409 results
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
• Permissive hypercapnia ... management #schema #criticalcare
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
ABG/VBG only if hypercapneic ... #Workup #MICU #CriticalCare
Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 • Anticipate difficult airway management and
tolerate mild hypercapnia ... obese #Management #CriticalCare
Chronic Hypercapnic Respiratory Failure Phenotypes
Pink Puffers (robust vent drive) ↑ their WOB when pulmonary mechanics gradually
Chronic Hypercapnic ... rise) → chronic hypercapnia ... amzn.to/3rEtbK8 #Hypercapnic
ECMO Troubleshooting - OnePager Summary
ECMO Emergency Protocol - Team should train/practice & have necessary supplies at
HYPERCAPNIA/ ... differential #management #criticalcare
Flapping tremors of Asterixis

DDx
- Decompensated cirrhosis or acute liver failure.
- Renal failure /azotemia.
- Respiratory failure with
dioxide toxicity (hypercapnia
Tachypnea - Evaluation and Differential Diagnosis Algorithm
Alkalemia:
 • Acute Respiratory Alkalosis
 • Chronic Hypercapnic Respiratory Failure
Alkalosis • Chronic Hypercapnic ... Superimposed • Acute Hypercapnic
An Approach to Acute Dyspnea

General Categories: Hypoxemia, Hypercapnia, Acidemia, Poor O2 Delivery (without hypoxemia),  Miscellaneous
Categories: Hypoxemia, Hypercapnia
COPD phenotypes:  Blue Bloaters vs. Pink Puffers
The two most stereotypical forms of COPD are pink
substantial chronic hypercarbia ... manifest with severe hypercapnia
What's in a Blood Gas? VBG vs ABG

BOTTOM LINE: VBG is less painful, more easily obtained
predicting arterial hypercarbia