24 results
Paradoxic Breathing in Pediatric Respiratory Distress - Improved after nebulizers and HFNC

Inward chest wall movement with
Paradoxic Breathing ... in Pediatric Respiratory ... as a results of ventilation ... clinical #Video #Pulmonary ... #PhysicalExam #
Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Seen in this COPD ... clinical #video #physicalexam ... #respiratory #pulmonary ... #breathing #Trachea ... #COPD
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Positive Pressure Ventilation ... Indications: • COPD ... edema (↓ mortality ... Other causes of respiratory ... #diagnosis #management
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Rapid Response Management ... Algorithm Stridor ... edema • Air: ... 12 / shallow breathing ... #pulmonary
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... exacerbation (cardiogenic pulmonary ... edema) • COPD ... PositivePressure #Ventilation ... #criticalcare #management
A Non-Invasive approach to Respiratory Failure
 • COPD and Ventilatory Failure → NiPPV with Bi-level Settings
Non-Invasive approach to Respiratory ... Failure • COPD ... Settings • CHF / Pulmonary ... Edema → NiPPV CPAP ... #Failure #management
COPD Physical Exam Likelihood Ratios
Barrel Chest - LR 1.5
Pursed Lip Breathing - LR 2.7
Reduced breath sounds
COPD Physical Exam ... 1.5 Pursed Lip Breathing ... LR 11.8 Early inspiratory ... #PhysicalExam # ... LRs #diagnosis #pulmonary
Hoover's Sign

Hoover’s sign refers to inward movement of the lower rib cage during inspiration- instead of
associated with COPD ... Hoovers #Sign #Pulmonary ... #COPD #PhysicalExam ... Video #Clinical #Breathing ... #Paradoxical #Respiratory
An Algorithm for the Diagnosis of Wheezing and Stridor

Stridor: Louder, constant-pitch sound over central airways
Wheezing: Musical
An Algorithm for ... Bronchoconstriction: Asthma, COPD ... edema • Infectious ... Stridor #Noisy #Breathing ... #pulmonary
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
edema (most common ... diffusion defects) VENTILATION ... perfusion (Q) and ventilation ... matching adequate ventilation ... Pneumonia, asthma, COPD