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differential elevated bpap ck creatine criticalcare evaluation kinase management nippv noninvasive perioperative positivepressure preop preoperative rhabdomyolysis risk stratification troponin ventilation
Noninvasive Positive Pressure Ventilation (NIPPV) Expiratory & Inspiratory Positive Airway Pressure Both increase intrathoracic pressure, which can decrease
in obstructive lung ... status • Won't Work ... hair) • Risk Of Clinical ... pneumothorax. esophageal injury ... #BPAP #indications
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm • Chronic Myocardial Injury: End
and Workup Algorithm ... • Chronic Myocardial ... (ie Sarcoid), Chronic ... Tachycardia-induced HF ... #Algorithm
Creatine Kinase - Causes of Elevated CK Levels Acute CK Elevation (Pain > Weakness): • RHABDOMYOLYSIS
immobility • Critical ... Illness Myopathy (ICU ... ventilation) • Myocardial ... infarction, Acute renal injury ... #differential #diagnosis
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... event, follow ACC algorithm ... Change in clinical ... OSA • Continue CPAP ... unless prior heart/lung
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