Tuberculosis, Lung Infections, and Respiratory Care

Pulmonary Critical Care and Intensive Management

Pulmonary critical care and intensive management focus on the specialized care of patients with severe respiratory illnesses requiring advanced monitoring and life-support interventions. Conditions such as acute respiratory distress syndrome (ARDS), severe pneumonia, exacerbations of chronic obstructive pulmonary disease (COPD), and complicated cases of tuberculosis or viral infections often necessitate admission to intensive care units (ICUs). The primary goals are to stabilize respiratory function, prevent organ failure, and provide comprehensive supportive care while addressing the underlying cause of illness.

Management in pulmonary critical care involves a combination of advanced respiratory support, hemodynamic monitoring, and targeted pharmacologic therapy. Mechanical ventilation—both invasive and non-invasive—is a cornerstone for patients with respiratory failure, while high-flow nasal oxygen and extracorporeal membrane oxygenation (ECMO) are employed in severe or refractory cases. Optimization of oxygen delivery, fluid balance, and sedation protocols are critical to improving outcomes and minimizing complications. Additionally, timely identification and treatment of infections, careful management of comorbidities, and use of evidence-based interventions such as corticosteroids or immunomodulators in specific conditions enhance survival. Multidisciplinary collaboration among pulmonologists, intensivists, nurses, respiratory therapists, and other healthcare professionals ensures comprehensive care.