Background: Throughout the COVID-19 pandemic, the practice of intubation for hypoxemic respiratory failure secondary to presumed COVID ARDS has shifted from earlier to later intubation at our hospital. Patients are now intubated for respiratory fatigue rather than for only hypoxemia. Timing of intubation has not been associated with change in mortality based on one recent [...]

Background: Asthma is one of the most common chronic medical conditions affecting around 300 million people worldwide. It is a disorder of the airways characterized by recurrent symptoms of airway obstruction and inflammation. Invasive mechanical ventilation for patients admitted to the hospital with asthma is challenging with higher complications and higher rates of patient-ventilator asynchrony, [...]

Background: Intubation is both an important outcome measure along the spectrum of all respiratory illnesses and a marker of disease severity. Time of intubation (TOI) is an important point to identify in the electronic health record (EHR) as it allows researchers to study the association of pre and post-intubation variables with mortality and other relevant [...]

Background: ARDS incidence in patients with COVID-19 pneumonia varies from 15-42%; between 5-20% of patients with hospitalization criteria received mechanical ventilation (1-3). Prone positioning demonstrated mortality benefits for patients with Severe ARDS (sARDS) with lung injury, but its use in patient COVID-19 is not clear (4-6). ARDS protocol (ARDSp) is recommended by ATS and The [...]

Case Presentation: A 58-year-old male with hypertension, morbid obesity and obstructive sleep apnea (OSA) was shifted to MICU for monitoring of his respiratory status following elective vitrectomy under general anesthesia. He was managed with non-invasive ventilation (NIV) for OSA overnight. Next day he developed an acute onset, right-sided painless neck swelling without associated dysphagia, odynophagia [...]

Case Presentation: A 61 yo female with a medical history significant for chronic pancreatitis, hypertension, brain aneurysm, and cerebrovascular accident presented to the ED for shortness of breath. She was previously admitted to an outside hospital with shortness of breath secondary to ACE-I induced angioedema, during which period she was emergently intubated due to diffuse [...]