20 results
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 ... @SkylerLentz #NonInvasive ... #management #hypoxia
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Noninvasive Positive ... and decreases respiratory ... exacerbation (cardiogenic pulmonary ... @EmmGeezee #Noninvasive ... #indications #criticalcare
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
: -The role of noninvasive ... respiratory support ... blow off” CO2 in a ... #Management #CriticalCare ... RespiratorySupport #Selection #Algorithm
Hypophosphatemia and Hypoxia - Pathophysiology

↓ Phosphate leads to ↓ red cell 2,3-DPG and a  reduction
Hypophosphatemia and Hypoxia ... Rapoport-Leubering pathway away ... shifts the oxygen dissociation ... the hemoglobin dissociation ... #pulmonary
Noninvasive Ventilation Summary
Positive pressure ventilation that is delivered through a nasal, mask, or helmet interface and
Noninvasive Ventilation ... delivered through a ... endotracheal tube or a ... pressure throughout respiratory ... close mouth #Noninvasive
Resequenced Trauma Resuscitation Algorithm

Two categories of immediate life-threats in trauma:

1. Massive external hemorrhage

2. Critical airway compromise
Resuscitation Algorithm ... compromise a) critical ... /refractory hypoxia ... despite maximal noninvasive ... Resuscitation #Algorithm
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 • COPD - pH <7.35, pCO2
Ventilation (BiPAP) Algorithm ... Neuromuscular disease - Respiratory ... burns, Fixed upper airway ... observation) #NIV #Noninvasive ... #criticalcare #
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 ... Guidelines #respiratory ... management #schema #criticalcare ... #algorithm #survivingsepsis
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Proposed Respiratory ... Support Algorithm ... Also, a low threshold ... management #schema #criticalcare ... #hypoxia #failure
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
General schema for respiratory ... • Proning is a ... Care @iBookCC #respiratory ... management #schema #criticalcare ... #algorithm