Critical Care Time 49. ARDS Imitators with Drs. Warren & Blagev
35 snips
May 19, 2025 Join Dr. Denitza Blagev, a Professor of Pulmonary and Critical Care Medicine, and Dr. Whittney Warren, an interventional pulmonary expert from San Antonio, as they unravel the complexities of diagnosing ARDS imitators. They dive deep into conditions like EVALI and diffuse alveolar hemorrhage, sharing personal anecdotes and professional insights. The discussion highlights the importance of accurate diagnoses and differentiating these conditions, while also emphasizing the role of patient history and thorough examinations in critical care.
AI Snips
Chapters
Transcript
Episode notes
Use History to Spot Mimics
- Always consider a broad differential when ARDS diagnosis is unclear.
- Use history, timing, and systemic symptoms like weight loss or hemoptysis to suspect mimics.
Early Bronchoscopy for Diagnosis
- Do bronchoscopy early in ARDS mimics when diagnosis is uncertain and infection or DAH suspected.
- Use high flow oxygen and good preparation to bronch even sick, non-intubated patients safely.
Maximize Bronchoscopic Yield
- When bronching ARDS mimics, send comprehensive testing including cell count, fungal markers, and specific stains.
- Cell count is low-cost but crucial and cannot be done retrospectively.