8 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
In COPD, decreases ... pulmonary edema ... ) • COPD exacerbation ... or COPD) • Other ... Ventilation #NIPPV #CPAP
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
Algorithm for Management ... of COPD (AECOPD ... newly diagnosed COPD ... MatthewHoMD #COPD ... #Management #Exacerbation
Medical Treatment Algorithm for Chronic Obstructive Pulmonary Disease
Initial medical treatment of chronic obstructive pulmonary disease (COPD)
disease (COPD) ... squared; CAT, COPD ... assessment test; FEV1 ... #COPD #Treatment ... #Algorithm #Management
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Indications: • COPD ... exacerbation (↓ ... ), Cardiogenic pulmonary ... Nasal Modes: • CPAP ... Ventilation #diagnosis #management
A Non-Invasive approach to Respiratory Failure
 • COPD and Ventilatory Failure → NiPPV with Bi-level Settings
Respiratory Failure • COPD ... Bi-level Settings • CHF ... / Pulmonary Edema ... → NiPPV CPAP or ... Respiratory #Failure #management
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 ... Arterial Pressure MPAP ... Perfusion Pressure COP ... 660 9*m/m2 CI*MPAP ... 9.7 9*m/m2 SI*MPAP
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Medications, Spinal Cord ... Decompensated CHF ... • Obstructive: Pulmonary ... #criticalcare #algorithm ... #treatment #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... disease b) CHF ... event, follow ACC algorithm ... OSA • Continue CPAP ... medical and surgical management