Healthcare Musings

Extubation With T-Piece: When and Why

Sometimes, "minimal vent settings" is not sufficient to truly test spontaneous breathing in a ventilated patient. In this episode, Dr. Hassaballa discusses why that is. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit healthcaremusings.substack.com

Just like the Airline Industry, Safety Has to be Nonnegotiable in Healthcare

In this episode, Dr. Hassaballa reflects over a flight delay on one of his work trips. It reminded him that compromising passenger safety for customer convenience is a nonstarter in the Airline industry. The same should be true with Medicine. Article about medical errors: https://www.ncbi.nlm.nih.gov/books/NBK499956/ This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit healthcaremusings.substack.com

Lectures from the ICU: Hypoxic Respiratory Failure

Dr. Hassaballa discusses hypoxic respiratory failure and oxygen delivery and why he doesn't care about pO2. Read more about oxygen delivery here: https://www.cambridge.org/core/books/abs/essential-equations-for-anaesthesia/oxygen-delivery/266FB17B43BD69713233B026B885DBCDCorrection: The number is 1.34 mL oxygen per gram of hemoglobin. Dr. Hassaballa regrets the error. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit healthcaremusings.substack.com

Lecture from the ICU: Sepsis

In this episode of Healthcare Musings podcast, we discuss sepsis: its definition and principles of management. Relevant References:Sepsis 3 Definition: https://jamanetwork.com/journals/jama/fullarticle/2492881Surviving Sepsis Campaign Guidelines: https://www.sccm.org/Clinical-Resources/Guidelines/Guidelines/Surviving-Sepsis-Guidelines-2021 This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit healthcaremusings.substack.com

Lecture Series: Mechanical Ventilation

This lecture is about the basics of mechanical ventilation, given in the ICU on August 9, 2023. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit healthcaremusings.substack.com

The Unsustainable Math of Medicare Physician Payment Cuts

CMS is proposing another 3.34% cut in physician payments, on top of what has already been cut. The math is simply unsustainable. It is not about "greedy doctors." It is about the financial viability of medical practices. Dr. Hassaballa weighs in.Read the accompanying article at: https://healthcaremusings.substack.com/p/the-unsustainable-math-of-medicare This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit healthcaremusings.substack.com