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Artwork for The Gas Exchange

The Gas Exchange

Keith Lamb
Ards
Mechanical Ventilation
Prone Positioning
Critical Care
Driving Pressure
Positive End-Expiratory Pressure (PEEP)
ICU Liberation
High-Flow Nasal Cannula
Aerosol Drug Delivery
Emergency Department
Tidal Volume During CPR
Acid-Base Disorders
Bicarbonate Therapy
ARDS (acute Respiratory Distress Syndrome)
SEVA Program
Lung Ultrasound
European Guidelines
American Guidelines
Neuromuscular Blocker
Lung Protective Ventilation

Join us for our Podcast, where we will discuss real clinical topics with real implications for real patients. No pulled punches. No fluff. Nothing but bedside respiratory critical care. What every bedside clinician should be thinking about, talking about and doing for their patients.

PublishesWeeklyEpisodes25Founded5 months ago
Number of ListenersCategory
Education

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Artwork for The Gas Exchange

Latest Episodes

In this episode, Dr. Felipe Damiani discusses his research on reverse triggering in mechanical ventilation, its implications for patient care, and the importance of research culture in respiratory therapy across South America. The conversation covers... more

The Gas Exchange Podcast, Episode 23. Join us as we unlock the secrets to mastering airway management with Dr. Haney Mallemat — a world renowned emergency medicine expert and educator.

S1E16: In this episode, Keith Lamb, Thomas Piraino and Dr. Eddy Fan discuss the latest guidelines and evidence in respiratory critical care, including mechanical ventilation, recruitment maneuvers, PEEP strategies, and ECMO. Gain insights from a lead... more

The Gas Exchange Podcast Episode 22: This episode features Dr. Irene Telias, an expert in respiratory physiology and critical care, discussing the complexities of patient ventilator interactions, transition phases, and the impact of sedation and opio... more

S1E21: This podcast features Dr. Tommaso Mauri, an expert in respiratory physiology and ICU practice, discussing the latest research, physiological monitoring, and innovative approaches to managing respiratory failure and ARDS. Key topics include the... more

In this episode, respiratory therapist and educator Dr. Tyler Weiss shares insights on the expanding role of point-of-care ultrasound in respiratory therapy, including lung ultrasound applications, training, and its impact on patient care.

S1E19: In our latest podcast episode, Keith Lamb and Thomas Piraino dive deep into the world of respiratory imaging with Dr. Mauricio Cereda, a leader in the field. We discuss the impact of imaging on understanding ARDS and recruitment potential – co... more

In this episode, Dr. Niall Ferguson discusses innovative approaches to respiratory critical care, including platform trials, phenotyping, and advanced ventilation strategies. The conversation highlights how research is evolving to improve patient out... more

Key Facts

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Recent Guests

Irene Telias
Intensivist, researcher, and educator in respiratory physiology
University of Toronto; University Health Network
Episode: Respiratory Physiology and Patient Ventilator Interaction with Dr. Irene Telias
Tommaso Mauri
Intensivist, researcher, and educator from Milan, associated with University of Milan and Milan Polyclinico Hospital
University of Milan; Milan Polyclinico Hospital
Episode: Research and ARDS Physiology with Dr. Tommaso Mauri
Tyler Weiss
Director of Clinical Education and Assistant Professor at Rush University's respiratory care program
Rush University
Episode: Bedside POCUS by the Respiratory Therapist with Dr. Tyler Weiss
Maurizio Cereda
Anesthesiologist, researcher, critical care expert
Massachusetts General Hospital
Episode: Phenotyping and Imaging in ARDS with Dr Maurizio Cereda
Niall Ferguson
Guest, critical care physician and researcher
Toronto General Hospital / University Health Network
Episode: Platform Trials and ARDS Phenotyping with Dr. Niall Ferguson
Dr. Eduardo Mireles
Pulmonary critical care physician at Cleveland Clinic, leads ICU and simulation
Cleveland Clinic
Episode: SEVA and Team Based Training with Dr. Eduardo Mireles
Dr. Eddy Fan
Adult intensivist, University of Toronto and Toronto General Hospital
University of Toronto; Toronto General Hospital
Episode: Recruitment, PEEP and ECMO with Dr. Eddy Fan
Giles Peek
ECMO-ologist, cardiothoracic surgeon and researcher
University of Florida
Episode: ECMO and Ventilator Management with Dr. Giles Peek
Melody Bishop
Respiratory therapist and social media educator
Episode: Transport Ventilation and Education with Melody Bishop

