Posts by Kathryn A. Hibbert, MD
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Imaging Can Identify Early Lung Disease in People with HIV
HIV infection itself appears to contribute to obstructive airway disease, even in nonsmokers, and the damage can be detected early with positron emission tomography.
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Review: Evidence-Based Management of the Critically Ill Adult with COVID-19
Massachusetts General Hospital physicians have published guidance on treating critically ill adults with COVID-19 that synthesizes the pre-existing critical care literature with emerging data from observational reports and randomized controlled trials.
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Skepticism of Reported Dexamethasone COVID-19 Breakthrough
Excitement over a potential new treatment for COVID-19 left many doctors skeptical without seeing the data supporting it, including those at Massachusetts General Hospital.
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CT Should Not Be Used to Guide Ventilation in COVID-19 Respiratory Failure
According to Massachusetts Hospital researchers, the degree of abnormality on computed tomography in COVID-19 bears no consistent relationship to respiratory system mechanics.
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No Evidence to Support Novel Mechanism of Hypoxemia in COVID-19
According to Massachusetts General Hospital clinicians, observations of hypoxemia in COVID-19 are entirely consistent with known mechanisms and do not require the invocation of novel processes specific to SARS-CoV-2.
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Choice of Tidal Volume in COVID-19 Patients Without ARDS Should Be Individualized
Massachusetts General Hospital researchers find that there's reasonably strong evidence for low tidal volume ventilation in non-ARDS respiratory failure, although it is not without risks.
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What Causes Hypoxemia in COVID-19? (Part II)
Many people are saying...hypoxemia in COVID-19 is something entirely new.
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What Causes Hypoxemia in COVID-19? (Part I)
Many people are saying...hypoxemia in COVID-19 is something entirely new.
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Can a CT tell you how to ventilate in COVID-19?
Many people are still saying...COVID-19 patients have unique respiratory failure phenotypes.
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LTVV in non-ARDS
Low tidal volume ventilation is a cornerstone of therapy for ARDS and has a well-demonstrated mortality benefit.
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Sedation in COVID-19
Across the country, centers have reported increased sedation needs among intubated ICU patients during the COVID-19 epidemic. Tonight, we review the factors that may contribute to increased respiratory drive in ARDS as well as the evidence for adequate sedation in low tidal volume ventilation.
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Managing PEEP and Recruitment
Many people are asking...how should I manage PEEP and alveolar recruitment in COVID-19 ARDS patients?