10 results
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Non-Invasive Positive Pressure ... of respiratory failure ... head/neck surgery Interfaces ... Spontaneous Time (a.k.a BiLevel ... indications #pulmonary #interfaces
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
pneumonia vs. heart failure ... CriticalCare #BiPAP #BiLevel ... #HFNC #HighFlow ... RespiratorySupport #Selection #Algorithm
Noninvasive Ventilation Summary
Positive pressure ventilation that is delivered through a nasal, mask, or helmet interface and
Summary Positive pressure ... mask, or helmet interface ... air trapping • Bilevel ... positive airway pressure ... oxygenation BIPAP - Bilevel
Causes of Generalized Edema - Differential Diagnosis Algorithm
Overfill (Increased renal sodium retention, Urine Na > 40meq/L)
Differential Diagnosis Algorithm ... Interstitial Oncotic Pressure ... • Right heart failure ... Capillary Oncotic Pressure ... Differential #Diagnosis #Algorithm
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Exudative Effusion:
 - Pulmonary
     •
Differential Diagnosis Algorithm ... Increased Hydrostatic Pressure ... Congestive Heart Failure ... • Renal Failure ... Decreased Oncotic Pressure
Flowchart to diuretic use in acute heart failure.

(A) Congestion with volume overload. 

(B) Treatment algorithm after
in acute heart failure ... (B) Treatment algorithm ... BP, blood pressure ... ; HF, heart failure ... Diuresis #CHF #Algorithm
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Differential Diagnosis Algorithm ... • Left heart failure ... drop in arterial pressure ... Differential #Diagnosis #Algorithm
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
Vessels (Heart failure ... Meds/Treatments (Pressors ... Differential #Diagnosis #algorithm
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
• (Helmet interface ... criticalcare #hypoxia #failure ... #algorithm
Approach to Possible Hypertensive Emergency

criteria required to diagnose hypertensive emergency
(1) Severe hypertension
 - Usually a MAP
increased intracranial pressure ... chronic renal failure ... Emergency #Diagnosis #Algorithm