Talking All Things Cardiopulm

Respiratory muscle training is by far one of my favorite interventions and continues to show itself in research.  Anytime RMT is added, you can hypothesize that your patient will improve in a number of different categories (gas exchange, respiratory strength, 6MWD, QOL scales, blood pressure, and the list continues). I honestly continue to be impressed by RMT.

But in order to incorporate RMT, you have to have an assessment tool that can show you a true pre-post for respiratory muscle strength. That assessment is MIP (maximal inspiratory pressure) and MEP (maximal expiratory pressure). Join me in this episode as we discuss devices, protocols, predictive equations and normative data, so you can assess MIP and MEP too.

 In this episode:

• How to assess MIP and MEP
• Devices available to perform MIP and MEP
• ATS/ERS and SEPAR protocols
• Predictive equations for MIP and MEP

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Want to sign up for a mentoring call with Dr. Burriesci? Sign up here: https://www.allthingscardiopulm.com/mentoring

Interested in Jane?
Jane, is an all-in-one practice management software with helpful features to power your practice.  Head to jane.app/burriesci to book a personalized demo.  Don't forget, you can use the code CARDIOPULM1MO at the time of sign-up for a 1-month grace period applied to your new account

Resources:

Laveneziana P., Albuquerque A., Aliverti A., et al. Spengler CM, Vogiatzis I, Verges. ERS statement on respiratory muscle testing at rest and during exercise. Eur Respir J. 2019;53 doi: 10.1183/13993003.01214-2018. 

·      Highly recommend reading the “supplementary material”

Lista-Paz et al.  Maximal Respiratory Pressure Reference Equations in Healthy Adults and Cut-off Points for Defining Respiratory Muscle Weakness. Arch Bronconeumol. 2023 Dec;59(12):813-820. English, Spanish. doi: 10.1016/j.arbres.2023.08.016. Epub 2023 Sep 29. PMID: 37839949.

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Text at 913-308-4494

In today’s episode, we break down 3 of the most common high-flow oxygen devices that you may see in the hospital setting: typical high-flow nasal cannula, venturi mask, and heated high-flow nasal cannula devices.  Each device varies on the level of flow and FiO2 available, as well as, how the FiO2 is achieved. Each device also has pros and cons for choice of use. 

Join me today, as we discuss the difference between the more common high-flow oxygen devices available.

Join my main newsletter:  https://allthingscardiopulm.ck.page/9bb2730421

Want to sign up for a mentoring call with Dr. Burriesci? Sign up here: https://www.allthingscardiopulm.com/mentoring

Interested in Jane?
Jane, is an all-in-one practice management software with helpful features to power your practice.  Head to jane.app/burriesci to book a personalized demo.  Don't forget, you can use the code CARDIOPULM1MO at the time of sign-up for a 1-month grace period applied to your new account

Find me on:

IG: @all_things_cardiopulm
Threads: @all_things_cardiopulm
Website: www.allthingscardiopulm.com
Twitter: @allcardiopulm
Linked-In: Rachele Burriesci
Text at 913-308-4494

 Time and time again, across my career, whether I’ve been in the clinic or teaching, I have come across words in healthcare that are either used interchangeably, go by different names, or simply have changed over time.  

Nomenclature issues can lead to confusion, errors, and miscommunication, while also limiting data collection for research. 

Join me on this opinion piece about nomenclature and share your nomenclature nuances. 

Join my main newsletter:  https://allthingscardiopulm.ck.page/9bb2730421

Want to sign up for a mentoring call with Dr. Burriesci? Sign up here: https://www.allthingscardiopulm.com/mentoring

Interested in Jane?
Jane, is an all-in-one practice management software with helpful features to power your practice.  Head to jane.app/burriesci to book a personalized demo.  Don't forget, you can use the code CARDIOPULM1MO at the time of sign-up for a 1-month grace period applied to your new account

Find me on:

IG: @all_things_cardiopulm
Threads: @all_things_cardiopulm
Website: www.allthingscardiopulm.com
Twitter: @allcardiopulm
Linked-In: Rachele Burriesci
Text at 913-308-4494

Working with patients on oxygen can feel overwhelming with all the possible devices that can be utilized.  Whether or not you are a clinician who helps in making those decisions or you are actively working with patients using these devices, it’s important to understand their range of use, the level of FiO2 available, pros and cons, as well as, special considerations for each device.

