45 results
Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 • Anticipate difficult airway management and
difficult airway management ... Gradually lower Fi02 ... recruitment • FiO2 ... desaturation prioritise FiO2 ... ventilation #obese #Management
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
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 ... Management ● Early
Understanding & Treating ARDS - Acute Respiratory Distress Syndrome

•  Timing - within one week of
Understanding & Treating ARDS ... Oxygenation PaO2/FiO2 ... @nickmmark #ARDS ... Syndrome #Diagnosis #Management
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 ... 10-15 LPM • FiO2 ... Delivery #Devices #management ... #pulmonary #criticalcare
Oxygen Delivery Systems
Nasal Cannula:
 • Flow: 1 - 6 L/min
 • FiO2: 25 - 40% (-4%/L
- 6 L/min • FiO2 ... - 10 L/min • FiO2 ... - 15 L/min • FiO2 ... support #devices #management ... #pulmonary #comparison
Oxygen Delivery by Device

Nasal Cannula 
• Indicated for low-flow, low-percentage supplemental oxygen. 
• Flow rate of
high percentage FiO ... set to desired FiO2 ... deliver desired FiO ... #Pulmonary #Equipment ... #Devices #Management
(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
A Non-Invasive approach to Respiratory Failure
 • COPD and Ventilatory Failure → NiPPV with Bi-level Settings
Settings • CHF / Pulmonary ... • Pneumonia or ARDS ... Respiratory #Failure #management