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diagnosis covid19 failure hypoxia noninvasive respiratory support atrial bipap bpap cardiology contraindications differential evaluation fibrillation nippv niv perioperative positivepressure preop
Noninvasive Positive Pressure Ventilation (NIPPV) Expiratory & Inspiratory Positive Airway Pressure Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... neuromuscular disease ... exacerbation (cardiogenic pulmonary ... #indications #criticalcare ... #management
General schema for respiratory support in patients with COVID-19 Low flow nasal cannula • Typically set at
General schema for ... • Titrate CPAP ... support #COVID19 #management ... #schema #criticalcare ... hypoxia #failure #algorithm
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications Indications for NIV: • COPD - pH <7.35, pCO2
Non-Invasive Ventilation ... (BiPAP) Algorithm ... Neuromuscular disease ... #criticalcare # ... management #indications
Proposed Respiratory Support Algorithm in COVID19 The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... with COVID lung disease ... the mechanical ventilation ... support #COVID19 #management ... #schema #criticalcare
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
Decompensated HF • New ischemia ... Noncardiac: • Pulmonary ... (< 5% pts with afibb ... Absolute warfarin indications ... #diagnosis #management
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
, Severe Valve Disease ... • Obstructive: Pulmonary ... Differential #Diagnosis #criticalcare ... #algorithm #treatment ... #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
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