12 results
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Positive Pressure Ventilation ... mortality), Other causes ... head/neck surgery Interfaces ... Spontaneous Time (a.k.a BiLevel ... , BiPAP) • AVAPS
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
-The choice of BiPAP ... -BiPAP should never ... #BiLevel #HFNC ... #Noninvasive #Ventilation ... RespiratorySupport #Selection #Algorithm
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 • COPD - pH <7.35, pCO2
Non-Invasive Ventilation ... (BiPAP) Algorithm ... #Noninvasive #Ventilation ... #BiPAP #Algorithm
Noninvasive Ventilation Summary
Positive pressure ventilation that is delivered through a nasal, mask, or helmet interface and
Noninvasive Ventilation ... mask, or helmet interface ... air trapping • Bilevel ... Supports oxygenation BIPAP ... - Bilevel positive
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
gas equation • Causes ... capillary-alveolar interface ... diffusion defects) VENTILATION ... perfusion (Q) and ventilation ... matching adequate ventilation
BiPAP Initiation Algorithm
Screen for contraindications:
 • Obtundation (unarousable)
 • Inability to wear a mask (wounds)
 •
BiPAP Initiation ... Algorithm Screen ... amzn.to/3rEtbK8 #BiPAP ... #BiLevel #Initiation ... #Algorithm #management
Important Respiratory Distress Pearls

#diagnosis #respiratory #distress #NRDS #RDS #TTN #MAS #neonatal #pediatric #adult #respiratory #adverse #effects
effects #pulmonary #ventilation ... #algorithm #causes
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
• (Helmet interface ... Invasive Mechanical Ventilation ... lung-protective ventilation ... indication for prone ventilation ... hypoxia #failure #algorithm
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Causes of Hypoxemia ... Differential Diagnosis Algorithm ... Ventilation/perfusion ... Differential #Diagnosis #Algorithm ... #Causes #Pulmonary
Adult ACLS - Cardiac Arrest Algorithm - AHA 2020
CPR Quality:
 • Push hard (at least 2
Cardiac Arrest Algorithm ... Avoid excessive ventilation ... :2 compression-ventilation ... intra-arterial Reversible Causes ... cardiacarrest #Algorithm