24 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
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 #
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
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
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
COVID-19 Intubations - Team Roles to Minimize Exposure

Respiratory Therapist is encouraged to stay outside the room
COVID-19 Intubations ... or to setup the ventilator ... the expected PPE procedures ... #Assignments #Management ... #CriticalCare #
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
used to treat pulmonary ... Suppots lungs (pulmonary ... Assess perfusion (eg ... #ECMO #Basics #management ... #pulmonary #criticalcare