14 results
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
respiratory support ... 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
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Noninvasive Positive ... exacerbation (cardiogenic pulmonary ... • Other acute respiratory ... @EmmGeezee #Noninvasive ... #indications #criticalcare
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 #
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 ... #support #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 ... #support #COVID19 ... management #schema #criticalcare ... hypoxia #failure #algorithm
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
Effect of Lung Recruitment and Titrated Positive End-Expiratory Pressure (PEEP) vs Low PEEP on Mortality in
Patients With Acute Respiratory ... to severe ARDS, a ... findings do not support ... Postoperative #Pulmonary ... #CriticalCare
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
General schema for respiratory ... support in patients ... • Proning is a ... management #schema #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