Management of the Critically Ill Adult Chimeric Antigen Receptor-T Cell Therapy Patient: A Critical Care Perspective

Management of the Critically Ill Adult Chimeric Antigen Receptor-T Cell Therapy Patient: A Critical Care Perspective

Chimeric antigen receptor T-cell therapy, a type of immune effector therapy for cancer, has demonstrated encouraging results in clinical trials for the treatment of patients with refractory hematologic malignancies. Nevertheless, there are toxicities specific to these treatments that, if not recognized and treated appropriately, can lead to multiple organ failure and death.

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Driving Pressure / Delta Review Article

Driving Pressure / Delta Review Article

In 2015, Amato et al released a groundbreaking article in NEJM that posited driving pressure, or ΔP, as the major determinant of morbidity/mortality in ARDS patients. This was eye-opening because traditional teachings focus on PEEP and Tidal Volume as the major players in ARDS management. Driving pressure (ΔP) is best thought of as the difference between ….

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