16 results
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Positive Pressure Ventilation ... ), Cardiogenic pulmonary ... Spontaneous Time (a.k.a BiLevel ... #indications #pulmonary ... #interfaces
Important Respiratory Distress Pearls

#diagnosis #respiratory #distress #NRDS #RDS #TTN #MAS #neonatal #pediatric #adult #respiratory #adverse #effects
#respiratory #adverse ... #effects #pulmonary ... #ventilation #algorithm
Noninvasive Ventilation Summary
Positive pressure ventilation that is delivered through a nasal, mask, or helmet interface and
mask, or helmet interface ... breathing by improving pulmonary ... air trapping • Bilevel ... oxygenation BIPAP - Bilevel ... #management #pulmonary
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 • COPD - pH <7.35, pCO2
Non-Invasive Ventilation ... (BiPAP) Algorithm ... and additional adverse ... #Noninvasive #Ventilation ... #BiPAP #Algorithm
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
capillary-alveolar interface ... lung diseases, pulmonary ... diffusion defects) VENTILATION ... perfusion (Q) and ventilation ... matching adequate ventilation
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Differential Diagnosis Algorithm ... Ventilation/perfusion ... lung disease • Pulmonary ... Differential #Diagnosis #Algorithm ... #Causes #Pulmonary
Eosinophilic Pneumonia
When to suspect Eosinophilic Pneumonia? Non-resolving pneumonia + BAL > 25% eosinophils + excluded more
need mechanical ventilation ... Consolidations AKA "inverse ... pulmonary edema ... requires mechanical ventilation ... Pneumonia #diagnosis #pulmonary
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
Hypoxemia Differential Diagnosis Algorithm by A-a Gradient

Normal A-a Gradient:
 • ↓ Atmospheric pressure
 • Hypoventilation: CNS
Differential Diagnosis Algorithm ... V/Q Mismatch: ↓Ventilation ... Differential #Diagnosis #Algorithm ... #pulmonary #Aa
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
CriticalCare #BiPAP #BiLevel ... #Noninvasive #Ventilation ... RespiratorySupport #Selection #Algorithm