48 results
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
- Mean airway pressure ... high mean airway pressure ... Could also use CPAP ... supports the work ... CongestiveHeartFailure #Management
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
CPAP - Continuous ... exacerbation (cardiogenic pulmonary ... status • Won't Work ... Ventilation #NIPPV #CPAP ... #criticalcare #management
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
), Cardiogenic pulmonary ... secretions, Recent head/neck ... Nasal Modes: • CPAP ... Ventilation #diagnosis #management ... #indications #pulmonary
Treatment of Obstructive Sleep Apnea
Positive airway pressure therapy
   → Positive pharyngeal transmural pressure
Positive airway pressure ... Mandibular advancement devices ... refractory to CPAP ... SleepApnea #Treatment #management ... #pulmonary
Oxygen Delivery Methods
 • Nasal Cannula
 • Nonrebreather Mask
 • Non-Invasive Ventilation (CPAP/BiPAP)
 • Venturi Mask
Non-Invasive Ventilation (CPAP ... Delivery #Methods #devices ... #respiratory #pulmonary ... #management
Right Heart Catheterization Cheat Sheet: Interpretation of Pressures and Waveforms 
Direct measurements
 ● Central venous pressure
(RA, RV) ● Pulmonary ... (PAp) ● Pulmonary ... – CVP]/CO) ● Pulmonary ... ventricular stroke work ... ventricular stroke work
CPAP Troubleshooting Tips
1. Wrong size/style mask → try a different mask, nasal pillows
2. Trouble getting used
CPAP Troubleshooting ... skin irritation, pressure ... BrighamChiefs #CPAP ... Troubleshooting #Tips #management ... #problems #pulmonary
Vasopressors Demystified

Shock comes in many flavors and so do vasopressors. Here’s a OnePager summarizing my approach
my approach to pressors ... pedagogical device ... : the pressor-speedometer ... Nick Mark MD @nickmmark ... #CriticalCare #Management
Swan Ganz - Pulmonary Artery Catheter Basics

Nick Mark MD @nickmmark

#PA #SwanGanz #Pulmonary #Artery #Catheter #Basics #Diagnosis
Swan Ganz - Pulmonary ... Catheter Basics Nick ... #PA #SwanGanz #Pulmonary ... Basics #Diagnosis #Management ... CriticalCare #ICU #pressures
Pleural Manometry Summary
Measurement of Intrapleural Pressures and Pleural Elastance during therapeutic thoracentesis can be used to
of re-expansion pulmonary ... pleural pressure ... elastance - Nick ... Manometry #diagnosis #management ... #pulmonary #differential