38 results
Aorto-caval fistula on POCUS

Pulsatile Ao superficial to the spine. Hyperechoic mantle clock shaped SMA superficial to
Aorto-caval fistula ... @RELewiss #Aortocaval ... #fistula #clinical ... #ultrasound #vascular
A Non-Invasive approach to Respiratory Failure
 • COPD and Ventilatory Failure → NiPPV with Bi-level Settings
Bi-level Settings • CHF ... / Pulmonary Edema ... Respiratory #Failure #management
POCUS Lung Algorithm for the Use of Ultrasound in the Evaluation of Dyspnea 

#Diagnosis #Management #CriticalCare
for the Use of Ultrasound ... #Diagnosis #Management ... #Ddxof #Lung #Pulmonary
Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
Ejection Fraction: Management ... - May mimic HF ... hypertension, pulmonary ... ineffective) #Management ... Cardiology #HFpEF #dCHF
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
with caution in pulmonary ... disease or CHF) ... with caution in pulmonary ... disease or CHF) ... Tachycardia #Treatment #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... in cardiogenic pulmonary ... (no B-lines on ultrasound ... #Checklist #CHF ... HeartFailure #Cardiology #Management
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
In CHF, decreases ... Indications: • CHF ... exacerbation (cardiogenic pulmonary ... patients (ie., CHF ... #criticalcare #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Decompensated CHF ... • Obstructive: Pulmonary ... algorithm #treatment #management
Atrial Fibrillation Overview

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

1. Why?
Cardiac:
• Valvular heart disease
•
Decompensated HF ... Noncardiac: • Pulmonary ... Fibrillation #Cardiology #Management
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
endocarditis w/ septic pulmonary ... regurgitation or fistula ... • Aggressive management ... criticalcare #diagnosis #management