Talking All Things Cardiopulm

Review a case with Dr. Rachele Burriesci, 76yo male s/p tracheostomy revision on heated humidified air at FiO2 21%.  Join me as we break down fundamental chest exam techniques and findings present in this case.  We will then navigate through breathing exercises and airway clearance techniques that will maximize his overall picture while building rapport and confidence in this patient.


Interested in Jane?
Jane, an all-in-one practice management software with helpful features to power your practice.
Head to jane.app/guide 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

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

Text at 913-308-4494

Join Dr. Rachele Burriesci as she welcomes you into her dining room to discuss a common question about airway clearance in the hospital setting.   Who is responsible for "chest PT"?

Rachele breaks down the nuance of "chest PT" and dissects the potential underlying questions within the question.  She is transparent about possible challenges met when introducing "new" techniques and is honest about the reality of making changes within existing cultures.

In this episode:
- defining "chest PT"
- responsibility for airway clearance across teams
- making changes in your current setting
- building organic relationships

Interested in Jane?
Jane, an all-in-one practice management software with helpful features to power your practice.
Head to jane.app/guide 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

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

Text at 913-308-4494

Have you ever worked with a patient with a tracheostomy (trach)? Do you want to feel more comfortable working with this population? Are you worried that you won’t know how to manage the trach itself? Are you not sure what cues to give?

Working with this patient population can be one of the most rewarding experiences, but it can also feel very overwhelming if you don’t know what to expect or understand how you can facilitate their progress.

Join me on this episode, as we break down the anatomy, physiology, and clinical implications of working with a patient with a trach.  We will discuss the equipment that is utilized to support and progress the patient, as well as important interdisciplinary communication to enhance your patient’s outcomes. 

Whether you are a seasoned physical therapist or a new grad, this episode will equip you with the knowledge and confidence to assess and treat your next patient with a trach.

 
In this episode:

• Understanding equipment and anatomy of the tracheostomy
• Progression from vent to trach collar
• Mechanics of breathing with a tracheostomy
• Role of the glottis
• Effects of mechanical ventilation on the diaphragm
• Collaborating with your interdisciplinary team
• Breathing exercises appropriate for your patient

Interested in Jane?
Jane, an all-in-one practice management software with helpful features to power your practice.
Head to jane.app/guide 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

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

Text at 913-308-4494

In this episode, Dr. Burriesci, breaks down pulmonary arterial hypertension (PAH) via a young 22yo acute care case. We discuss the potential causes of pulmonary HTN,  diagnostic findings and concerns regarding pulmonary hypertension-specific meds. Lastly, we discuss important components of PT treatment in this patient population.

In this episode:

• Discuss PAH pathophysiology
• Diagnostic criteria for PH
• PAH meds
• Interventions to help progress PH

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, an all-in-one practice management software with helpful features to power your practice.
Head to jane.app/guide 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

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

Text at 913-308-4494

Join me on a complex case discussion, as we dive into assessment, intervention and rationale for a patient with COPD, prior amputation and new oxygen needs.

In this episode:

• The acute care patient
• COPD
• Pulmonary HTN
• Possible HF diagnosis
• Implications of above-knee amputation 
• Oxygen titration

Interested in Jane?
Jane, an all-in-one practice management software with helpful features to power your practice.
Head to jane.app/guide 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

Find me on:

IG: @all_things_cardiopulm

Threads: @all_things_cardiopulm

Website: www.allthingscardiopulm.com

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

Text at 913-308-4494

Welcome back and Happy New Year! It was not the start of year that I intended on, but we’re back and trying to get back in the groove. 

This episode is specific to a student question, but as always there’s a few clinical pearls for the clinician as well.

What is the difference between upper extremity and lower extremity exercise in regards to hemodynamic response?

Tune in to find out…

In this episode:

• Identify “rhythmic” exercise
• Difference between upper extremity and lower extremity rhythmic exercise response
• What to consider clinically?

Jane Webinar:
The New Year, New Practice Software Webinar will be held on Tuesday, January 16 at 10 am PST.  

Register here: https://janeapp.zoom.us/webinar/register/WN_KeeZDLp5RFGBJKmYY2Ptlg 

Interested in joining the Jane community or want to trial a 1:1 demo? Go to Jane.app/payments and don’t forget to use code: CARDIOPULM1MO to get 1-month free grace period at sign-up.

Find me on:

IG: @all_things_cardiopulm

Threads: @all_things_cardiopulm

Website: www.allthingscardiopulm.com

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

Text at 913-308-4494

If you love your job, you won’t work a day in your life. We’ve all heard the quote, but sometimes work is work and your co-workers and your supervisor make (or break) the environment. Employees enjoy being acknowledged for the “small things”, they would like support for their team and be valued for what they bring to the table. These are all things employees desire and Dr. Tina Fields strives to deliver for her unit.

