10 results
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 ... #Noninvasive #Ventilation ... RespiratorySupport #Selection #Algorithm
Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 • Anticipate difficult airway management and
Mechanical ventilation ... to the i-STAR Algorithm ... difficult mask ventilation ... Titrate Ventilation ... patients #iSTAR #Algorithm
Important Respiratory Distress Pearls

#diagnosis #respiratory #distress #NRDS #RDS #TTN #MAS #neonatal #pediatric #adult #respiratory #adverse #effects
respiratory #distress #NRDS ... #RDS #TTN #MAS ... effects #pulmonary #ventilation ... #algorithm #causes
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Positive Pressure Ventilation ... of respiratory failure ... Spontaneous Time (a.k.a BiLevel ... Positive #Pressure #Ventilation
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
Invasive Mechanical Ventilation ... lung-protective ventilation ... indication for prone ventilation ... criticalcare #hypoxia #failure ... #algorithm
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... the mechanical ventilation ... criticalcare #hypoxia #failure ... #algorithm
Approach to ARDS - PseudoARDS

A diagnostic/therapeutic strategy for ARDS is suggested, based on the PROSEVA trial
Approach to ARDS ... PROSEVA trial (figure ... stabilization on the ventilator ... #CriticalCare #ARDS ... #PseudoARDS #Algorithm
Complex Perianal Fistulas and Crohn's Disease - Management Algorithm
Factors for Operative Strategy
  • Fistula Classification
Disease - Management Algorithm ... Active Abscess • Failure ... DB-RCT of two VDZ arms ... perianal disease Algorithm ... #Disease #IBD #algorithm
Neuromuscular Blockade (Paralytics) and Monitoring

Neuromuscular blockade caring for patients with severe ARDS and may reduce mortality.
patients with severe ARDS ... • Improved ventilator ... Avoid in renal failure ... in liver/renal failure ... #criticalcare #ARDS
Lazarus Reflex on Physical Exam

The Lazarus sign is a reflex movement observed in brain-dead or brainstem
brain-dead or brainstem failure ... briefly raising the arms ... can occur after ventilator