45 results
Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 • Anticipate difficult airway management and
ARDSnet low-PEEP table ... Gradually lower Fi02 ... recruitment • FiO2 ... desaturation prioritise FiO2 ... obese #Management #CriticalCare
PROSEVA definition of ARDS
Thus, the PROSEVA trial essentially modifies the Berlin definition of ARDS, with the
definition of ARDS ... that the PaO2/FiO2 ... that the PaO2/FiO2 ... ratio remain stable ... #Diagnosis #CriticalCare
Understanding & Treating ARDS - Acute Respiratory Distress Syndrome

•  Timing - within one week of
Understanding & Treating ARDS ... Oxygenation PaO2/FiO2 ... @nickmmark #ARDS ... Diagnosis #Management #CriticalCare
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Distress Syndrome (ARDS ... severity of the ARDS ... mm Hg < PaO2 / FiO2 ... >= 5cm H2O #ARDS ... Criteria #Diagnosis #CriticalCare
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Distress Syndrome – ARDS ... or CXR ● PaO2/FiO2 ... there is no clear cause ... the underlying cause ... Diagnosis #Management #CriticalCare
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 • Flow 6-10 LPM
 • FiO2 35-50%
Face Tent:
A venturi mask uses ... Flow 2-15 LPM • FiO2 ... 10-15 LPM • FiO2 ... 10-15 LPM • FiO2 ... management #pulmonary #criticalcare
Oxygen Delivery Devices - Comparison
Low Flow:
 • Nasal cannula (1-6L, 24-40% FiO2)
 • Face mask (5-10L,
(1-6L, 24-40% FiO2 ... (5-10L, 35-60% FiO2 ... (5-15L, 35-50% FiO2 ... Devices #Comparison #table ... #pulmonary #criticalcare
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
Effect of Lung Recruitment and Titrated Positive End-Expiratory Pressure (PEEP) vs Low PEEP on Mortality in
moderate to severe ARDS ... increased 28-day all-cause ... Recruitment #PEEP #ARDS ... Postoperative #Pulmonary #CriticalCare
(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