29 results
Mechanical Ventilation in High Intracranial Pressure (ICP)
- Maintain PEEP < ICP
- Dealing with ICP
- HOB effect
Mechanical Ventilation ... - Post-intubation ... #Ventilation #High ... #Elevated #management ... #pulmonary #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
Nasal Oxygen Delivery Devices
Nasal cannula can be used to deliver supplemental O2. Conventional nasal cannula are
rate of requiring intubation ... & lower ICU mortality ... lower rates of re-intubation ... Delivery #Devices #management ... #pulmonary #criticalcare
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
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
to facilitate extubation ... SE: prolonged QTC ... SE: prolonged QTC ... #CriticalCare # ... diagnosis #management
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
COVID-19 Intubation ... dose paralytic (e.g ... cuff prior to ventilation ... Checklist #SARSCoV2 #Management ... #CriticalCare #