21 results
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Positive Pressure Ventilation ... failure, DNI status, Extubation ... head/neck surgery Interfaces ... Spontaneous Time (a.k.a BiLevel ... Positive #Pressure #Ventilation
Mechanical Ventilation in High Intracranial Pressure (ICP)
- Maintain PEEP < ICP
- Dealing with ICP
- HOB effect
Mechanical Ventilation ... on ICP - Post-intubation ... Management #Mechanical ... #Ventilation #High
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... intubated and mechanically ... disease and not the mechanical ... ventilation, most ... us believe that intubation
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 • Decrease demand — correct metabolic
Weaning from the Ventilator ... - Algorithm Setting ... up for extubation ... • Optimize mechanics ... #Algorithm #Extubation
Ventilator Troubleshooting Summary
High PIP, nl Pplat:
 - DDx: Tubing problem, Bronchospasm, Secretions
 - Next Steps: Check
Ventilator Troubleshooting ... DDx: Mainstem intubation ... Residents @mghmedres #Ventilator ... management #pulmonary #mechanical ... #ventilation
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
• (Helmet interface ... ideal) Invasive Mechanical ... Ventilation • ... lung-protective ventilation ... hypoxia #failure #algorithm
Difficult Airway Algorithm

1. Assess the likelihood and clinical impact of basic management problems: 
 • Difficulty
Difficult Airway Algorithm ... Difficult mask ventilation ... vs. intubation ... of spontaneous ventilation ... Difficult #airway #algorithm
Neonatal Resuscitation - Airway and Breathing
Airway
 • Opened by placing the infants's head in a neutral
circuit (e.g. mechanical ... ventilator or Neopuff ... • Intubation ... and mechanical ventilation ... • Limit intubation
Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 • Anticipate difficult airway management and
Mechanical ventilation ... to the i-STAR Algorithm ... non-ARDS • Mechanical ... patients #iSTAR #Algorithm ... #Obesity #Mechanical
Noninvasive Ventilation Summary
Positive pressure ventilation that is delivered through a nasal, mask, or helmet interface and
Noninvasive Ventilation ... Positive pressure ventilation ... mask, or helmet interface ... air trapping • Bilevel ... oxygenation BIPAP - Bilevel