18 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
exacerbation (cardiogenic pulmonary ... initiate breath, Anatomic ... hair) • Risk Of Clinical ... #criticalcare # ... management
A Non-Invasive approach to Respiratory Failure
 • COPD and Ventilatory Failure → NiPPV with Bi-level Settings
A Non-Invasive approach ... to Respiratory ... Settings • CHF / Pulmonary ... Edema → NiPPV CPAP ... #Failure #management
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
of noninvasive respiratory ... pneumonia vs. heart failure ... blow off” CO2 in a ... #Management #CriticalCare ... RespiratorySupport #Selection #Algorithm
Simplified Airway Management Algorithm
Admittedly sacrificing some detail, this simplified airway management algorithm highlights the critical steps,
Algorithm Admittedly ... the critical steps ... assumes imminent respiratory ... decompensation and failure ... #CriticalCare
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Distress Syndrome ... known clinical insult ... consistent with pulmonary ... Hg with PEEP or CPAP ... Criteria #Diagnosis #CriticalCare
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
• Proning is a ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure ... #algorithm
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
CONSIDER: a trial ... Guidelines #respiratory ... #schema #criticalcare ... #hypoxia #failure ... #algorithm #survivingsepsis
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Acute Respiratory ... – ARDS: Clinical ... <300mmHg with a ... overload with heart failure ... #CriticalCare
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Support Algorithm ... Also, a low threshold ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver Failure ... • Obstructive: Pulmonary ... Abdominal compartment syndrome ... #algorithm #treatment ... #management