Rory Spiegel

Rory Spiegel, an emergency physician and intensivist at MedStar Washington Hospital Center, dives deep into the world of Airway Pressure Release Ventilation (APRV). He discusses the practicalities of APRV through a case study of a patient with respiratory distress, highlighting its advantages over conventional methods. Listeners learn about crucial settings, spontaneous breathing's role, and how to tailor ventilation to individual needs. Spiegel also addresses the implications of lung injuries and hypotension, advocating for APRV's benefits in critical care scenarios.

Rory Spiegel, an emergency and critical care physician known for ventilator strategy teaching, breaks down APRV/TCAV for lung rescue. He discusses when APRV is useful or harmful, ventilator choices, setting P‑high/T‑low/T‑high, effects on the heart and brain, and practical ED tips for early rescue and transition to CPAP.