8 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
CPAP - Continuous ... exacerbation (cardiogenic pulmonary ... acute respiratory failure ... #criticalcare # ... management
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
COVID-19 Hypoxia ... Management Indication ... #criticalcare # ... hypoxia #failure ... #algorithm #survivingsepsis
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
us believe that intubation ... #management #schema ... #criticalcare # ... hypoxia #failure ... #algorithm
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
patients with COVID ... #management #schema ... #criticalcare # ... hypoxia #failure ... #algorithm
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver Failure ... Decompensated CHF ... • Obstructive: Pulmonary ... #algorithm #treatment ... #management
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
MI, Acute Heart Failure ... Arrhythmias / CHB ... Pericardial tamponade, Pulmonary ... inopressors #diagnosis #management ... #comparison #table
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Decompensated Heart Failure ... with presence of pulmonary ... #treatment #table ... #heartfailure #chf ... #criticalcare #
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... disease b) CHF ... event, follow ACC algorithm ... OSA • Continue CPAP ... medical and surgical management