47 results
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
pneumonia vs. heart failure ... BiLevel #HFNC #HighFlow ... #NIPPV #Noninvasive
A Non-Invasive approach to Respiratory Failure
 • COPD and Ventilatory Failure → NiPPV with Bi-level Settings
to Respiratory Failure ... and Ventilatory Failure ... → NiPPV with Bi-level ... Pulmonary Edema → NiPPV ... #Respiratory #Failure
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
of respiratory failure ... Extubation to NIPPV ... MD @nickmmark #NIVPPV
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Pressure Ventilation (NIPPV ... mortality, LOS NIPPV ... acute respiratory failure ... Chronic respiratory failure ... WOB, dyspnea NIPPV
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
CONSIDER: a trial of NIPPV ... criticalcare #hypoxia #failure
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
edema), Lung Exam, POCUS ... High Flow • NIPPV
Relevant Sonopathology of the Parasternal Long Axis (PLAX) - Point of Care Ultrasound
 - Right Ventricular
Diastolic Heart Failure ... Systolic Heart Failure ... #Diagnosis #POCUS
Echocardiography
Right ventricular function can be assessed using several methods and echocardiography is generally the first‐line tool
first‐line tool (Figure ... mortality and heart failure ... Diagnosis #Cardiology #POCUS
Papillary muscle rupture on POCUS Echocardiogram - A4C

Rare case! 70M recent MI with acute resp failure
muscle rupture on POCUS ... with acute resp failure ... muscle rupture on POCUS ... muscle #rupture #POCUS
Focused POCUS Lung and Cardiac Ultrasound Exams in COVID-19 Patients
1. Turn machine on / Enter patient
Focused POCUS Lung ... views left lung (FIGURE ... each lung zone (FIGURE ... view (minimum) (FIGURE ... #Focused #POCUS