11 results
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Positive Pressure Ventilation ... Indications: ... of respiratory failure ... Spontaneous Time (a.k.a BiLevel ... #pulmonary #interfaces
Difficult Airway Algorithm

1. Assess the likelihood and clinical impact of basic management problems: 
 • Difficulty
Algorithm 1. ... likelihood and clinical ... mask ventilation ... of spontaneous ventilation ... #airway #algorithm
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
• (Helmet interface ... VV-ECMO • indicatons ... Internet Book of Critical ... criticalcare #hypoxia #failure ... #algorithm
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
Hypoxemic Respiratory Failure ... DIFFUSION DISORDER • Difficulty ... capillary-alveolar interface ... hypoxemic respiratory failure ... #Respiratory #Failure
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 ... #Noninvasive #Ventilation ... RespiratorySupport #Selection #Algorithm
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... acute respiratory failure ... Chronic respiratory failure ... hair) • Risk Of Clinical ... PositivePressure #Ventilation
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
Management Indication ... Consider Indication ... Society of Critical ... criticalcare #hypoxia #failure ... #algorithm #survivingsepsis
Hypoglycemia - Differential Diagnosis Algorithm
Fasting Hypoglycemia:
 • Excess Insulin
 • Medications (e.g. Insulin Secretagogues, ß-Adrenergic Antagonists,
Differential Diagnosis Algorithm ... Excess Insulin • Medications ... Other Causes: • Critical ... Hepatic Failure, ... Differential #Diagnosis #Algorithm
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
of lactate as a clinical ... a multitude of clinical ... is particularly difficult ... the appropriate clinical ... - HIV/HAART medications
Aplastic Anemia - Overview

Who?
• M = F
• 3 peaks:	1) Childhood	2) 15-25 years	3) >60 years

What?
• Aplastic anemia
Aplastic Anemia Clinical ... skin color • Difficulty ... - Antithyroid medications ... Inherited marrow-failure