24 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 Failure ... Settings • CHF / Pulmonary ... Edema → NiPPV CPAP ... #management #hypoxia
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
COVID-19 Hypoxia ... CONSIDER: a trial ... #schema #criticalcare ... #hypoxia #failure ... #algorithm #survivingsepsis
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
pneumonia vs. heart failure ... blow off” CO2 in a ... #Management #CriticalCare ... #BiPAP #BiLevel ... RespiratorySupport #Selection #Algorithm
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Also, a low threshold ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure ... #algorithm
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
cellular and tissue hypoxia ... utilization, or a ... types #diagnosis #management ... #criticalcare # ... differential
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver Failure ... • Obstructive: Pulmonary ... #Diagnosis #criticalcare ... #algorithm #treatment ... #management
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Syndrome – ARDS: Clinical ... congestion with hypoxemia ... <300mmHg with a ... overload with heart failure ... #CriticalCare
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
known clinical insult ... consistent with pulmonary ... severity of the hypoxemia ... Hg with PEEP or CPAP ... Criteria #Diagnosis #CriticalCare