12 results
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
of baseline Treatments ... • Initial ventilator ... #Exacerbation #CriticalCare ... #pulmonary #ventilation ... mechanical #management #treatment
Airway Pressure Release Ventilation (APRV) - Early application of airway pressure release ventilation may reduce the
Pressure Release Ventilation ... pressure release ventilation ... in acute respiratory ... VisualAbstract #Pulmonary ... #EBM #CriticalCare
Volume Assist/Control Mechanical Ventilation
How does this mode work?
 • Delivers a set volume of air with
patients What do I need ... • Need to make sure ... You will also need ... #AC #criticalcare ... #pulmonary
Auto-PEEP 
What is Auto-PEEP?
 • Progressive air trapping & dynamic hyperinflation → ↑Palv at end expiration
maneuver on the ventilator ... overall minute ventilation ... • In acute scenario ... AutoPEEP #PEEP #pulmonary ... diagnosis #management #criticalcare
Eosinophilic Pneumonia
When to suspect Eosinophilic Pneumonia? Non-resolving pneumonia + BAL > 25% eosinophils + excluded more
common diagnoses Acute ... Responsive, ~2/3 still need ... mechanical ventilation ... requires mechanical ventilation ... Pneumonia #diagnosis #pulmonary
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... Treatment Systemic ... #Embolism #Treatment ... #AcutePE #Management ... #CriticalCare
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... exacerbation (cardiogenic pulmonary ... exacerbation (often w/ acute ... COPD) • Other acute ... #indications #criticalcare
COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
incorporating newer ... more info about ventilator ... as data on new treatment ... US and updated treatment ... #Coronavirus #CriticalCare
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
required mechanical ventilation ... or noninvasive ventilation ... confirmation of need ... confirmation of need ... #Pulmonary #Community
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
important to recognize Acute ... with presence of pulmonary ... These patients need ... Cardiac cath if acute ... heartfailure #chf #criticalcare