47 results
Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 • Anticipate difficult airway management and
Gradually lower Fi02 ... and non-ARDS) ... recruitment • FiO2 ... : avoid hyperoxia ... desaturation prioritise FiO2
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
A-a gradient = [FiO2 ... Elevation, Low Fio2 ... : Atelectasis, ARDS ... arterial #pulmonary #Hypoxia ... #hypoxemia #differential
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 hypoxemia ... severity of the ARDS ... >= 5cm H2O #ARDS
COVID-19 ARDS - Surviving Sepsis Guidelines 
Mild - Moderate - Severe

Society of Critical Care Medicine -
COVID-19 ARDS - ... Society of Critical ... Guidelines #ARDS ... #criticalcare #hypoxia
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Distress Syndrome – ARDS ... : Clinical Cheat ... congestion with hypoxemia ... or CXR ● PaO2/FiO2 ... days after dx of ARDS
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS

What Is IRIS?
	• A state of hyperinflammatory response that
noncompliance • Clinical ... initiation Clinical ... skin lesions, ocular ... (fever, cough, hypoxia ... Zoster flare, ocular
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
in more severe hypoxemia ... for refractory hypoxemia ... patients with PaO2/FiO2 ... Internet Book of Critical ... #criticalcare #hypoxia
Landolfi’s Sign on Physical Exam

A 73-year-old man presented with shortness of breath. On ocular exam, pupil
On ocular exam, ... #PhysicalExam #Clinical ... #Video #Ocular ... #Iris #AorticRegurgitation
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
Iris 7. ... Ocular Adverse Effects ... Trauma Cornea/Iris ... Detachment • Macular ... optic disk • HIV/AIDS
Hippus is the normal rhythmic fluctuations of the pupil as the pupil dilates and constricts. Testing
athetosis #eye #iris ... #ocular #physicalexam ... #clinical #video