7 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... failure (ie.. asthma ... failure (ie OHS ... #indications #criticalcare ... #management
Auto-PEEP 
What is Auto-PEEP?
 • Progressive air trapping & dynamic hyperinflation → ↑Palv at end expiration
airway resistance ... (e.g. asthma), ... • Decrease airway ... pulmonary #diagnosis #management ... #criticalcare #
Overview of Ventilator Modes
VC - Volume Control (a.k.a. assist control volume)
 - Every breath delivered (mandatory
dynamically changes inspiratory ... APRV - Airway Pressure ... (e.g. ... #CriticalCare # ... Comparison #Management
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
of noninvasive respiratory ... patient's diagnosis (e.g ... pneumonia vs. heart failure ... #Management #CriticalCare ... #Noninvasive #Ventilation
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
low flow oxygen (e.g ... the mechanical ventilation ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
General schema for respiratory ... volumes of ~6 cc/kg ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
In ARDS, we know that the lungs are so diffusely injured that the remaining total area
lung protective ventilation ... if you can get away ... pathophysiology #diagnosis #management ... #ards #foamed #criticalcare ... #treatment #respiratory