GUIDELINE FOR DIAGNOSIS AND MANAGEMENT OF COMMUNITY AND HOSPITAL ACQUIRED PNEUMONIA IN ADULT: JOINT ICS AND NCCP(I) RECOMMENDATIONS
The full guideline is available from the following link or lung india web site
http://www.lungindia.com/temp/LungIndia29627-8180843_224328.pdf
It has been observed that all patients of OSA are not same. The response to therapy is variable and it has been seen in studies that different pathological mechanism exist that lead to OSA.
the possible pathological phenotype of sleep apnea which may lead future treatment are-
1. Upper air way anatomy
2. Upper air way motor control
3. Ventilatory control stability
4, Lung volumes
5. Arousal threshold
WE ARE GOING TO ORGANIZE A RESPIRATORY UPDATE IN GUWAHATI ON 6TH MAY 2012
High intensity NPPV is a new
strategy aim at maximal improvement in gas exchange in COPD patients with chronic
hypercapnic respiratory failure by increasing ventilator setting to the
individually tolerated maximum if necessary or to the level necessary to
achieve normocapnia.
In contrast to conventional NPPV in high intensity NPPV an
IPAP (Inspiratory positive airway pressure) is set in between 20-40 cm of H2O
initially in hospital setting and later at home. The randomised controlled
trail has shown that high intensity NPPV cause several benefit. Compare to
conventional strategy it showed-
- Improved gas exchange
- Improvement in breathing pattern and lung function
- Improvement in inspiratory muscle strength
- Increase haematocrit in anemic COPD and decrease haematocrit
in polycythemic COPD
- Improvement in dyspnea, quality of life and walking
distance.
WISH U ALL A HAPPY AND PROSPEROUS 2012
MY BLOG HAS BEEN VISITED BY > 17,000 INDIVIDUALS AROUND THE WORLD FROM 101 COUNTRIES...OVER LAST 2 YEARS..............THANKS TO ALL VISITORS.................WILL UPDATE REGULARLY..NEED MORE COMMENT TO DEVELOP FURTHER............................
november 16th is to be celebrated as world COPD day
we are doing a free spirometry camp and public awarness
for doctor we are doing a spirometry workshop
....................................................
GREAT MUSICIAN OF ASSAM DR BHUPEN HAZARIKA IS TO BE CREMATED TODAY.......... HIS CONTRIBUTION TO THE MUSIC WILL BE REMEMBERED BY THE WORLD FOR EVER...........
.SAGAR SANGAMOT KATANA SATURILU..... TOTHAPI TO HUWA NAI KLANTA............
14TH OCTOBER 2011 IS WORLD SPIROMETRY DAY. ITS A TIME TO INCREASE KNOWLEDGE AND AWARENESS ON USE OF SPIROMETRY....
New 7th edition of TNM classification lung cancer is based on International Association for the Study of
Lung Cancer (IASLC) database. The changes from previous edition are mentioned bellow. for more detail follow ERS journal (breathe ,June 2011)
The changes in relation to T (tumor) are-
1. T1a <2cm prev T1
2.T1b> 2-3cm T1
3. T2a>3-5cm T2
4.T2b >5-7 cm T2
5. T3 >7cm T2
6. Additional tumor node in same lobe T3 T4
7. Add tumor node in another ipsilateral lobe T4 M
8. Pleural inv M1a T4
9. Intra thoracic metastasis M1 and extrathoracic metastasis M2 M
N remained unchanged , however nodal zone has been changed
COOSMIC SLEEP LAB
since 2011 serving the people of north east............
COOSMIC SLEEP LAB PROVIDE ALL TYPE OF SOLUTION TO YOU SLEEP PROBLEMS IN GENERAL AND SLEEP APNEA IN PARTICULAR IN GUWAHATI AND NORTH EAST REGION OF INDIA, MOSTLY FOCUS ON HOME BASED SLEEP STUDY TEST
CONTACT
08811095389
email- coosmicsleeplab@gmail.com
welcome and disclaimer
i welcome all of you to this new blog on respiratory, critical careand sleep medicineDISCLAIMER:
Information provided here is for medical education only. It is not intended as and does not substitute for medical advice. If you are a patient, please see your doctor for evaluation of your individual case. The web site should not be used as a substitute for competent medical advice from a licensed physician. By accessing the web site, the visitors acknowledge that there is no physician-patient relationship between them and the author. Under no circumstances will the author be liable to you for any direct or indirect damages arising in connection with use of this website.
The appearance of external hyperlinks to other websites does not constitute endorsement. The author does not verify, endorse, or take responsibility for the accuracy, currency, completeness or quality of the content contained in these sites.
All case descriptions are fictional, similar to the descriptions you can find in a multiple choice questions textbook for board exam preparation. Cases course and description do not follow real cases. Many of the images on this blog are my own. Few of them are from friends. Some of them are from textbooks/journals. I have provided references and given credit where applicable I would be glad to take off any images/posts that you think violates your copyright policy. Please post to respicriticalcareandsleep@gmail.com
