13 results
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
breathing • Peak ... Prednisone • NIPPV ... : BiPAP, Brief trial ... #Exacerbation #CriticalCare ... #mechanical #management
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 ... PositivePressure #Ventilation ... #NIPPV #CPAP #BPAP ... #indications #criticalcare ... #management
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hypoxemia - Workup and Management ... • High Flow ... • NIPPV Sophia ... Workup #diagnosis #Management ... #treatment #criticalcare
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 • COPD - pH <7.35, pCO2
Non-Invasive Ventilation ... (BiPAP) Algorithm ... #BiPAP #Algorithm ... #criticalcare # ... management #indications
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 ... #management
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
flow nasal cannula ... Iimitation in the flow ... support #COVID19 #management ... #schema #criticalcare ... hypoxia #failure #algorithm
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... flow oxygen (e.g ... the mechanical ventilation ... support #COVID19 #management ... #schema #criticalcare