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Mechanical ventilation in obese patients according to the i-STAR Algorithm Intubate • Anticipate difficult airway management and
and difficult mask ... ARDSnet low-PEEP table ... Gradually lower Fi02 ... recruitment • FiO2 ... desaturation prioritise FiO2
PROSEVA definition of ARDS Thus, the PROSEVA trial essentially modifies the Berlin definition of ARDS, with the
definition of ARDS ... definition of ARDS ... that the PaO2/FiO2 ... that the PaO2/FiO2 ... ratio remain stable
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 Mask Oxygen Delivery Devices Simple Mask aka Hudson's Mask: • Flow 6-10 LPM • FiO2 35-50% Face Tent:
Flow 6-10 LPM • FiO2 ... 10-15 LPM • FiO2 ... uses a small valve ... 10-15 LPM • FiO2 ... 10-15 LPM • FiO2
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
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
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
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 ... ) • Venturi mask ... Devices #Comparison #table
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm Pericardial • Effusion • Cardiac Tamponade* • Constriction Myocardial •
Causes of Chronic ... Artery Disease • Stable ... Pleural Thickening/Masses ... Pneumonia • ARDS ... Diagnosis #Algorithm #Causes
Pemberton's Sign caused by a Retrosternal Thyroid Goiter Elevating the arms causes the previously flat neck veins
Pemberton's Sign caused ... Elevating the arms ... causes the previously ... #PhysicalExam #clinical
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 (S)CMV - Synchronized Controlled Mechanical Ventilation Summary Most Similar to "AC/VC" Basic Set Parameters: 1) Rate
3) PEEP 4) FiO2 ... Best for: - ARDS ... Casey Albin, MD
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