25 results
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
BiPAP titration ... BiPAP titration ... pressure supports the work ... driving pressure #BiPAP ... CongestiveHeartFailure #Management #CriticalCare
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
the patient's work ... of breathing, thereby ... #Management #CriticalCare ... #BiPAP #BiLevel ... RespiratorySupport #Selection #Algorithm
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 • COPD - pH <7.35, pCO2
Non-Invasive Ventilation (BiPAP ... ) Algorithm - Indications ... controlled oxygen therapy ... #Ventilation #BiPAP ... #Algorithm #criticalcare
Perianal Crohn's Disease - IBD Algorithm

 • 5-40% w perianal fistula
 • ↑ risk if colonic
Disease - IBD Algorithm ... refractory to medical therapy ... Crohns #Disease #IBDAlgorithm ... #IBD #Algorithm
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
IPAP can help generate ... and mortality BPAP ... both EPAP and IPAP ... status • Won't Work ... #indications #criticalcare
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hyperacute Hypoxemia - Workup ... Escalation, Tailored Therapy ... PPI Oxygen Therapy ... Hypoxemia #Hypoxia #Workup ... Management #treatment #criticalcare
Algorithm for bradycardic peri-arrest 
 - Bradycardiac peri-arrest may be loosely defined as severe bradycardia with
Algorithm for bradycardic ... The algorithm below ... two “arms” of therapy ... or electrical therapy ... #Management #CriticalCare
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
↓SpO2 • High work ... with increased work ... Prednisone • NIPPV: BiPAP ... #Exacerbation #CriticalCare
Bronchiectasis: diagnosis and management 

Causes of localized -> diffuse bronchiectasis
Foreign body, Bronchial stenosis (tumor, .. ),
fibrosis, Radiation therapy ... #Differential #workup ... #algorithm #pulmonary
IBD Therapy De-escalation - IBD Algorithm

Dr. Wade Billings @wabillin

#IBD #Therapy #Deescalation #Deprescribing #IBDAlgorithm #IBD #Algorithm #gastroenterology
IBD Therapy De-escalation ... - IBD Algorithm ... wabillin #IBD #Therapy ... Deprescribing #IBDAlgorithm ... #IBD #Algorithm