21 results
A Non-Invasive approach to Respiratory Failure
 • COPD and Ventilatory Failure → NiPPV with Bi-level Settings
FailureCOPD ... Settings • CHF / Pulmonary ... @SkylerLentz #NonInvasive ... #Respiratory #Failure ... #management #hypoxia
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Noninvasive Positive ... exacerbation (cardiogenic pulmonary ... failure (ie.. asthma ... failure (ie OHS ... #criticalcare #management
Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Tracheal Descent Sign ... Seen in this COPD ... Video via Dr. ... #pulmonary #breathing ... #Trachea #COPD
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Indications: • COPD ... Other causes of respiratory ... failure, DNI status ... nickmmark #NIVPPV #NonInvasive ... Ventilation #diagnosis #management
Campbell’s sign or Tracheal Descent in Longstanding COPD

Patients with longstanding COPD may show downward displacement of
Campbell’s sign ... #Campbells #sign ... #clinical #video ... #physicalexam #pulmonary ... #respiratory
Hoover’s Sign on Physical Exam

Paradoxical retraction of the lower intercostal spaces on inspiration in this patient
Hoover’s Sign on ... patient in severe COPD ... PhysicalExam #clinical #video ... #pulmonary #COPD ... #respiratory
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
: -The role of noninvasive ... respiratory support ... pneumonia vs. heart failure ... #Management #CriticalCare ... RespiratorySupport #Selection #Algorithm
Hoover's Sign

Hoover’s sign refers to inward movement of the lower rib cage during inspiration- instead of
Hoover's Sign ... Hoover’s sign refers ... Pulmonary #COPD ... #PhysicalExam #Video ... #Paradoxical #Respiratory
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 • COPD - pH <7.35, pCO2
Ventilation (BiPAP) Algorithm ... Indications for NIV: • COPD ... Neuromuscular disease - Respiratory ... observation) #NIV #Noninvasive ... #criticalcare #management
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
Algorithm for Management ... 2 (or complete respiratory ... #AECOPD #Algorithm ... #Management #Exacerbation ... #treatment #pulmonary