48. Interventional Pulmonary In The ICU with Dr. Joshua Boster, MD

In this episode of Critical Care Time, co-hosts Dr. Cyrus Askin and Dr. Nick Mark are joined by Dr. Joshua Boster, an interventional pulmonary fellow, to discuss the role and skills of an interventional pulmonologist in the ICU setting. Dr. Boster shares his journey into pulmonary and critical care medicine, defines interventional pulmonary, and details the training required. The group discusses a complex case of a patient with metastatic squamous cell lung cancer and progressive dyspnea, exploring diagnostic approaches, the benefits of rigid bronchoscopy, and various therapeutic interventions like tumor debulking and stent placement. They further explore the management of persistent air leaks and large volume hemoptysis, emphasizing the importance of considering the patient's overall prognosis and quality of life.

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Critical Care Time

Introduction to Interventional Pulmonary in Critical Care

Defining Interventional Pulmonary and its Scope

Case Presentation: Central Airway Obstruction

Rigid vs. Flexible Bronchoscopy: Advantages and Considerations

Managing Central Airway Obstruction: Debulking and Cryotherapy

Recurrent Obstruction and Stent Placement

Stent Complications and Follow-Up Care

Airway Clearance Techniques and Intubation Considerations with Stents

Balancing Risks and Benefits: Therapeutic Bronchoscopy in Critically Ill Patients

Percutaneous vs. Surgical Tracheostomy

Managing Empyema: Thoracentesis, Chest Tubes, and Thoracoscopy

Persistent Air Leaks and Endobronchial Valves

Massive Hemoptysis and Endobronchial Interventions

Conclusion and Acknowledgements

48. Interventional Pulmonary In The ICU with Dr. Joshua Boster, MD

Critical Care Time

00:27Introduction to Interventional Pulmonary in Critical Care

Introduction to Interventional Pulmonary in Critical Care

05:08Defining Interventional Pulmonary and its Scope

Defining Interventional Pulmonary and its Scope

11:14Case Presentation: Central Airway Obstruction

Case Presentation: Central Airway Obstruction

17:12Rigid vs. Flexible Bronchoscopy: Advantages and Considerations

Rigid vs. Flexible Bronchoscopy: Advantages and Considerations

23:07Managing Central Airway Obstruction: Debulking and Cryotherapy

Managing Central Airway Obstruction: Debulking and Cryotherapy

29:33Recurrent Obstruction and Stent Placement

Recurrent Obstruction and Stent Placement

35:27Stent Complications and Follow-Up Care

Stent Complications and Follow-Up Care

44:09Airway Clearance Techniques and Intubation Considerations with Stents

Airway Clearance Techniques and Intubation Considerations with Stents

51:34Balancing Risks and Benefits: Therapeutic Bronchoscopy in Critically Ill Patients

Balancing Risks and Benefits: Therapeutic Bronchoscopy in Critically Ill Patients

58:52Percutaneous vs. Surgical Tracheostomy

Percutaneous vs. Surgical Tracheostomy

1:03:07Managing Empyema: Thoracentesis, Chest Tubes, and Thoracoscopy

Managing Empyema: Thoracentesis, Chest Tubes, and Thoracoscopy

1:07:57Persistent Air Leaks and Endobronchial Valves

Persistent Air Leaks and Endobronchial Valves

1:17:28Massive Hemoptysis and Endobronchial Interventions

Massive Hemoptysis and Endobronchial Interventions

1:25:53Conclusion and Acknowledgements

Conclusion and Acknowledgements