456 results
Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 • Anticipate difficult airway management and
and difficult mask ... Gradually lower Fi02 ... and non-ARDS) ... recruitment • FiO2 ... desaturation prioritise FiO2
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 • Flow 6-10 LPM
 • FiO2 35-50%
Face Tent:
Flow 6-10 LPM • FiO2 ... 35-50% Face Tent ... 10-15 LPM • FiO2 ... uses a small valve ... 10-15 LPM • FiO2
Oxygen Delivery Systems
Nasal Cannula:
 • Flow: 1 - 6 L/min
 • FiO2: 25 - 40% (-4%/L
- 6 L/min • FiO2 ... of flow) Face Mask ... - 10 L/min • FiO2 ... Device: Face Tent ... ~40% Venturi Mask
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Distress Syndrome (ARDS ... week of a known clinical ... severity of the ARDS ... mm Hg < PaO2 / FiO2 ... >= 5cm H2O #ARDS
Oxygen Delivery by Device

Nasal Cannula 
• Indicated for low-flow, low-percentage supplemental oxygen. 
• Flow rate of
high percentage FiO ... retention of exhaled gases ... • Uses either ... set to desired FiO2 ... deliver desired FiO
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Distress Syndrome – ARDS ... : Clinical Cheat ... or CXR ● PaO2/FiO2 ... there is no clear cause ... the underlying cause
Drop Arm Test - Supraspinatus Tear

The drop arm test evaluates for a supraspinatus muscle tear.
Passively adduct
Drop Arm Test - ... The drop arm test ... unable to keep arms ... #PhysicalExam #clinical ... video #sports #msk
Original ARDSNet Mechanical Ventilation Protocol

Acute Respiratory Distress Syndrome Network (ARDSNet)

NIH NHLBI ARDS Clinical Network 

#Management #CriticalCare
ARDSNet) NIH NHLBI ARDS ... Clinical Network ... Ventilation #Protocol #ARDS ... GrepMed Recommended Text
Oxygen Delivery Devices - Comparison
Low Flow:
 • Nasal cannula (1-6L, 24-40% FiO2)
 • Face mask (5-10L,
(1-6L, 24-40% FiO2 ... ) • Face mask ( ... ) • Face tent/shovel ... mask (5-15L, 35 ... ) • Venturi mask
Clarke's Test (Patellar Grind Test)

Indicates Patellofemoral dysfunction.
 - Patient with knee in extension. Push posterior on
Clarke's Test (Patellar ... Grind Test) ... of patella then ask ... Patellar #Grind #clinical ... Patellofemoral #msk