40 results
Nasal Oxygen Delivery Devices
Nasal cannula can be used to deliver supplemental O2. Conventional nasal cannula are
rate of requiring intubation ... lower rates of re-intubation ... patients - Nick ... Devices #management #pulmonary ... #criticalcare
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
exacerbation (↓ intubation ... ), Cardiogenic pulmonary ... secretions, Recent head/neck ... NAPS) by Nick Mark ... #indications #pulmonary
Overview of Ventilator Modes
VC - Volume Control (a.k.a. assist control volume)
 - Every breath delivered (mandatory
- Every breath delivered ... - Every breath delivered ... Ventilation - Delivers ... combine w/ PS Nick ... #Ventilation #CriticalCare
Difficult Airway Algorithm

1. Assess the likelihood and clinical impact of basic management problems: 
 • Difficulty
• Difficult intubation ... opportunities to deliver ... choices: • Awake intubation ... vs. intubation ... Anesthesiology #Anesthesia #CriticalCare
Mechanical Ventilation in High Intracranial Pressure (ICP)
- Maintain PEEP < ICP
- Dealing with ICP
- HOB effect
on ICP - Post-intubation ... Elevated #management #pulmonary ... #criticalcare
Swan Ganz - Pulmonary Artery Catheter Basics

Nick Mark MD @nickmmark

#PA #SwanGanz #Pulmonary #Artery #Catheter #Basics #Diagnosis
Swan Ganz - Pulmonary ... Catheter Basics Nick ... #PA #SwanGanz #Pulmonary ... Diagnosis #Management #CriticalCare
Anatomical Differences Between Pediatric and Adult Airways 
Pediatric airway is... 
• Proportionally smaller larynx 
• Narrowest
proportionally larger • Neck ... Risk of mainstem intubation ... Differences #Anatomical #CriticalCare ... #Intubation #Diagnosis
COVID-19 Patient Intubation Checklist and Supplies

Intubation Equipment List
 • Appropriately sized tracheal tube with subglottic suction
COVID-19 Patient Intubation ... and Supplies Intubation ... Circuit • If intubating ... Emergency front of neck ... Checklist #Supplies #CriticalCare
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 • Flow 6-10 LPM
 • FiO2 35-50%
Face Tent:
Mask Oxygen Delivery ... • FiO2 ~80% Nick ... #Mask #Oxygen #Delivery ... Devices #management #pulmonary ... #criticalcare
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
CHF, decreases intubation ... COPD, decreases intubation ... exacerbation (cardiogenic pulmonary ... indication for intubation ... #indications #criticalcare