8 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
In COPD, decreases ... exacerbation (cardiogenic pulmonary ... edema) • COPD ... decreased preload, Recent ... #criticalcare #management
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Indications: • COPD ... ), Cardiogenic pulmonary ... copious secretions, Recent ... Ventilation #diagnosis #management ... #indications #pulmonary
Campbell’s sign or Tracheal Descent in Longstanding COPD

Patients with longstanding COPD may show downward displacement of
sign or Tracheal Descent ... in Longstanding COPD ... sign #Tracheal #Descent ... trachea #neck #physicalexam ... #pulmonary #respiratory
Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Tracheal Descent ... Seen in this COPD ... #Tracheal #Descent ... clinical #video #physicalexam ... #respiratory #pulmonary
A Non-Invasive approach to Respiratory Failure
 • COPD and Ventilatory Failure → NiPPV with Bi-level Settings
Respiratory Failure • COPD ... Settings • CHF / Pulmonary ... Edema → NiPPV CPAP ... Respiratory #Failure #management
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
Diagnosis and Management ... Limb ischemia Pulmonary ... retrosternal CP, H/O recent ... , Dyspnea, H/O COPD ... ChestPain #Diagnosis #Management
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
Diagnosis and Management ... Summary 10 percent ... bilateral, malignant, pediatric ... may present with pulmonary ... blood pressure management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... days before Pulmonary ... OSA • Continue CPAP ... Recent PCI/stenting ... medical and surgical management