27 results
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
trial Mechanical Ventilation ... control mode of ventilation ... • Initial ventilator ... settings • Manage Ventilator ... #pulmonary #ventilation
Mechanical Ventilation in High Intracranial Pressure (ICP)
- Maintain PEEP < ICP
- Dealing with ICP
- HOB effect
Mechanical Ventilation ... Post-intubation Management ... #Mechanical #Ventilation ... ICP #Elevated #management ... #pulmonary #criticalcare
Ventilator Troubleshooting Summary
High PIP, nl Pplat:
 - DDx: Tubing problem, Bronchospasm, Secretions
 - Next Steps: Check
Ventilator Troubleshooting ... Obstructive lung disease ... Residents @mghmedres #Ventilator ... #pulmonary #mechanical ... #ventilation
Auto-PEEP 
What is Auto-PEEP?
 • Progressive air trapping & dynamic hyperinflation → ↑Palv at end expiration
Suspect when flow on ventilator ... maneuver on the ventilator ... overall minute ventilation ... disconnect patient from ventilator ... #criticalcare #
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
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Differential Diagnosis Algorithm ... Ventilation/perfusion ... Mismatch • Airway Disease ... • Parenchymal Disease ... Differential #Diagnosis #Algorithm
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 • COPD - pH <7.35, pCO2
Non-Invasive Ventilation ... Neuromuscular disease ... #Noninvasive #Ventilation ... #criticalcare # ... management #indications
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
failure • Adjust ventilator ... minimizing further ventilator-induced ... clearance (ie, ventilation ... #ECMO #Basics #management ... #pulmonary #criticalcare
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 • Decrease demand — correct metabolic
Weaning from the Ventilator ... - Algorithm Setting ... nickmmark #Weaning #Ventilator ... #CriticalCare # ... Management
Difficult Airway Algorithm

1. Assess the likelihood and clinical impact of basic management problems: 
 • Difficulty
Difficult Airway Algorithm ... Difficult mask ventilation ... of spontaneous ventilation ... Difficult #airway #algorithm ... Anesthesiology #Anesthesia #CriticalCare