81 results
Driving Pressure in Mechanical Ventilation

Driving Pressure (delta P) = Pplat - PEEP

Salim R. Rezaie, MD @srrezaie

#DrivingPressure
in Mechanical Ventilation ... MechanicalVentilation #CriticalCare ... #Management #Diagnosis ... #Table
Balloon Visualization - Mechanical Ventilation Pressures - PIP, PPlat, PEEP

Peak Inspiratory Pressure (PIP): Dynamic pressure needed
) Inspiratory Pause ... : Ventilator Maneuver ... #PPlat #PEEP #CriticalCare ... #Diagnosis #Balloon ... Pathophysiology #Pulmonary
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
- Differential Diagnosis ... diffusion defects) VENTILATION ... perfusion (Q) and ventilation ... matching adequate ventilation ... #Differential #Diagnosis
Ventilator Troubleshooting Summary
High PIP, nl Pplat:
 - DDx: Tubing problem, Bronchospasm, Secretions
 - Next Steps: Check
Ventilator Troubleshooting ... Bowel reg, Para, etc ... Treat underlying cause ... Troubleshooting #diagnosis ... #management #pulmonary
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 #
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
class (30-day all cause ... Hemodynamics (Stable ... prognostication #diagnosis ... #management #stratification ... #criticalcare #
Algorithm for the Management of Ventricular Tachycardia Electrical Storm
ES diagnosed (≥ 3 episodes of VT/ICD therapies
Electrical Storm ES diagnosed ... cardioversion Stable ... of reversible causes ... VT • Normal QTc ... #VTach #diagnosis
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Positive Pressure Ventilation ... ), Cardiogenic pulmonary ... mortality), Other causes ... #diagnosis #management ... #indications #pulmonary
Hypoxemia and Dyspnea - Rapid Response Management

1) Ask for vitals en route
2) Stabilize: Nasal canula 
3)
Rapid Response Management ... Cardiac, Neuro 4) Diagnose ... the underlying cause ... #criticalcare # ... pulmonary #Hypoxia
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Blood Pressure, Pulmonary ... Resistance, Main Uses ... Vasopressors #Properties #Table ... Pharmacology #Effect #Management