28 results
Mechanical Ventilation in High Intracranial Pressure (ICP)
- Maintain PEEP < ICP
- Dealing with ICP
- HOB effect
Mechanical Ventilation ... on ICP - Post-intubation ... Management #Mechanical ... #Ventilation #High ... #pulmonary #criticalcare
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 • Decrease demand — correct metabolic
Weaning from the Ventilator ... , overfeeding, etc ... long lasting pain meds ... #CriticalCare # ... Management
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... exacerbation (cardiogenic pulmonary ... intrathoracic procedure ... #indications #criticalcare ... #management
Ventilator Troubleshooting Summary
High PIP, nl Pplat:
 - DDx: Tubing problem, Bronchospasm, Secretions
 - Next Steps: Check
Ventilator Troubleshooting ... DDx: Mainstem intubation ... Bowel reg, Para, etc ... Troubleshooting #diagnosis #management ... #pulmonary #mechanical
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
COVID-19 Intubation ... dose paralytic (e.g ... Procedure • Most ... Checklist #SARSCoV2 #Management ... #CriticalCare #
Airway Intubation Checklist
GATHER/TEST EQUIPMENT: NC, BVM + PEEP Valve, Free flowing IV, EKG, SpO2 monitor, ETT
Free flowing IV, EKG ... Video scope, LMA, Ventilator ... MANAGEMENT o ... #checklist #criticalcare ... #procedure
Protected Airway Intubation Pre-Brief Checklist - COVID19

1. ROLE ASSIGNMENT
2. PPE: Extended gloves, BLUE gown, N95, face
Protected Airway Intubation ... filter, NO manual ventilations ... MEDS & EQUIPMENT ... Checklist #COVID19 #CriticalCare ... #Management
Auto-PEEP 
What is Auto-PEEP?
 • Progressive air trapping & dynamic hyperinflation → ↑Palv at end expiration
maneuver on the ventilator ... overall minute ventilation ... AutoPEEP #PEEP #pulmonary ... #diagnosis #management ... #criticalcare #
Neonatal Resuscitation - Airway and Breathing
Airway
 • Opened by placing the infants's head in a neutral
pressure-limited circuit (e.g ... • Intubation ... • Limit intubation ... Airway #Breathing #Management ... #peds #pediatrics
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
low flow oxygen (e.g ... the mechanical ventilation ... us believe that intubation ... support #COVID19 #management ... #schema #criticalcare