31 results
A Non-Invasive approach to Respiratory Failure
 • COPD and Ventilatory Failure → NiPPV with Bi-level Settings
Ventilatory Failure → NiPPV ... Pulmonary Edema → NiPPV ... • Pneumonia or ARDS ... Respiratory #Failure #management
Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 • Anticipate difficult airway management and
to the i-STAR Algorithm ... difficult airway management ... minimal to keep PaO2 ... patients #iSTAR #Algorithm ... ventilation #obese #Management
Understanding & Treating ARDS - Acute Respiratory Distress Syndrome

•  Timing - within one week of
Understanding & Treating ARDS ... Impaired Oxygenation PaO2 ... @nickmmark #ARDS ... Syndrome #Diagnosis #Management
HFNC compared to NIV
HFNC:
- Comfort - Higher comfort  Eating, drinking and speaking less impaired 
-
Mostly reduced - CO2 ... Nasopharyngeal CO2 ... highflownasalcannula #NIV #NIPPV ... #bipap #comparison ... #management
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
to “blow off” CO2 ... #Management #CriticalCare ... HFNC #HighFlow #NIPPV ... RespiratorySupport #Selection #Algorithm
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 • COPD - pH <7.35, pCO2
Ventilation (BiPAP) Algorithm ... COPD - pH <7.35, pCO2 ... VC < 1 even if pCO2 ... Ventilation #BiPAP #Algorithm ... #criticalcare #management
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Distress Syndrome – ARDS ... on CT or CXR ● PaO2 ... Management ● Early ... sepsis-associated ARDS ... days after dx of ARDS
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
ABG: - High pCO2 ... Prednisone • NIPPV ... ventilation #mechanical #management
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 ... CONSIDER: a trial of NIPPV ... support #COVID19 #management ... hypoxia #failure #algorithm
Intern Pocket Cards - Inpatient Blood Pressure Management Guide
ß-blockers:
 • Metoprolol, Carvedilol, Labetalol
 • Bradycardia, heart
Intern Pocket Cards ... Blood Pressure Management ... exacerbation ACEl/ARBs ... Inpatient Pocket Cards ... agents #internship #comparison