6 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 ... patients (ie., CHF or COPD ... #criticalcare #management
Campbell’s sign or Tracheal Descent in Longstanding COPD

Patients with longstanding COPD may show downward displacement of
in Longstanding COPD ... with longstanding COPD ... #COPD #clinical ... 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 ... clinical #video #physicalexam ... #respiratory #pulmonary ... breathing #Trachea #COPD
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
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