The Gas Exchange

This episode features Dr. Eduardo Mireles discussing interprofessional education in critical care, focusing on mechanical ventilation training through the SEVA program at the Cleveland Clinic. Learn about the importance of team-based training, practical implementation, and ongoing competency assessment in respiratory care.

S1E16: Teaser! In this episode, Keith Lamb, Thomas Piraino and Dr. Eddy Fan discuss the latest guidelines and evidence in respiratory critical care, including mechanical ventilation, recruitment maneuvers, PEEP strategies, and ECMO. Gain insights from a leading expert on how physiology and evidence-based practice intersect to improve patient outcomes. Full episode will drop Monday 4/27/26.

In this episode, Dr. Giles Peek shares his extensive experience with ECMO, discusses pivotal trials like CESAR, and explores ventilator management strategies for respiratory failure. Gain insights into the evolution of ECMO practices, the importance of lung protective strategies, and the future of extracorporeal support.

In this episode, respiratory therapist Melody Bishop shares her journey into transport ventilation, common misconceptions, and the challenges of providing education and optimal care in transport settings. Discover insights on ventilator technology, the importance of ongoing education, and how social media is shaping respiratory care.

In this in-depth discussion, Troy Whitacre, a seasoned respiratory therapist, shares his extensive experience with advanced ventilator management, including the use of transpulmonary pressure, EIT, and other monitoring tools. The conversation covers practical techniques for teaching staff, interpreting ventilator data, and optimizing patient care in critical settings.

In this engaging episode, Dr. Lillian Emlet shares her journey from emergency medicine to critical care and healthcare coaching. Topics include the importance of coaching for healthcare professionals, leadership development, managing burnout, and advanced airway management techniques.

S1E11 of The Gas Exchange Podcast. In this episode, Keith and Thomas discuss Dr. Farhad Kapadia's extensive experience in critical care medicine, discussing the complexities of acid-base disorders, the role of bicarbonate, and the importance of individualized patient care. The conversation highlights the evolution of practices in critical care, the significance of long-term outcomes, and the need for evidence-based approaches in clinical trials.

S1E10: In this episode of The Gas Exchange podcast, hosts Keith Lamb and Thomas Piraino engage with guest Andy Klein, a respected respiratory therapist and educator. They discuss the importance of knowledge translation in critical care, the challenges of ensuring staff competency, and innovative approaches to education in respiratory therapy. The conversation highlights the role of super users, the need for effective communication and networking, and the significance of creating a culture of continuous learning in healthcare settings.

In this in-depth discussion, Dr. Nick Ghionni shares his expertise on mechanical ventilation, emphasizing the importance of understanding ventilator physiology, debunking common misconceptions, and advocating for nuanced, patient-centered approaches in critical care.

In this episode of the Gas Exchange Podcast, host Keith Lamb and co-host Thomas Piraino welcome Dr. Brady Scott, a seasoned respiratory therapist and educator. The conversation delves into the critical aspects of resuscitation science, particularly focusing on tidal volumes during CPR. Dr. Scott shares insights from his research, highlighting the variability in tidal volumes delivered during resuscitation and the implications of hyperventilation. The discussion emphasizes the need for individualized ventilation strategies based on patient characteristics and the importance of monitoring during CPR. The episode also explores ongoing research and innovations in the field, aiming to improve patient outcomes in cardiac arrest.

Boom!! S1E7 of The Gas Exchange is here. In this episode of the Gas Exchange Podcast, host Keith Lamb, co-host Thomas Piraino, and guest Dr. Zafar Khazam discuss the integration of critical care principles into emergency medicine. They explore the evolving role of respiratory therapists, the challenges of airway management, and the importance of team communication in providing optimal patient care. The conversation emphasizes the need for anticipation and preparation in critical care scenarios, as well as the significance of sharing knowledge and experiences among healthcare professionals.https://youtu.be/nRB5R9mJiM8

In this episode of the Gas Exchange podcast, host Keith Lamb and co-host Thomas Piraino welcome Dr. Arzu Ari, a leading expert in aerosol medicine. They discuss the evolution of aerosol drug delivery, particularly the impact of HFNC and the concept of transnasal aerosol drug delivery. Dr. Ari shares insights from her extensive research, emphasizing the importance of flow rates in aerosol delivery efficiency and the need for individualized patient care. The conversation also addresses common misconceptions in aerosol therapy, the challenges faced during the COVID-19 pandemic, and the critical role of education in improving clinical practices. Dr. Ari highlights the necessity for further research in aerosolized medications and advocates for a holistic approach to aerosol therapy.

It's here! S1E5In this episode of the Gas Exchange podcast, host Keith Lamb and co-host Thomas Piraino welcome Dr. Wes Ely, a physician and author, to discuss critical care medicine, the impact of COVID-19 on healthcare workers, and the importance of human connection in patient care. Dr. Ely shares his personal journey into medicine, the concept of moral injury among healthcare professionals, and the significance of the ABCDEF bundle for ICU liberation. The conversation emphasizes the need for compassion, understanding, and evidence-based practices in critical care to improve patient outcomes and support healthcare workers.https://youtu.be/COFlwO3Eyhs

Join us as we discuss driving pressure with Dr Giacomo Bellani, first author of the Lung Safe Trial.

The Gas Exchange S1E3!We discuss neurocritical care and respiratory failure with Dr Thomas Bleck, Founder of The Neurocritical Care Society. We dive into Neurogenic Pulmonary Edema, intracranial pressure, and ventilator-induced brain injury.

Keth Lamb, Thomas Piraino, and Dr. Stefano Spina discuss the current ARDS guidelines, their differences, and the importance of personalized care at the bedside. They highlight the nuances and challenges of interpreting the guidelines and emphasize the need for individualized patient care. The conversation covers the individualization of patient care in the context of respiratory failure, emphasizing the importance of tailored approaches and the use of advanced methodologies. It also explores the challenges and opportunities in implementing these strategies, as well as the role of guidelines and the need for ongoing research.TakeawaysARDS guidelines have differences and nuancesPersonalized care at the bedside is crucial Individualization of patient careChallenges and opportunities in implementing advanced methodologiesChapters00:00 Advanced Measurements and Patient Response27:04 Challenges and Opportunities in Implementation

Here's a snippet from next week's episode with Dr Stefano Spina. S1:E02 "Interpreting current ARDS Guidelines for use at the bedside"

The Gas Exchange podcast introduces the topic of PEEP and its selection criteria, emphasizing the importance of customizing PEEP settings based on patient physiology and BMI. The discussion delves into the considerations for hypotensive patients, understanding distending pressure, and setting PEEP based on physiological measurements. Additionally, the podcast explores PEEP selection for asthmatic patients, highlighting the need for individualized ventilator approaches and dosing.TakeawaysCustomizing PEEP settings based on patient physiologyConsideration of BMI and patient-specific factors in PEEP selectionChapters00:00 Introduction to Gas Exchange Podcast09:21 Considerations for Hypotensive Patients and PEEP Selection26:00 Setting PEEP Based on Physiological Measurements33:03 PEEP Selection for Asthmatic Patients