April 2026

Cardiovascular, Mechanical Ventilation

The Forgotten Ventricle Is Killing Your ARDS Patients — and the Ventilator You Are Using to Save Them May Be the Reason Why.

22% of patients with moderate-to-severe ARDS develop acute cor pulmonale on protective ventilation. The right ventricle was never designed to handle pressure — and every PEEP increase, every hypercapnic minute, and every overdistended breath you deliver is loading a chamber that was built to fail. Here is how to recognize it, prevent it, and treat […]

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The Forgotten Ventricle Is Killing Your ARDS Patients — and the Ventilator You Are Using to Save Them May Be the Reason Why. Read Post »

Miscellaneous

The Definitive Guide to Acid-Base Physiology in Critical Care: From Henderson-Hasselbalch to Stewart, From the ABG to the Bedside.

The Henderson-Hasselbalch equation. Winter’s formula. The anion gap. The delta-delta ratio. The albumin correction. The osmolar gap. The Stewart approach. The strong ion difference. The strong ion gap. Compensation rules for every primary disorder. Mnemonics for every differential. This is the article that replaces a textbook chapter — and it does not leave a single

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The Definitive Guide to Acid-Base Physiology in Critical Care: From Henderson-Hasselbalch to Stewart, From the ABG to the Bedside. Read Post »

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