10 results
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
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
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 #
Hypophosphatemia and Hypoxia - Pathophysiology

↓ Phosphate leads to ↓ red cell 2,3-DPG and a  reduction
cell 2,3-DPG and a ... Rapoport-Leubering pathway away ... shifts the oxygen dissociation ... the hemoglobin dissociation ... pathophysiology #pulmonary
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 ... COVID19 #management #schema ... #criticalcare #
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 ... COVID19 #management #schema ... #criticalcare # ... hypoxia #failure #algorithm
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
General schema for ... respiratory support ... • Proning is a ... #criticalcare # ... hypoxia #failure #algorithm
Auto-PEEP 
What is Auto-PEEP?
 • Progressive air trapping & dynamic hyperinflation → ↑Palv at end expiration
airway resistance ... effort to trigger a ... • Decrease airway ... AutoPEEP #PEEP #pulmonary ... diagnosis #management #criticalcare
Approach to Possible Hypertensive Emergency

criteria required to diagnose hypertensive emergency
(1) Severe hypertension
 - Usually a MAP
hypertension - Usually a ... needed to cause a ... - Pulmonary edema ... Emergency #Diagnosis #Algorithm ... #CriticalCare #