6 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Noninvasive Positive ... neuromuscular disease ... exacerbation (cardiogenic pulmonary ... #criticalcare # ... management
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
: -The role of noninvasive ... -Serial evaluation ... #Management #CriticalCare ... #BiPAP #BiLevel ... RespiratorySupport #Selection #Algorithm
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
), Cardiogenic pulmonary ... Helmet, Full Face, Partial ... Spontaneous Time (a.k.a BiLevel ... nickmmark #NIVPPV #NonInvasive ... Ventilation #diagnosis #management
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 • COPD - pH <7.35, pCO2
) Algorithm - Indications ... Neuromuscular disease ... observation) #NIV #Noninvasive ... #Algorithm #criticalcare ... #management #indications
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Noncardiac: • Pulmonary ... Testing: • TSH level ... (< 5% pts with afibb ... thrombus • Digoxin level ... #diagnosis #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... event, follow ACC algorithm ... days before Pulmonary ... OSA • Continue CPAP ... medical and surgical management