Alejandro C. Arroliga, MD, FCCP

Article

Update in intensive care medicine: Studies that challenged our practice in the last 5 years

Author:: Alejandro C. Arroliga, MD, FCCP

Publish date: October 1, 2011

Several once-established therapies have failed the test of time, as the result of evidence from clinical trials.

Article

Update in ARDS management: Recent randomized controlled trials that changed our practice

Author:: Alejandro C. Arroliga, MD, FCCP

Publish date: March 1, 2006

Although the death rate remains high in the acute respiratory distress syndrome (ARDS), several advances have been made in the past decade.

Article

Auto-positive end-expiratory pressure: Mechanisms and treatment

Author:: Alejandro C. Arroliga, MD, FCCP

Publish date: September 1, 2005

This common problem in mechanical ventilation increases the work of breathing, worsens gas exchange, and decreases cardiac output.

Article

Intensive care update: Seven studies that should change your practice

Author:: Alejandro C. Arroliga, MD, FCCP

Publish date: June 1, 2002

Some of these studies lay to rest widely used but ineffective therapies; others challenge us to establish new standards of care.

Article

Noninvasive positive pressure ventilation in acute respiratory failure: Does it improve outcomes?

Author:: Alejandro C. Arroliga, MD, FCCP

Publish date: August 1, 2001

Why insert an endotracheal tube when a mask may do?

Article

Spiral CT for lung cancer screening: Is it ready for prime time?

Author:: Alejandro C. Arroliga, MD, FCCP

Publish date: January 1, 2001

Although low-dose spiral CT shows promise for lung cancer screening, many questions remain.

Article

Appropriate use of DNR orders: A practical approach

Author:: Alejandro C. Arroliga, MD, FCCP

Publish date: June 1, 2000

A procedure and rationale for resolving conflict and reaching consensus about end-of-life care.

Article

Acute respiratory distress syndrome: Low-stretch ventilation improves survival

Author:: Alejandro C. Arroliga, MD, FCCP

Publish date: June 1, 2000

By setting the respirator to deliver smaller volumes of air than traditionally used, we can decrease the mortality rate by one fifth.

Article

Managing solitary pulmonary nodules

Author:: Alejandro C. Arroliga, MD, FCCP

Publish date: June 1, 1998

The goals of management are to resect malignant tumors while avoiding unnecessary thoracotomy of benigh nodules. But sometimes this is not easy.

Article

Stress ulcer prophylaxis: The case for a selective approach

Author:: Alejandro C. Arroliga, MD, FCCP

Publish date: November 1, 1997

Although stress-related mucosal damage is common in critically ill patients, the risk of significant gastrointestinal bleeding appears to be confin...