23 results
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
the patient's work ... pneumonia vs. heart failure ... #Management #CriticalCare ... #BiPAP #BiLevel ... RespiratorySupport #Selection #Algorithm
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
Mesenteric Ischemia ... Vessels (Heart failure ... hypovolemia), Meds/Treatments ... #Mesenteric #Ischemia ... #Diagnosis #algorithm
Graded Oxygen Administration in COVID-19

#respiratory #support #COVID19 #management #schema #criticalcare #hypoxia #failure #algorithm #coronavirus #sarscov2 #oxygen
COVID19 #management #schema ... #criticalcare # ... hypoxia #failure ... #algorithm #coronavirus
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
and mortality BPAP ... acute respiratory failure ... Chronic respiratory failure ... status • Won't Work ... #indications #criticalcare
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
↓SpO2 • High work ... with increased work ... of baseline Treatments ... Prednisone • NIPPV: BiPAP ... #Exacerbation #CriticalCare
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
COVID19 #management #schema ... #criticalcare # ... hypoxia #failure ... #algorithm #survivingsepsis
Overall schema for resuscitation of the bradycardic periarresting patient
A patient with bradycardic periarrest may be rescued
Overall schema for ... therapies will work ... both types of treatments ... (figure below). ... Bradycardic #PeriArrest #Algorithm
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... COVID19 #management #schema ... #criticalcare # ... hypoxia #failure ... #algorithm
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver Failure ... Dehydration Shock Treatment ... Differential #Diagnosis #criticalcare ... #algorithm #treatment
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Severe Heart Failure ... lungs - Consider BiPAP ... right ventricular failure ... antiarrhythmics - Ischemic ... Revascularization, treatment