26 results
Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 • Anticipate difficult airway management and
6 mL'kg PBW in ARDS ... 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
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Distress Syndrome (ARDS ... consistent with pulmonary ... lung collapse, or pulmonary ... severity of the ARDS ... >= 5cm H2O #ARDS
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
A-a gradient = [FiO2 ... chest) • Low PiO2 ... Elevation, Low Fio2 ... Intracardiac, Pulmonary ... : Atelectasis, ARDS
Oxygen Delivery by Device

Nasal Cannula 
• Indicated for low-flow, low-percentage supplemental oxygen. 
• Flow rate of
high percentage FiO ... inspiration and retention ... set to desired FiO2 ... deliver desired FiO ... #Pulmonary #Equipment
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Distress Syndrome – ARDS ... leading to increased pulmonary ... consistent with pulmonary ... or CXR ● PaO2/FiO2 ... days after dx of ARDS
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
(S)CMV - Synchronized Controlled Mechanical Ventilation Summary
Most Similar to "AC/VC"
Basic Set Parameters:
  1) Rate
3) PEEP 4) FiO2 ... Best for: - ARDS ... Ventilation #management #pulmonary
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Artery Disease • Stable ... Pneumonia • ARDS ... • Neoplasm Pulmonary ... • Sarcoidosis Pulmonary ... Vessels • Pulmonary
Intern Pocket Cards - Inpatient Anti-Emetics Guide
Serotonin antagonists:
 • Ondansetron (Zofran), Granisetron (Kytril, Sancuso) - Headache,
Intern Pocket Cards ... xerostomia, urinary retention ... Inpatient Pocket Cards ... #pharmacology #table