2.91 CME

Acute Care Bronchoscopy: for the Intensivists by the Intensivists

Speakers: Dr. Manish Bharti , Dr. med. Thushira Weerawarna

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Description

Acute care bronchoscopy is a critical tool for intensivists in managing patients with severe respiratory distress or airway obstruction in the intensive care unit. It allows for the direct visualization of the airway to identify and manage issues such as secretions, mucus plugs, or foreign body aspirations. This procedure can also aid in the diagnosis and treatment of infections, such as pneumonia or ventilator-associated conditions, by enabling targeted sampling and lavage. For intensivists, proficiency in bronchoscopy is essential for providing timely, life-saving interventions in acutely ill patients, minimizing complications, and improving patient outcomes in critical care settings.

Summary Listen

  • Dr. Ankuk Martenwar discusses the importance of healthy sleep, particularly in recognition of World Sleep Day. The event emphasizes the need to address sleep-related issues, promote healthy sleep habits, and understand the influence of sleep on overall well-being. The speaker highlights the importance of sleep for overall health, taking care of oneself, and promoting development.
  • Good sleep promotes wellness and corporate, referring to tolerance power. Sleep deficiency is associated with depression and anxiety. Obstructive sleep apnea affects a significant percentage of the Indian population. Sleep disorders affect a substantial portion of the Indian population and can worsen psychological conditions. Chronic sleep deprivation is prevalent among Indian youth and middle-aged adults, potentially due to lifestyle changes and increased screen time.
  • Ayurveda views sleep as a natural and non-suppressive energy. While sleep disorders are normal, one should not sleep in the state of disorder or get used to sleeping in the state of disorder, if you're used to sleeping in the state of disorder it is not good for health.
  • Ayurveda offers remedies such as applying oil to the head, consuming fellow milk, and maintaining a comfortable bed to enhance sleep. Additionally, listening to pleasing music, using pleasant perfumes, and consuming sweet and fresh foods can aid in better sleep. Specific remedies include consuming honey before bed and applying soothing lemon oil to the head, eyes, and face.
  • Ayurvedic treatments for sleep disorders include Ashwagandha, Brahmi, and other herbs and compounds. These are used in various forms like Masaadi kwa and Jata Masi Hinn. Practices like Angaful body massage, application of herbal pastes, and installation of medicated oil into the ear are also recommended.
  • Valerian root and its constituents act as natural sedatives and sleep enhancers by positively influencing the nervous system. Modern analysis techniques are applied to identify and validate its components and effects. The use of this has shown promise in promoting restful sleep.
  • Clinical studies support the use of Ashwagandha, yoga, shirodara (oil dripping treatment), and Masadic path in primary insomnia management. These treatments show potential in improving memory, sleep quality, and overall well-being. The analysis of the treatment with these options show effective results for many conditions.
  • Maintaining proper sleep habits is vital. New bones require 14 to 70 hours of sleep while adults need seven to nine hours. Creating a sleep-friendly environment by minimizing light and maintaining a cool temperature is also crucial. Blue color is helpful for encouraging good quality sleep.

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