Category Pulmonary

Hydration and Status Asthmaticus

We are all proficient at the management of asthma exacerbations.  Regardless of the season, there are always innumerable triggers of reactive airway disease and, hence, we have become very adept at its management.  Certainly, though, it can still generate significant…

Complicated Pneumonia – Parapneumonic Effusion

  Back on November 12, 2010 we discussed Community Acquired Pneumonia, and naturally, we are all masters at its management now (PS, I greatly appreciate those of you who have been actually reading these weekly since 2010).  But, on occasion,…

Bronchiolitis – Who Needs to Stay?

  Well, this “winter” in Charlotte has been delightful – temperatures in the 60’s, blue skies, and birds singing (literally).  While this makes for fun times outside of the hospital, it seems to have spawned a never-ending stream of kids…

Pierre Robin Sequence

Micrognathia

  Children with respiratory distress can make even the most confident physician wish that the shift had ended a little sooner. Children with airway anomalies will make that already tight sphincter tone rise to epic levels. One of the most…

Pediatric Pulmonary Contusion

Regardless of where you work, you will see injured children. Unintentional injuries far exceed all other causes of Mortality in the pediatric population. Certainly the #1 cause of death after blunt trauma in pediatric patients is Head Injury… but did…

MDI vs Nebulizer for Asthma Exacerbation

Oh, the sound of nebulized beta-agonists… it is like … fingers nails on a chalk board to me! Ok, I might be a bit of a vigilante, going exam room to exam room trying to eliminate albuterol nebs… but, here’s…

Heliox – Part of the Kitchen Sick

From the first party where we had balloons that floated, I think we have all had a fascination with the most Noble of the Noble Gases – Helium! While it is fun to make your kids think that you are…