34 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
CHF, decreases intubation ... COPD, decreases intubation ... acidosis) • Post-extubation ... indication for intubation ... status • Won't Work
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Non-Invasive Positive ... Pressure Ventilation ... exacerbation (↓ intubation ... failure, DNI status, Extubation ... #Pressure #Ventilation
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
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
Difficult Airway Algorithm

1. Assess the likelihood and clinical impact of basic management problems: 
 • Difficulty
• Difficult intubation ... choices: • Awake intubation ... vs. intubation ... initial approach to intubation ... initial approach to intubation
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 • Decrease demand — correct metabolic
Weaning from the Ventilator ... Setting up for extubation ... long lasting pain meds ... #Algorithm #Extubation ... #CriticalCare #
Oxygen Therapy Devices
 • Nasal Cannula
 • High Flow Nasal Cannula
 • Facemask / Non-rebreather
 •
• Non-Invasive Positive ... Pressure Ventilation ... • Intubation
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 ... MEDS & EQUIPMENT ... Protected #Airway #Intubation ... Checklist #COVID19 #CriticalCare
Nasal Oxygen Delivery Devices
Nasal cannula can be used to deliver supplemental O2. Conventional nasal cannula are
rate of requiring intubation ... Extubation to HFNC ... lower rates of re-intubation ... creates a small positive ... management #pulmonary #criticalcare
Airway Intubation Checklist
GATHER/TEST EQUIPMENT: NC, BVM + PEEP Valve, Free flowing IV, EKG, SpO2 monitor, ETT
Airway Intubation ... /INDUCTION o Position ... uncertain POST INTUBATION ... least 10 min post intubation ... @nickmmark #intubation