Case Presentation: We present a 20 year old gentleman in acute hypoxic and hypercapnic respiratory failure and cariogenic shock secondary to hemodynamically unstable hemoptysis requiring mechanical ventilation and vasopressor support with norepinephrine and vasopressin. He had history of pulmonary atresia with intact interventricular septum at birth post right ventricular outflow repair and 1.5 ventricular repair [...]

Case Presentation: An 86-year-old male with small bowel carcinoid tumor, complicated by heart disease (CHD), severe tricuspid (TR) and pulmonary regurgitation (PR), right-sided heart failure, atrial fibrillation, and end-stage renal disease on hemodialysis, presented with new-onset dyspnea. His oxygen saturations ranged from 70-88%, improving to 92% with high-flow nasal cannula. Physical exam demonstrated cachexia, pansystolic [...]