12 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
exacerbation (cardiogenic pulmonary ... • Other acute respiratory ... Pt is DNI with indication ... #criticalcare # ... management
COPD Physical Exam Likelihood Ratios
Barrel Chest - LR 1.5
Pursed Lip Breathing - LR 2.7
Reduced breath sounds
Ratios Barrel Chest ... Hyperresonance of chest ... LR 11.8 Early inspiratory ... #PhysicalExam # ... LRs #diagnosis #pulmonary
Flail Chest- Check out the paradoxical chest wall movement 
Typical management: opiates for analgesia, intubation due
Flail Chest- Check ... the paradoxical chest ... movement Typical management ... Video #Clinical #PhysicalExam ... #Pulmonary #Respiratory
Massive Hemoptysis - Diagnosis and Management
 • Definitions: 
   - Hemoptysis = bleeding from
from below vocal cords ... Pseudo-hemoptysis = upper respiratory ... Interventions - Cold ... treatment #workup #pulmonary ... #criticalcare
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
: • COPD exacerbation ... ), Cardiogenic pulmonary ... Other causes of respiratory ... Ventilation #diagnosis #management ... #indications #pulmonary
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 • COPD - pH <7.35, pCO2
BiPAP) Algorithm - Indications ... for NIV: • COPD ... Neuromuscular disease - Respiratory ... BiPAP #Algorithm #criticalcare ... #management #indications
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Failure, Toxins/Medications ... , Spinal Cord Injury ... • Obstructive: Pulmonary ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Acute Respiratory ... ARDS: Clinical Cheat ... leading to increased pulmonary ... consistent with pulmonary ... #CriticalCare
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TTE +/- TEE) • Chest ... endocarditis w/ septic pulmonary ... spleen, brain) Indications ... Endocarditis #checklist #criticalcare ... #diagnosis #management
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
Breathing Normal The respiratory ... disease, pleuritic chest ... bronchitis, and COPD ... Breathing #Patterns #Pulmonary ... Abnormal #Diagnosis #PhysicalExam