17 results
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
BiPAP titration ... BiPAP titration ... pressure supports the work ... driving pressure #BiPAP ... CongestiveHeartFailure #Management #CriticalCare
Acid-Base Disorders - Differential Diagnosis Algorithm
Acidemia (pH < 7.35)
 • Metabolic Acidosis (HCO3 < 24mmol/L) CO2
Differential Diagnosis Algorithm ... Respiratory Acidosis (pCO2 ... Respiratory Alkalosis (pCO2 ... < 35 mmHg) #AcidBase ... Differential #Diagnosis #Algorithm
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 • COPD - pH <7.35, pCO2
Non-Invasive Ventilation (BiPAP ... ) Algorithm - Indications ... COPD - pH <7.35, pCO2 ... #Ventilation #BiPAP ... #Algorithm #criticalcare
Acid Base and Blood Gas Analysis
1. pH - What’s the primary disturbance?
2. pCO2 - What’s the
2. pCO2 - What’s ... the pCO2? ... Medications, Central, ↑ CO2 ... MD @nickmmark #acidbase ... #workup #algorithm
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
the patient's work ... to “blow off” CO2 ... #Management #CriticalCare ... #BiPAP #BiLevel ... RespiratorySupport #Selection #Algorithm
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
↓SpO2 • High work ... ABG: - High pCO2 ... with increased work ... Prednisone • NIPPV: BiPAP ... #Exacerbation #CriticalCare
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
IPAP can help generate ... and mortality BPAP ... both EPAP and IPAP ... status • Won't Work ... #indications #criticalcare
Blood Gas (ABG) Interpretation and Acid-Base Pathology
1- Does the patient have an acidosis or an alkalosis?
Look at the pCO2 ... Metabolic Equal (If pCO2 ... the change in pCO2 ... need to do more work ... MSc @AmyChung #AcidBase
Acid-Base Balance & ABG Normal Ranges Visualization #AcidBase #ABG #Medicine #Physiology #CriticalCare
Base Excess BE -2 to
Visualization #AcidBase ... Medicine #Physiology #CriticalCare ... metabolic acidosis), paCO2 ... HCO3+Cl) 10-18 paO2
Acid-Base Balance & ABG Normal Ranges Visualization #AcidBase #ABG #Medicine #Physiology #CriticalCare
Base Excess BE -2 to
Visualization #AcidBase ... Medicine #Physiology #CriticalCare ... metabolic acidosis), paCO2 ... HCO3+Cl) 10-18 paO2