▲ 7 r/pulmcrit+1 crossposts

Lung isolation tool of choice for massive hemoptysis??

PCCM fellow here.
Had a discussion today regarding massive hemoptysis - turns out we don’t stock any bronchial blockers or balloon tamponade devices. I am curious what other institutions use so that we can get something for use at my institution. Based on what I have read you can use use a DLT (with or without additional bronchial blocker), standard ETT with balloon tamponade device or bronchial blocker. Correct me if I am wrong.

I think a device that allows for simultaneous bronchoscope use is preferred. I know Ambu has a DLT with integrated camera and EZ blocker has port for scope.

Any favorites or recommendations?

Thanks in advance!!

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u/HolyCityRunner — 6 days ago

What am I doing wrong?

Dday almost 4 years ago. R for 1.5 years. Broken up and apart over 2 years. BP now has a baby with new partner. I have moved out of state and made huge moves in my career. But… I’m still not doing well. What is wrong with me?

I’ve stayed in IC and still see my psychiatrist and a relationship/life coach. But nothing is working. I’m still so sorry and sad about losing the best thing that ever happened to me. I am starting to really worry that there isn’t someone out there for me to have a family with or to share my life with. I swear I am trying to put myself out there but I can’t seem to get through this. I know the break up stemmed from my actions. And I take full responsibility for what I did. I know things are over between me and BP. But, if BP can move and be happy, shouldn’t I be able to do the same?

Any advice is welcome.

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u/HolyCityRunner — 7 days ago