Keith Lamb
The Gas Exchange
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.
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Episoade
ECMO and Ventilator Management with Dr. Giles Peek 20.04.2026 52:11
In this episode, Dr. Giles Peek shares his extensive experience with ECMO, discusses pivotal trials like CESAR, and explores ventilator management strategies for respiratory failure. Gain insights into the evolution of ECMO practices, the importance of lung protective strategies, and the future of extracorporeal support.
Transport Ventilation and Education with Melody Bishop 17.04.2026 42:19
In this episode, respiratory therapist Melody Bishop shares her journey into transport ventilation, common misconceptions, and the challenges of providing education and optimal care in transport settings. Discover insights on ventilator technology, the importance of ongoing education, and how social media is shaping respiratory care.
Bedside education with Troy Whitacre 13.04.2026 44:15
In this in-depth discussion, Troy Whitacre, a seasoned respiratory therapist, shares his extensive experience with advanced ventilator management, including the use of transpulmonary pressure, EIT, and other monitoring tools. The conversation covers practical techniques for teaching staff, interpreting ventilator data, and optimizing patient care in critical settings.
Coaching and the Airway with Dr. Lillian Emlet 06.04.2026 46:44
In this engaging episode, Dr. Lillian Emlet shares her journey from emergency medicine to critical care and healthcare coaching. Topics include the importance of coaching for healthcare professionals, leadership development, managing burnout, and advanced airway management techniques.
Acid Base Disorders with Dr. Farhad Kapadia 30.03.2026 45:08
S1E11 of The Gas Exchange Podcast. In this episode, Keith and Thomas discuss Dr. Farhad Kapadia's extensive experience in critical care medicine, discussing the complexities of acid-base disorders, the role of bicarbonate, and the importance of individualized patient care. The conversation highlights the evolution of practices in critical care, the significance of long-term outcomes, and the need...
ICU Education and Competency with Andrew Klein 23.03.2026 48:48
S1E10: In this episode of The Gas Exchange podcast, hosts Keith Lamb and Thomas Piraino engage with guest Andy Klein, a respected respiratory therapist and educator. They discuss the importance of knowledge translation in critical care, the challenges of ensuring staff competency, and innovative approaches to education in respiratory therapy. The conversation highlights the role of super users, th...
Debunking common misconceptions with Dr. Nick Ghionni 16.03.2026 47:04
In this in-depth discussion, Dr. Nick Ghionni shares his expertise on mechanical ventilation, emphasizing the importance of understanding ventilator physiology, debunking common misconceptions, and advocating for nuanced, patient-centered approaches in critical care.
Tidal Volumes and CPR with Dr. Brady Scott 09.03.2026 46:41
In this episode of the Gas Exchange Podcast, host Keith Lamb and co-host Thomas Piraino welcome Dr. Brady Scott, a seasoned respiratory therapist and educator. The conversation delves into the critical aspects of resuscitation science, particularly focusing on tidal volumes during CPR. Dr. Scott shares insights from his research, highlighting the variability in tidal volumes delivered during resus...
Bringing Critical Care to the ED with Dr. Zaffer Qasim 02.03.2026 47:01
Boom!! S1E7 of The Gas Exchange is here. In this episode of the Gas Exchange Podcast, host Keith Lamb, co-host Thomas Piraino, and guest Dr. Zafar Khazam discuss the integration of critical care principles into emergency medicine. They explore the evolving role of respiratory therapists, the challenges of airway management, and the importance of team communication in providing optimal patient care...
Inhaled Medications via HFNC with Dr Arzu Ari 23.02.2026 50:59
In this episode of the Gas Exchange podcast, host Keith Lamb and co-host Thomas Piraino welcome Dr. Arzu Ari, a leading expert in aerosol medicine. They discuss the evolution of aerosol drug delivery, particularly the impact of HFNC and the concept of transnasal aerosol drug delivery. Dr. Ari shares insights from her extensive research, emphasizing the importance of flow rates in aerosol delivery...
ICU Liberation and Moral Injury with Dr. Wes Ely 16.02.2026 42:01
It's here! S1E5 In this episode of the Gas Exchange podcast, host Keith Lamb and co-host Thomas Piraino welcome Dr. Wes Ely, a physician and author, to discuss critical care medicine, the impact of COVID-19 on healthcare workers, and the importance of human connection in patient care. Dr. Ely shares his personal journey into medicine, the concept of moral injury among healthcare professionals, and...
Driving Pressure with Dr Giacomo Bellani 09.02.2026 50:18
Join us as we discuss driving pressure with Dr Giacomo Bellani, first author of the Lung Safe Trial.
Neurocritical Care and Respiratory Failure with Dr Thomas Bleck 02.02.2026 53:17
The Gas Exchange S1E3! We discuss neurocritical care and respiratory failure with Dr Thomas Bleck, Founder of The Neurocritical Care Society. We dive into Neurogenic Pulmonary Edema, intracranial pressure, and ventilator-induced brain injury.
ARDS Guidelines and their use at the bedside with Dr Stefano Spina 26.01.2026 48:08
Keth Lamb, Thomas Piraino, and Dr. Stefano Spina discuss the current ARDS guidelines, their differences, and the importance of personalized care at the bedside. They highlight the nuances and challenges of interpreting the guidelines and emphasize the need for individualized patient care. The conversation covers the individualization of patient care in the context of respiratory failure, emphasizi...
Teaser from next week's S1:E02 with Dr Stefano Spina 23.01.2026 0:48
Here's a snippet from next week's episode with Dr Stefano Spina. S1:E02 "Interpreting current ARDS Guidelines for use at the bedside"
Navigating PEEP in Critical Care with Eric Kriner 12.01.2026 43:47
The Gas Exchange podcast introduces the topic of PEEP and its selection criteria, emphasizing the importance of customizing PEEP settings based on patient physiology and BMI. The discussion delves into the considerations for hypotensive patients, understanding distending pressure, and setting PEEP based on physiological measurements. Additionally, the podcast explores PEEP selection for asthmatic...
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