In this episode, Dr. Burriesci chats with Dr. Tina Fields, the Supervisor and Director of Residency at University of Michigan  Health. They burrow in deep on leadership and what that looks like on the “Cards” unit, how she facilitates her staff recognizing one another and empowers them with knowledge from within and adjacent to their scope of practice.

She ventures from her desirable leadership practices to the treatment of Left Ventricular Assistive Device (LVAD) patients and how that can be an incredibly complex dance. She explains that she wants her team to feel confident in the treatment of these patients (and all others), but that she also wants them to practice at the top of their scope. Her team knows what they’re doing, and they should advocate for themselves and their patients. She rounds out the episode by talking about what the University of Michigan’s Cardiovascular and Pulmonary residency looks like and how they set their residents up for success, even if their route ventures from their facility.

Join us for a conversation that not only educates but also ignites a passion for pushing the boundaries of physical therapy.

 In This Episode:
- How to create great culture in a department
- How to create good PT culture hospital-wide
- What it means to practice at the top of your license
-  Competencies and orientation
-  LVAD training


Interested in Jane?
Jane, an all-in-one practice management software with helpful features to power your practice.
Head to jane.app/guide 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

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

Text at 913-308-4494

If you love your job, you won’t work a day in your life. We’ve all heard the quote, but sometimes work is work and your co-workers and your supervisor make (or break) the environment. Employees enjoy being acknowledged for the “small things”, they would like support for their team and be valued for what they bring to the table. These are all things employees desire and Dr. Tina Fields strives to deliver for her unit.

In this episode, Dr. Burriesci chats with Dr. Tina Fields, the Supervisor and Director of Residency at University of Michigan  Health. They burrow in deep on leadership and what that looks like on the “Cards” unit, how she facilitates her staff recognizing one another and empowers them with knowledge from within and adjacent to their scope of practice.

She ventures from her desirable leadership practices to the treatment of Left Ventricular Assistive Device (LVAD) patients and how that can be an incredibly complex dance. She explains that she wants her team to feel confident in the treatment of these patients (and all others), but that she also wants them to practice at the top of their scope. Her team knows what they’re doing, and they should advocate for themselves and their patients. She rounds out the episode by talking about what the University of Michigan’s Cardiovascular and Pulmonary residency looks like and how they set their residents up for success, even if their route ventures from their facility.

 In This Episode:
- How to create great culture in a department
- How to create good PT culture hospital-wide
- What it means to practice at the top of your license
-  Competencies and orientation
-  LVAD training


Interested in Jane?
Jane, an all-in-one practice management software with helpful features to power your practice.
Head to jane.app/guide 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

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

Text at 913-308-4494

In this episode, Dr. Burriesci breaks down sublingual nitroglycerin. She gives the need-to-know facts, safety considerations and important education tips for your patients. 

A perfect snippet for NPTE study prep and need-to-know rules for the treating PT.

In This Episode

• MOA of Sublingual Nitro
• Indications of Nitro
• Side effects of Nitro
• How to take Nitro
• 3 Rules of Nitro
• Safety Considerations 

Interested in Jane?
Jane, an all-in-one practice management software with helpful features to power your practice.
Head to jane.app/guide 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

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

Text at 913-308-4494

In this episode, Rachele gives some life updates and tells the tale of DIY, Thanksgiving, and hosting her 9 family members. 

Gratitude all around for this episode for both family and you. Rachele has reached her 1 year anniversary of Talking All Things Cardiopulm and she is grateful to all of you who have listened, supported, and reached out.

This episode is a case review of a recent patient that spurred a thought and common trend in the acute care setting.  Are younger patients overlooked? Independent a few days prior, they shouldn’t have any PT needs, right?  Rachele thinks false and she gives her perspective on why and how we can help this patient population.  She also gives clinical tools and insights to help the next patient who comes across your caseload. 

In this episode:

• Risk of VTE in orthopedic surgery
• Bilateral PE
• Cardiac Arrest
• ROSC
• Survival post-PE vs. survival post-PE / cardiac arrest
• Younger age patients in acute care
• Intubation affects on the lungs
• Cough Assessment / Chest wall mobility
• Splinting with Huff’ing/functional cough
• How to improve a cough
• Interval training
• The benefits of the Trifecta 
• Inspiratory holds - benefits and use in this patient
• Precursors to PE
• Importance of assessing vitals even in the outpatient setting

Interested in Jane?
Jane, an all-in-one practice management software with helpful features to power your practice.
Head to jane.app/guide 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

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

Text at 913-308-4494