15 results
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
breathing • Peak ... flow - < 200 ... Prednisone • NIPPV ... : BiPAP, Brief trial ... #Exacerbation #CriticalCare
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
be used to “blow ... #Management #CriticalCare ... HFNC #HighFlow #NIPPV ... #Noninvasive #Ventilation ... RespiratorySupport #Selection #Algorithm
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... (NIPPV) Expiratory ... PositivePressure #Ventilation ... #NIPPV #CPAP #BPAP ... #indications #criticalcare
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 • COPD - pH <7.35, pCO2
Non-Invasive Ventilation ... (BiPAP) Algorithm ... #Noninvasive #Ventilation ... #BiPAP #Algorithm ... #criticalcare #
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
• Aspiration/PNA ... Flow • Reservoir ... • High Flow ... • NIPPV Sophia ... Management #treatment #criticalcare
Overview of Ventilator Modes
VC - Volume Control (a.k.a. assist control volume)
 - Every breath delivered (mandatory
Overview of Ventilator ... VC., APV, Auto flow ... #Modes #Ventilation ... #CriticalCare # ... Comparison #Management
Oxygen Delivery Devices
1. Flow is a variable describing the movement of a volume of gas over
= VT x RR and Peak ... the patient's peak ... systems (CPAP/BPAP ... #Comparison #management ... #criticalcare
HFNC compared to NIV
HFNC:
- Comfort - Higher comfort  Eating, drinking and speaking less impaired 
-
likely avoided, Flow-dependent ... highflownasalcannula #NIV #NIPPV ... #bipap #comparison
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
flow nasal cannula ... liters/minute High flow ... Iimitation in the flow ... management #schema #criticalcare ... hypoxia #failure #algorithm
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
failure • Adjust ventilator ... minimizing further ventilator-induced ... clearance (ie, ventilation ... circuit • Done per ... management #pulmonary #criticalcare