Join me today, as we break down the most common low-flow oxygen devices available so you can feel confident in your clinical practice.

 In this Episode:

• Difference between low-flow and high-flow devices
• Devices: Nasal Cannula, Simple Face Mask, Partial Non-Rebreather, Non-Rebreather and Oxymask
• Pros & Cons of each device
• FiO2 and flow required for each

Join my main newsletter:  https://allthingscardiopulm.ck.page/9bb2730421

Want to sign up for a mentoring call with Dr. Burriesci? Sign up here: https://www.allthingscardiopulm.com/mentoring

Interested in Jane?
Jane, is an all-in-one practice management software with helpful features to power your practice.  Head to jane.app/burriesci to book a personalized demo.  Don't forget, you can use the code CARDIOPULM1MO at the time of sign-up for a 1-month grace period applied to your new account

Find me on:

IG: @all_things_cardiopulm
Threads: @all_things_cardiopulm
Website: www.allthingscardiopulm.com
Twitter: @allcardiopulm
Linked-In: Rachele Burriesci
Text at 913-308-4494

There are many steps when dealing with oxygen titration.  In this episode, we set the stage for what clinicians need to consider when dealing with a patient on oxygen, including our state practice act, MD orders, available devices, and titration concepts.

As PTs we can take an active role in education, and, oxygen titration to optimize safety and maximize patient outcomes. 

In this episode: 

• PT State Practice Act 
• MD orders for oxygen titration 
• Understanding oxygen devices 
• Interdisciplinary collaboration 
• Oxygen Titration concepts 

Join my main newsletter:  https://allthingscardiopulm.ck.page/9bb2730421

Want to sign up for a mentoring call with Dr. Burriesci? Sign up here: https://www.allthingscardiopulm.com/mentoring

Interested in Jane?
Jane, is an all-in-one practice management software with helpful features to power your practice.  Head to jane.app/burriesci to book a personalized demo.  Don't forget, you can use the code CARDIOPULM1MO at the time of sign-up for a 1-month grace period applied to your new account

Find me on:

IG: @all_things_cardiopulm
Threads: @all_things_cardiopulm
Website: www.allthingscardiopulm.com
Twitter: @allcardiopulm
Linked-In: Rachele Burriesci
Text at 913-308-4494

An episode about mowing, MET levels, and knowing your (your patient’s) limitations. Have you ever been asked, “Can I get back to….?”  How do you help your patients make these decisions? Do you consider MET levels, HR response, or overall aerobic capacity?

Using MET levels for a specific activity can be a great way to help educate patients on their current abilities or to assist in creating meaningful goals for future activities. It can be a great starting point to help determine the “it depends” answer. It provides objective information to help gauge the overall energy expenditure to complete a specific activity. 

So, how do we determine METs for mowing or any other activity? Check out this episode as we discuss the heart rate and blood pressure response to MET levels and incorporate the physical activity compendium to your toolbox.

In this episode:

• Define a MET
• HR and BP response to 1 MET activity
• Use of the physical activity compendium

 Resources:

2024 Adult / Older Adult Compendium: https://pacompendium.com/

Youth Compendium: https://www.nccor.org/tools-youthcompendium/


Join my main newsletter:  https://allthingscardiopulm.ck.page/9bb2730421

Want to sign up for a mentoring call with Dr. Burriesci? Sign up here: https://www.allthingscardiopulm.com/mentoring

Interested in Jane?
Jane, is an all-in-one practice management software with helpful features to power your practice.  Head to jane.app/burriesci to book a personalized demo.  Don't forget, you can use the code CARDIOPULM1MO at the time of sign-up for a 1-month grace period applied to your new account

Find me on:

IG: @all_things_cardiopulm
Threads: @all_things_cardiopulm
Website: www.allthingscardiopulm.com
Twitter: @allcardiopulm
Linked-In: Rachele Burriesci
Text at 913-308-4494

Today we discuss a recent acute care evaluation of a 52yo male s/p motocycle crash, despite multiple orthopedic injuries, both the lung and the heart played a bigger role than the initial case synopsis would think.