Hosts

Keith Lamb
Host of the Gas Exchange-style discussions focused on bedside respiratory critical care and educational content for clinicians.
Thomas Perino
Co-host with deep clinical and educational experience in respiratory critical care and procedural decision-making.
Thomas Piraino
Co-host with expertise in respiratory critical care, contributing clinical and research perspectives.

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Talking Points

Recent interactions between the hosts and their guests.

Neurocritical Care and Respiratory Failure with Dr Thomas Bleck
Q: How should clinicians approach ventilator settings in patients with neuroinjury and ARDS?
Adopt lung-protective ventilation while accounting for intracranial dynamics; permissive hypercarbia and careful management of intrathoracic and abdominal pressures may be needed to balance brain and lung needs.
Neurocritical Care and Respiratory Failure with Dr Thomas Bleck
Q: What is the current stance on long-term hyperventilation in traumatic brain injury?
Long-term hyperventilation is not recommended as a default; it can be temporizing, but chronic hyperventilation may worsen outcomes or not improve them, so care should be individualized and often other therapies should be pursued to control ICP.
Neurocritical Care and Respiratory Failure with Dr Thomas Bleck
Q: How does hyperventilation affect intracranial pressure and cerebral perfusion?
Hyperventilation lowers PaCO2, causing cerebral vasoconstriction and a rapid drop in ICP, but this effect is temporary as pH shifts are countered by physiological compensations and may reduce cerebral perfusion if used long-term.
Respiratory Physiology and Patient Ventilator Interaction with Dr. Irene Telias
Q: So can you talk a little bit about that transition phase and what are the common issues during this phase?
The transition phase is complex and often marked by abnormal asynchronies like reverse triggering; the answer is to carefully assess waveform patterns, match ventilator mode to the patient's intrinsic drive, and consider stepping to pressure support when the patient can sustain spontaneous breathing.
Phenotyping and Imaging in ARDS with Dr Maurizio Cereda
Q: What is your go-to imaging source when evaluating recruitability and lung mechanics?
He explains a mix of CT and MRI for regional assessment, plus EIT for real-time monitoring of distribution and response to PEEP, emphasizing the complementary nature rather than a single best tool.

Audience Metrics

Listeners, social reach, demographics and more for this podcast.

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Frequently Asked Questions About The Gas Exchange

What is The Gas Exchange about and what kind of topics does it cover?

This show centers on bedside respiratory critical care topics with practical, real-world implications for patient management. Episodes frequently explore ARDS, ventilation strategies, ECMO, interprofessional training, and emerging imaging or monitoring techniques, often featuring clinicians and researchers who bring both frontline experience and academic insight. A notable strength is the emphasis on translating evidence into daily practice, illustrated by debates over PEEP, recruitment maneuvers, and the role of technology (from ultrasound to AI-assisted analysis) in guiding decisions. Listeners can expect deep dives into ventilation management, interprofessional education, and the evolution of critical care practices, all framed by candid... more

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Which podcasts are similar to The Gas Exchange?

These podcasts share a similar audience with The Gas Exchange:

1. Critical Care Scenarios
2. Critical Care Time
3. The Peak Inspiration Podcast
4. EMCrit FOAM Feed
5. RTMatters

How many episodes of The Gas Exchange are there?

The Gas Exchange launched 5 months ago and published 25 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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What guests have appeared on The Gas Exchange?

Recent guests on The Gas Exchange include:

1. Irene Telias
2. Tommaso Mauri
3. Tyler Weiss
4. Maurizio Cereda
5. Niall Ferguson
6. Dr. Eduardo Mireles
7. Dr. Eddy Fan
8. Giles Peek

To view more recent guests and their details, simply upgrade your Rephonic account. You'll also get access to a typical guest profile to help you decide if the show is worth pitching.

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