20 results
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
IV Mg, Heliox, Ketamine ... control mode of ventilation ... • Initial ventilator ... #Exacerbation #CriticalCare ... #pulmonary #ventilation
Mechanical Ventilation in High Intracranial Pressure (ICP)
- Maintain PEEP < ICP
- Dealing with ICP
- HOB effect
Mechanical Ventilation ... on ICP - Post-intubation ... #Mechanical #Ventilation ... management #pulmonary #criticalcare
Intubation Checklist - Plan A, B, C, D
PLAN A - INITIAL INTUBATION STRATEGY
PLAN B - SECONDARY
Intubation Checklist ... PLAN A - INITIAL INTUBATION ... B - SECONDARY INTUBATION ... OXYGENATION & VENTILATION ... plans #airway #criticalcare
Difficult Airway Algorithm

1. Assess the likelihood and clinical impact of basic management problems: 
 • Difficulty
Difficult mask ventilation ... • Difficult intubation ... vs. intubation ... of spontaneous ventilation ... Anesthesiology #Anesthesia #CriticalCare
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... CHF, decreases intubation ... indication for intubation ... PositivePressure #Ventilation ... #indications #criticalcare
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 • COPD - pH <7.35, pCO2
Non-Invasive Ventilation ... GCS, Confusion/agitation ... #Noninvasive #Ventilation ... BiPAP #Algorithm #criticalcare
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 • Decrease demand — correct metabolic
Weaning from the Ventilator ... Setting up for extubation ... nickmmark #Weaning #Ventilator ... #Algorithm #Extubation ... #CriticalCare #
Protected Airway Intubation Pre-Brief Checklist - COVID19

1. ROLE ASSIGNMENT
2. PPE: Extended gloves, BLUE gown, N95, face
Protected Airway Intubation ... filter, NO manual ventilations ... Protected #Airway #Intubation ... Checklist #COVID19 #CriticalCare
Airway Intubation Checklist
GATHER/TEST EQUIPMENT: NC, BVM + PEEP Valve, Free flowing IV, EKG, SpO2 monitor, ETT
Airway Intubation ... Video scope, LMA, Ventilator ... uncertain POST INTUBATION ... Sedation plan o Ventilator ... #checklist #criticalcare
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
the mechanical ventilation ... us believe that intubation ... management #schema #criticalcare