26 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
Difficult Airway Algorithm

1. Assess the likelihood and clinical impact of basic management problems: 
 • Difficulty
Difficult mask ventilation ... induction of general anesthesia ... of spontaneous ventilation ... Anesthesiology #Anesthesia ... #CriticalCare #
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
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 • Decrease demand — correct metabolic
Weaning from the Ventilator ... , overfeeding, etc ... nickmmark #Weaning #Ventilator ... #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 ... PositivePressure #Ventilation ... #indications #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 #
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
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 ... #airway #management
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
blood gas, 12-lead ECG ... o Aspiration, pulmonary ... oedema; bronchial intubation ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Intraoperative Laryngospasm and Stridor - Guidelines for Crises in Anaesthesia

❶ Call for help and inform theatre
obstructing the airway, e.g ... Consider tracheal intubation ... Continued airway and ventilation ... negative-pressure pulmonary ... Checklist #Diagnosis #Management