14 results
Driving Pressure in Mechanical Ventilation

Driving Pressure (delta P) = Pplat - PEEP

Salim R. Rezaie, MD @srrezaie

#DrivingPressure
Driving Pressure ... in Mechanical Ventilation ... MechanicalVentilation #CriticalCare ... #Management #Diagnosis ... #Table
Auto-PEEP 
What is Auto-PEEP?
 • Progressive air trapping & dynamic hyperinflation → ↑Palv at end expiration
maneuver on the ventilator ... intrathoracic pressure ... AutoPEEP #PEEP #pulmonary ... #diagnosis #management ... #criticalcare #
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Ventilation (NIPPV ... exacerbation (cardiogenic pulmonary ... intrathoracic procedure ... #indications #criticalcare ... #management
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
pressure > 25mmHg ... parenchymal pattern • Ventilation-perfusion ... Potentially curative procedure ... pressure in patients ... #management
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... Ensure adequate ventilation ... fractures, direct pressure ... (PEEP) for pulmonary ... #CriticalCare
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
bag moving OR ventilator ... blood gas, 12-lead ECG ... o Aspiration, pulmonary ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
bag moving OR ventilator ... known drug causes (eg ... remifentanil, digoxin etc ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
Pheochromocytoma - Diagnosis ... and Management ... 1928-1977) -> 50% diagnosed ... may present with pulmonary ... procedures (eg,
Intraoperative Laryngospasm and Stridor - Guidelines for Crises in Anaesthesia

❶ Call for help and inform theatre
obstructing the airway, e.g ... Continued airway and ventilation ... pulmonary oedema ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... - Endoscopic procedures ... days before Pulmonary ... medical and surgical management ... stratification #diagnosis