31 results
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Positive Pressure Ventilation ... exacerbation (↓ intubation ... of respiratory failure ... nickmmark #NIVPPV #NonInvasive ... #diagnosis #management
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Noninvasive Positive ... Pressure Ventilation ... acute respiratory failure ... #indications #criticalcare ... #management
Difficult Airway Algorithm

1. Assess the likelihood and clinical impact of basic management problems: 
 • Difficulty
Difficult mask ventilation ... deliver supplemental oxygen ... of spontaneous ventilation ... Anesthesiology #Anesthesia #CriticalCare ... #Management
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
: -The role of noninvasive ... the patient's diagnosis ... pneumonia vs. heart failure ... #Management #CriticalCare ... #Ventilation #RespiratorySupport
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
COVID-19 Hypoxia Management ... Tolerating supplemental oxygen ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
Protected Airway Intubation Pre-Brief Checklist - COVID19

1. ROLE ASSIGNMENT
2. PPE: Extended gloves, BLUE gown, N95, face
Protected Airway Intubation ... filter, NO manual ventilations ... , RSI, use VL, discuss ... Checklist #COVID19 #CriticalCare ... #Management
Airway Intubation Checklist
GATHER/TEST EQUIPMENT: NC, BVM + PEEP Valve, Free flowing IV, EKG, SpO2 monitor, ETT
Video scope, LMA, Ventilator ... o Approach: RSI ... MANAGEMENT o ... #checklist #criticalcare ... #airway #management
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 • COPD - pH <7.35, pCO2
Non-Invasive Ventilation ... and controlled oxygen ... observation) #NIV #Noninvasive ... #Algorithm #criticalcare ... #management #indications
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
fail” low flow oxygen ... the mechanical ventilation ... us believe that intubation ... #schema #criticalcare ... #hypoxia #failure
Nasal Oxygen Delivery Devices
Nasal cannula can be used to deliver supplemental O2. Conventional nasal cannula are
Nasal Oxygen Delivery ... hypoxemic respiratory failure ... lower rates of re-intubation ... Delivery #Devices #management ... #pulmonary #criticalcare