13 results
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
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 Tube Placement Checklist
PREPARATION
 o Consent
 o Position Patient
 o Monitoring
 o Time Out
 o Review
Tube Placement Checklist ... Meds o Review Cxr ... ensure that the lung ... @nickmmark #ChestTube ... #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 ... #hypoxia #failure
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 ... Bronchodilators/Steroids Hypoxemia ... diagnosis #management #pulmonary
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
in obstructive lung ... exacerbation (cardiogenic pulmonary ... indication for intubation ... excess facial hair ... #indications #criticalcare
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
leading to increased pulmonary ... congestion with hypoxemia ... consistent with pulmonary ... detected on CT or CXR ... Diagnosis #Management #CriticalCare
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
Lung Collapse with Hepatization and Static Air bronchograms

For mucus plug: Hepatization w static bronchograms. These images
Lung Collapse with ... Hepatization and Static Air ... obtained d/t sudden hypoxia ... @mackendc #Lung ... clinical #ultrasound #pulmonary
Assessment of Chest Tube Drains
Stepwise assessment of Chest Tube Function
TUBE POSITIONING
 • Look at the CXR:
• Look at the CXR ... since a prior CXR ... injury to the lung ... large injury to lung ... @nickmmark #ChestTube