18 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
In COPD, decreases ... edema) • COPD ... patients (ie., CHF or COPD ... hair) • Risk Of Clinical ... #criticalcare #management
Paradoxic Breathing in Pediatric Respiratory Distress - Improved after nebulizers and HFNC

Inward chest wall movement with
Paradoxic Breathing ... #Breathing #Respiratory ... Pediatrics #Peds #clinical ... #Video #Pulmonary ... #PhysicalExam #Pattern
Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Descent Sign Paradoxical ... Seen in this COPD ... Descent #Sign #clinical ... #pulmonary #breathing ... #Trachea #COPD
Hoover's Sign

Hoover’s sign refers to inward movement of the lower rib cage during inspiration- instead of
associated with COPD ... COPD, and more specifically ... #COPD #PhysicalExam ... #Breathing #Paradoxical ... #Respiratory
Hoover’s Sign on Physical Exam

Paradoxical retraction of the lower intercostal spaces on inspiration in this patient
Physical Exam Paradoxical ... patient in severe COPD ... #PhysicalExam #clinical ... #video #pulmonary ... #COPD #respiratory
Trauma - Paradoxical Breathing in Flail Chest 
It occurs when multiple adjacent ribs are broken in
Trauma - Paradoxical ... #Pattern #Trauma ... #Video #Clinical ... #PhysicalExam #Pulmonary ... #Respiratory
A Non-Invasive approach to Respiratory Failure
 • COPD and Ventilatory Failure → NiPPV with Bi-level Settings
Non-Invasive approach to Respiratory ... Failure • COPD ... Settings • CHF / Pulmonary ... Edema → NiPPV CPAP ... #Failure #management
Flail Chest- Check out the paradoxical chest wall movement 
Typical management: opiates for analgesia, intubation due
Check out the paradoxical ... movement Typical management ... #Pattern #Trauma ... #Video #Clinical ... #Respiratory
Hoover's sign on Physical Exam

Paradoxical inward movement of the rib cage with inspiration seen in patients
patients with COPD ... #PhysicalExam #Clinical ... #Video #Breathing ... #Respiratory #pulmonary ... #paradoxical
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Indications: • COPD ... ), Cardiogenic pulmonary ... Other causes of respiratory ... Ventilation #diagnosis #management ... #indications #pulmonary