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management diagnosis algorithm cardiology treatment ards clinical differential foamed mechanicalventilation acute alveolar autopeep balloon cardiomyopathy cephalization challenges cheatsheet clinica comparison
Effect of Lung Recruitment and Titrated Positive End-Expiratory Pressure (PEEP) vs Low PEEP on Mortality in
increased 28-day all-cause ... lung recruitment maneuver ... Wilkinsonjonny #ART ... Postoperative #Pulmonary ... #CriticalCare
Balloon Visualization - Mechanical Ventilation Pressures - PIP, PPlat, PEEP Peak Inspiratory Pressure (PIP): Dynamic pressure needed
- PIP, PPlat, PEEP ... ) Inspiratory Pause ... : Ventilator Maneuver ... #CriticalCare # ... Pathophysiology #Pulmonary
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... Decompensated CHF ... • Obstructive: Pulmonary ... pericarditis, Severe auto-PEEP ... Differential #Diagnosis #criticalcare
Tachypnea - Differential Diagnosis Framework Definitions • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults •
rate > 20/min, deep ... breathing Pulmonary ... Pneumonia • CHF ... Tachypnea: • Pulmonary ... • Hypovolemic shock
Auto-PEEP What is Auto-PEEP? • Progressive air trapping & dynamic hyperinflation → ↑Palv at end expiration
Auto-PEEP What ... hyperinflation → ↑Palv at ... expiratory hold maneuver ... #pulmonary #diagnosis ... #management #criticalcare
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Attempt vagal maneuvers ... Probably AVnRT or AVRT ... disease or CHF) ... Treat underlying cause ... disease or CHF)
Stage I - Redistribution In a normal chest film with the patient standing erect, the pulmonary vessels
The pulmonary vascular ... non-perfused vessels and causes ... during a period of CHF ... Radiology #CXR #CHF ... Redistribution #RadiologyAssistant
Clinical Management for Three Common Causes of Shock HEMORRHAGIC SHOCK • Ensure adequate ventilation and oxygenation.
for Three Common Causes ... end-expiratory pressure (PEEP ... ) for pulmonary ... (5 ug/kg/min) are ... #CriticalCare
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet An acute diffuse, inflammatory lung injury, leading to
leading to increased pulmonary ... minimum of 5 cmH20 PEEP ... the underlying cause ... pneumonia and are ... Diagnosis #Management #CriticalCare
Titrating PEEP in ARDS Key Principles: 1) The ideal PEEP optimizes alveolar recruitment and reduces atelectrauma, while minimizing
titrations are: ... recruitment maneuvers ... are harmful and ... titration #management #criticalcare ... #pulmonary
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