31 results
Post-Intubation Package Checklist
Quick Checklist
	Waveform Capnography
	Secure the Tube Well
	Confirm Lung Protective Vent Settings
	Achieve Adequate Analgesia and Sedation
	Raise
Post-Intubation ... Package Checklist ... Well  Confirm Lung ...  Humidify the Air ... #CriticalCare #
Chest X-Ray Interpretation Checklist
Outline ALL bones
Check soft tissues
Assess heart borders
Is density, behind the heart the same
Interpretation Checklist ... cervical rib Check lung ... #Chest #XRay #CXR ... Interpretation #Checklist ... radiology #diagnosis #pulmonary
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
in obstructive lung ... CHF, decreases intubation ... exacerbation (cardiogenic pulmonary ... excess facial hair ... #indications #criticalcare
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 • Tracheobronchial:
Alveolar Hemorrhage, Lung ... Primary Vascular: Pulmonary ... Indications for Intubation ... 2) Bad Lung Down ... #criticalcare
Nasal Oxygen Delivery Devices
Nasal cannula can be used to deliver supplemental O2. Conventional nasal cannula are
rate of requiring intubation ... lower rates of re-intubation ... entrain ambient air ... Devices #management #pulmonary ... #criticalcare
Pneumonia on Chest Xray and POCUS

Extensive pneumonia in lower left lobe (red arrow). 
POCUS: Dynamic air
POCUS: Dynamic air ... AirBronchogram #POCUS #CXR ... Comparison #Clinical #Lung ... #Pulmonary #Clinical
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Bronchospasm, Pulmonary ... (JVP, edema), Lung ... POCUS (B-lines, lung ... Troponin), ABG, STAT CXR ... Management #treatment #criticalcare
Ventilator Troubleshooting Summary
High PIP, nl Pplat:
 - DDx: Tubing problem, Bronchospasm, Secretions
 - Next Steps: Check
DDx: Mainstem intubation ... Next Steps: BS, CXR ... DDx: Obstructive lung ... Steps: Bag, BS, CXR ... diagnosis #management #pulmonary
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
COVID-19 Intubation ... Checklist Personal ... disposable cap to cover hair ... #Checklist #SARSCoV2 ... #Management #CriticalCare
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
patients who “fail ... patients with COVID lung ... us believe that intubation ... management #schema #criticalcare