Let’s dive into a cardiopulmonary assessment and treatment interventions for this fun and complex orthopedic case.

In this episode:

• Lung Auscultation
• Chest wall Assessment
• Breathing exercises
• Cough Techniques
• Rib fractures
• Transfer techniques

Join my main newsletter:  https://allthingscardiopulm.ck.page/9bb2730421

Want to sign up for a mentoring call with Dr. Burriesci? Sign up here: https://www.allthingscardiopulm.com/mentoring

Interested in Jane?
Jane, is an all-in-one practice management software with helpful features to power your practice.  Head to jane.app/burriesci to book a personalized demo.  Don't forget, you can use the code CARDIOPULM1MO at the time of sign-up for a 1-month grace period applied to your new account

Find me on:

IG: @all_things_cardiopulm
Threads: @all_things_cardiopulm
Website: www.allthingscardiopulm.com
Twitter: @allcardiopulm
Linked-In: Rachele Burriesci
Text at 913-308-4494

Lateral costal breathing exercise technique is a versatile approach that can be used to help improve lateral costal (side ribs) movement in a variety of patient populations.  It is a go-to technique to improve motor control and expansion, as well as decrease anxiety and dyspnea.

Join me in this episode and give this breathing exercise a try.

 In this episode:

• How to perform lateral costal breathing technique
• Discuss multiple variations of the approach
• What patient diagnoses or conditions to utilize this approach
• Benefits of using lateral costal breathing

Join my main newsletter:  https://allthingscardiopulm.ck.page/9bb2730421

Want to sign up for a mentoring call with Dr. Burriesci? Sign up here: https://www.allthingscardiopulm.com/mentoring

Interested in Jane?
Jane, is an all-in-one practice management software with helpful features to power your practice.  Head to jane.app/burriesci to book a personalized demo.  Don't forget, you can use the code CARDIOPULM1MO at the time of sign-up for a 1-month grace period applied to your new account

Find me on:

IG: @all_things_cardiopulm
Threads: @all_things_cardiopulm
Website: www.allthingscardiopulm.com
Twitter: @allcardiopulm
Linked-In: Rachele Burriesci
Text at 913-308-4494

Join me today as we discuss all things pulmonary rehab, its structure, accepting diagnoses, benefits and even its continued underutilization.


Join my main newsletter:  https://allthingscardiopulm.ck.page/9bb2730421

Want to sign up for a mentoring call with Dr. Burriesci? Sign up here: https://www.allthingscardiopulm.com/mentoring

Interested in Jane?
Jane, is an all-in-one practice management software with helpful features to power your practice.  Head to jane.app/burriesci to book a personalized demo.  Don't forget, you can use the code CARDIOPULM1MO at the time of sign-up for a 1-month grace period applied to your new account

Find me on:

IG: @all_things_cardiopulm
Threads: @all_things_cardiopulm
Website: www.allthingscardiopulm.com
Twitter: @allcardiopulm
Linked-In: Rachele Burriesci
Text at 913-308-4494

There are a number of reasons why a cough may be ineffective.  It all starts with assessing the four phases of a cough.  Once the inefficiency is highlighted it’s time to work on improving it.  

Pending which phase is most affected, depends on how you will approach the interventions. Whether you are utilizing posture, applying manual pressure or aiming for time, there is something beneficial for each person. More importantly are the consequences of this improvement.

Tune is as we break it all down.

Join my main newsletter:  https://allthingscardiopulm.ck.page/9bb2730421

Want to sign up for a mentoring call with Dr. Burriesci? Sign up here: https://www.allthingscardiopulm.com/mentoring

Interested in Jane?
Jane, is an all-in-one practice management software with helpful features to power your practice.  Head to jane.app/burriesci to book a personalized demo.  Don't forget, you can use the code CARDIOPULM1MO at the time of sign-up for a 1-month grace period applied to your new account.

Find me on:

IG: @all_things_cardiopulm
Threads: @all_things_cardiopulm
Website: www.allthingscardiopulm.com
Twitter: @allcardiopulm
Linked-In: Rachele Burriesci
Text at 913-308-4494