rudy pagcatipunan

Dad Pulmonary Specialist Clinical Epidemiologist Teacher Learning Mitochondria, Healthy Living, Social Media #pccpgeeks #philpulmo

[Nick Mark MD @nickmmark]

Pulmonary teaching case: you are called to the bedside of a 60yo man who was admitted for pneumonia a week ago. You were called because “he coughed and now his chest is PULSATING!”

This is what you see at the site of a previously removed chest drain:

What’s the diagnosis?
1/

[Critical Care Reviews @CritCareReviews]

How to set the ventilator during surgery? Key principles to guide intraoperative mechanical ventilation

CCR Journal Watch 
https://t.co/Sp06oA6IDG

[gwen.mom.md @gdyagra]

We often take breathing for granted, but what if one day, those 23,000 breaths dwindled down to a desperate struggle for just one?

Don’t wait. Get vaccinated.
Because every breath is worth fighting for.

Breathe Strong, Philippines!

#WorldPneumoniaDayPH
#WorldPneumoniaDay

[Jeremy Richards, MD, MA, FACP, ATSF @jbricha1]

@earlouismd @philchestorg @RespirologyAPSR @pccp_lunginfexn @gdyagra @Docrsp @CDelaCruzMed @CatiaCilloniz @ericmoral It’s appropriate to step down once the patient is clinically improving (afebrile, hemodynamically stable, less/resolved SOB, & oxygen needs are decreasing) and/or they’ve completed a short, guideline-based (usually 5-7 days) course of antibiotics #PneumoniaChat

[gwen.mom.md @gdyagra]

@earlouismd what if it's not pneumonia in the first place? Pneumonia vs Congestion is a frequent battle. we should also advocate for Abx stewardship across diff subspecialties #PneumoniaChat

[Jeremy Richards, MD, MA, FACP, ATSF @jbricha1]

A3: Use antibiotics wisely by 1) starting broad *only* when bacterial pneumonia is likely, 2) narrowing once cultures, antigen tests, and/or clinical data clarify the cause, & 3) stopping when the patient stabilizes, fevers resolve, & a 5-7 day course finishes #PneumoniaChat

[gwen.mom.md @gdyagra]

@earlouismd Clinical parameters such as resolution of fever, improvement of symptoms: less cough, less dyspnea; decreasing O2 requirement are signs that the patient is improving. Recent studies show no add'l benefit with longer Abx tx duration: 5days should be enough #PneumoniaChat

[rudy pagcatipunan @Docrsp]

@earlouismd we need to stand firm and be courageous to not give in to the request of antibiotics prescription when not needed #PneumoniaChat

[gwen.mom.md @gdyagra]

@earlouismd Some literature mention Pressure Swing Adsorption plants in hospitals which is more cost effective than traditional cylinders. Available in the Philippines already! Could be useful in rural areas, govt hospitals #PneumoniaChat

[rudy pagcatipunan @Docrsp]

@gdyagra @earlouismd the pandemic has emphasized to us the 4th vital sign in pneumonia management #PneumoniaChat https://t.co/Q6kAm2Po7v

[gwen.mom.md @gdyagra]

@earlouismd So glad the pulse oximeter is more readily available at a low cost -- provides objective measure and guides patients re urgency and the need for higher level of care #PneumoniaChat

[rudy pagcatipunan @Docrsp]

@earlouismd in pneumonia management, Non‐invasive ventilation can reduce the risk of death in the ICU, endotracheal intubation, shorten ICU stay and length of intubation. https://t.co/T9dhyUGgN7 #PnuemoniaChat

[rudy pagcatipunan @Docrsp]

@earlouismd efficient use of various imaging techniques can lead to early and correct diagnosis of pneumonia https://t.co/cSJSApSZK5 #PneumoniaChat

[rudy pagcatipunan @Docrsp]

@earlouismd knowledge in the use of biomarkers like procal and crp may help
facilitate starting antibiotics in pneumonia https://t.co/aQ9TPXTT2N #PneumoniaChat

[rudy pagcatipunan @Docrsp]

@earlouismd rapid molecular diagnostics helps and facilitates early identification of organisms that has caused pneumonia https://t.co/W76i4MEBuq #PneumoniaChat

[rudy pagcatipunan @Docrsp]

@earlouismd Hi @earlouismd , joint this #Pneumoniachat

[rudy pagcatipunan @Docrsp]

@earlouismd @philchestorg @RespirologyAPSR @pccp_lunginfexn @gdyagra @CDelaCruzMed @CatiaCilloniz @ericmoral checking in

[catia cilloniz @CatiaCilloniz]

🌍 Today is World Pneumonia Day 🫁 — a reminder that pneumonia remains one of the leading causes of death among children and vulnerable adults worldwide.
#WorldPneumoniaDay #GlobalHealth #Healthcare #PublicHealth #Awareness #Pneumlight

[catia cilloniz @CatiaCilloniz]

Grateful for the impact we’ve achieved with the Worldwide Pneumonia Awareness Campaign – Pneumolight. 💙
Together we’ve shown how powerful unity can be in fighting pneumonia.

#Pneumolight #GlobalHealth #TogetherWeCan #WorldPneumoniaDay #Pneumonia @infeccHRUmalaga @Medtorek