9 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
pneumonia vs. heart failure ... #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 ... acute respiratory failure ... Chronic respiratory failure ... #NIPPV #CPAP #BPAP ... #indications #criticalcare
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
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
cardiovascular failure ... cardiopulmonary failure ... • Adjust ventilator ... circuit • Done per ... management #pulmonary #criticalcare
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... the mechanical ventilation ... management #schema #criticalcare ... #hypoxia #failure ... #algorithm
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
Invasive Mechanical Ventilation ... lung-protective ventilation ... management #schema #criticalcare ... #hypoxia #failure ... #algorithm
Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 • Anticipate difficult airway management and
to the i-STAR Algorithm ... PEEP (ARDSnet low-PEEP ... rate: to keep pHa ... patients #iSTAR #Algorithm ... obese #Management #CriticalCare
Mechanical Ventilation: The Basics
In the most basic sense, ventilator modes are defined by their control variable
Flow Cycled ... support until flow ... reached 25% of its peak ... Basics #Modes #Comparison ... #management #criticalcare