8 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
- Bi-Level Positive ... exacerbation (cardiogenic pulmonary ... COPD) • Other acute ... #criticalcare # ... management
D-Sign of Acute Pulmonary Embolism on POCUS - Parasternal Short Axis

Acute shortness of breath with this
Pulmonary Embolism ... on POCUS - Parasternal ... bulging septum on PLAX ... #POCUS #PSAX #Echocardiogram ... #CriticalCare
RV Dilatation in Pulmonary Embolism on POCUS - Parasternal Long Axis

Acute shortness of breath with this
Dilatation in Pulmonary ... Embolism on POCUS ... bulging septum on PLAX ... #POCUS #PLAX #Echocardiogram ... #CriticalCare
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
w/ septic pulmonary ... • Persistent fever ... • Aggressive management ... #checklist #criticalcare ... #diagnosis #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... and/or digoxin level ... lungs - Consider BiPAP ... causing acute distress ... treatment for acute
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Culture (+): Acute ... night sweats, fever ... Cerebral > Splenic, pulmonary ... • Left sided IE ... #diagnosis #management
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
Increased protein level ... normal glucose level ... arthritis, and endocarditis ... device removal (if ... Fungal #Diagnosis #Management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
or family - Ever ... murmur 3/6) - Pulmonary ... - Cataract Plan ... days before Pulmonary ... medical and surgical management