76 results
Hypoxemia and Dyspnea - Rapid Response Management

1) Ask for vitals en route
2) Stabilize: Nasal canula 
3)
Rapid Response Management ... ) Examination: Pulmonary ... the underlying cause ... #criticalcare # ... pulmonary #Hypoxia
Mechanical Ventilation in High Intracranial Pressure (ICP)
- Maintain PEEP < ICP
- Dealing with ICP
- HOB effect
Mechanical Ventilation ... on ICP - Post-intubation ... Management #Mechanical ... #Ventilation #High ... #pulmonary #criticalcare
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Causes of Hypoxemia ... Diagnosis Algorithm Ventilation ... lung disease • Pulmonary ... Diagnosis #Algorithm #Causes ... #Pulmonary
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Positive Pressure Ventilation ... exacerbation (↓ intubation ... ), Cardiogenic pulmonary ... mortality), Other causes ... #diagnosis #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 ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
Ventilator Troubleshooting Summary
High PIP, nl Pplat:
 - DDx: Tubing problem, Bronchospasm, Secretions
 - Next Steps: Check
DDx: Mainstem intubation ... Bronchodilators/Steroids Hypoxemia ... Treat underlying cause ... Troubleshooting #diagnosis #management ... #pulmonary #mechanical
“H’s & T’s“ - The reversible causes of Cardiac Arrest 
Hypovolemia, Hypoxia/Hypoxemia, Hydrogen Ion Excess (Acidosis),
The reversible causes ... Hypovolemia, Hypoxia ... /Hypoxemia, Hydrogen ... Pneumothorax, Thrombosis (Pulmonary ... diagnosis #arrest #management
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
diffusion defects) VENTILATION ... perfusion (Q) and ventilation ... matching adequate ventilation ... direction leads to hypoxemia ... Respiratory #Failure #hypoxia
Difficult Airway Algorithm

1. Assess the likelihood and clinical impact of basic management problems: 
 • Difficulty
impact of basic management ... Difficult mask ventilation ... of spontaneous ventilation ... Anesthesiology #Anesthesia #CriticalCare ... #Management
Extubation Checklist Mnemonic - MASCOTS
M - Mechanism (Underlying mechanism improving)
A - Airway (Patent, difficult intubation)
S -
Patent, difficult intubation ... - Tube feeds (Pause ... (Sedation off, passes ... Mnemonic #MASCOTS #criticalcare ... #management