Depot getting some plumbing stuff and there's this |
1:25.5 | giant wall of all these pipes and like L- Bend, T- Bend, this to this adapter and I was |
1:30.9 | like oh my God this is what it feels like for people when they go into that |
1:34.2 | respiratory therapy supply room, right? Like I feel like an idiot buying plumbing supplies and |
1:39.8 | until you've actually like gotten comfortable with all of these things it's like oh my god |
1:44.0 | which one of these do I need you know which one of these goes with which one. |
1:47.4 | That's Dr Nick Mark a Seattle Intensivist and creator of the ICU one patron and a contributor to the Core I Am Focus series. |
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