701 results
Flapping tremors of Asterixis

DDx
- Decompensated cirrhosis or acute liver failure.
- Renal failure /azotemia.
- Respiratory failure with
or acute liver failure ... - Renal failure ... - Respiratory failure ... dioxide toxicity (hypercapnia
Chronic Hypercapnic Respiratory Failure Phenotypes
Pink Puffers (robust vent drive) ↑ their WOB when pulmonary mechanics gradually
Hypercapnic Respiratory Failure ... rise) → chronic hypercapnia ... #Respiratory #Failure
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Bradycardia • Renal failure ... Sleep apnea • Hypercarbia ... Dysautonomia • Failure
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
• Permissive hypercapnia ... criticalcare #hypoxia #failure
Differential Diagnosis of Respiratory Acid-Base Disorders
Alkalosis
A. Central nervous system stimulation: Pain, Anxiety, psychosis, Fever, Cerebrovascular accident,
Salicylates, Cardiac failure ... chest, Cardiac failure ... Septicemia, Hepatic failure ... Hypoventilation, Permissive hypercapnia
ExtraCorporeal Membrane Oxygenation (ECMO) Fundamentals
Definitions:
 • ExtraCorporeal Membrane Oxygenation (ECMO) provides prolonged pulmonary and/or circulatory support
mixed respiratorv failure ... ECCO2R: Refractory hypercapnia
ECMO Troubleshooting - OnePager Summary
ECMO Emergency Protocol - Team should train/practice & have necessary supplies at
to OXYGENATOR FAILURE ... oxygenator, or circuit failure ... • PUMP FAILURE ... • HYPERCAPNIA/ ... • OXYGENATOR FAILURE
Intraoperative Hypertension - Guidelines for Crises in Anaesthesia
Hypertension is most commonly due to inappropriate depth of
exclude hypoxia and hypercarbia ... interaction, renal failure
Mechanisms of acute right ventricular dysfunction/failure (RVD/RVF) #rightventricle #rvfailure #rvdysfunction
ventricular dysfunction/failure ... rightventricle #rvfailure
What's in a Blood Gas? VBG vs ABG

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