18 results
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
BiPAP titration ... in CHF - Mean airway ... achieve high mean airway ... CongestiveHeartFailure #Management ... #CriticalCare #
Shock Classification Types - Comparison Table
JVP, IVC on Ultrasound, Passive Leg Raise, Temperature of extremities, LV
Shock Classification ... Types - Comparison ... Table JVP, IVC ... #Types #Comparison ... differentiating #criticalcare
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Inspiratory Positive Airway ... upper & lower airway ... Bi-Level Positive Airway ... #indications #criticalcare ... #management
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... PCWP • Exam: ↓ JVP ... uw_IMresidency #Shock ... Diagnosis #table #comparison ... #criticalcare
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 • COPD - pH <7.35, pCO2
Non-Invasive Ventilation (BiPAP ... burns, Fixed upper airway ... #Ventilation #BiPAP ... #Algorithm #criticalcare ... #management #indications
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
goal-directed stepwise management ... to next step if shock ... pressure (MAP – CVP ... #CriticalCare # ... Pediatrics #Sepsis #Management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... crackles, elevated JVP ... #Diagnosis #Management ... #Summary #criticalcare
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... in refractory shock ... Vasopressors #Inotropes #management ... #criticalcare # ... summary #comparison
Vasopressors Demystified

Shock comes in many flavors and so do vasopressors. Here’s a OnePager summarizing my approach
Demystified Shock ... Vasopressors #Basics #CriticalCare ... #Management #Pharmacology ... #Comparison #Inotropes
HFNC compared to NIV
HFNC:
- Comfort - Higher comfort  Eating, drinking and speaking less impaired 
-
less impaired - Airway ... #NIV #NIPPV #bipap ... #comparison # ... management