7 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
and mortality BPAP ... failure (ie.. asthma ... increased WOB, dyspnea ... Ventilation #NIPPV #CPAP ... #criticalcare #management
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Indications: • COPD ... ), Cardiogenic pulmonary ... Helmet, Full Face, Partial ... Nasal Modes: • CPAP ... Ventilation #diagnosis #management
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Causes of Chronic Dyspnea ... Arrhythmia • Atrial ... Tachyarrhythmia Airway ... Obstruction • Asthma ... Interstitium • ILD • CHF
Perform computations online at:
ScyMed.com
6th ED
ICU-card
«ICU, Formulas & Drugs»
HEMODYNAMIC PATTERNS
Condition
SAP
CVP

PAP PCWP

CO C(a-v)02 PVR

SVR
Hypovolemic shock
↓
↓
↓
↓
↓
↑
↑
↑
Cardiogenic shock
↓
1
↑
1

1
↑

Septic shock
↓
↓
↓
↓
↑
↓
↓
↓
Cardiac Tamponade
.
↑
↑
1
↓

→
↑
RV
PAP PCWP ... →↑ ↓ ↑ ↑ Airways ... Pressure MPAP ... Perfusion Pressure COP ... 660 9*m/m2 CI*MPAP
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
History: cough, dyspnea ... inflammatory debris-small airways ... DDX: • CAP, ... #BOOP #pulmonary ... ILD #diagnosis #management
Cryptogenic Organizing Pneumonia - Illness Script

PATHOPHYSIOLOGY: Unknown trigger, reversible inflammatory/fibroproliferative process. Polypoid fibroblastic aggregates that plug
that plug distal airways ... misdiagnosed as CAP ... Symptoms: Cough, dyspnea ... Pneumonia #diagnosis #management ... #pulmonary
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
of a difficult airway ... - Oral cavity/Airway ... disease b) CHF ... OSA • Continue CPAP ... medical and surgical management