14 results
Ventilator Troubleshooting Summary
High PIP, nl Pplat:
 - DDx: Tubing problem, Bronchospasm, Secretions
 - Next Steps: Check
Ventilator Troubleshooting ... Obstructive lung disease ... Residents @mghmedres #Ventilator ... #management #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 ... #diagnosis #management
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 ... #Differential #Diagnosis ... #Algorithm #Causes ... #Pulmonary
Ventilator‑Associated Pneumonia Diagnosis and Management Algorithm

Intens Care Med @yourICM

#Ventilator #Associated #Pneumonia #Diagnosis #Management #Algorithm #criticalcare
Ventilator‑Associated ... and Management ... Med @yourICM #Ventilator ... #Management #Algorithm ... #criticalcare
Hypoxemia Differential Diagnosis Algorithm by A-a Gradient

Normal A-a Gradient:
 • ↓ Atmospheric pressure
 • Hypoventilation: CNS
Hypoxemia Differential Diagnosis ... Algorithm by A-a ... neuromuscular disease ... V/Q Mismatch: ↓Ventilation ... #Algorithm #pulmonary
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
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
the patient's diagnosis ... #Management #CriticalCare ... #Noninvasive #Ventilation ... RespiratorySupport #Selection #Algorithm
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... neuromuscular disease ... PositivePressure #Ventilation ... #indications #criticalcare ... #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
, Severe Valve Disease ... • Obstructive: Pulmonary ... #criticalcare # ... algorithm #treatment ... #management