10 results
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
breathing • Peak ... Prednisone • NIPPV ... : BiPAP, Brief trial ... Mechanical Ventilation ... #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
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... flow oxygen (e.g ... intubated and mechanically ... ventilation, most ... management #schema #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 ... #CriticalCare # ... Comparison #Management ... #Mechanical
Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 • Anticipate difficult airway management and
Mechanical ventilation ... to the i-STAR Algorithm ... rate: to keep pHa ... patients #iSTAR #Algorithm ... #Management #CriticalCare
Work Shifting - Mechanical Ventilation
Why the new term:
Synchrony issues, by definition, have to do with timing.
Work Shifting - Mechanical ... Thus, "flow asynchrony ... joules or joules per ... #WorkShifting #Mechanical ... #diagnosis #criticalcare
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
flow nasal cannula ... ideal) Invasive Mechanical ... Ventilation • ... management #schema #criticalcare ... hypoxia #failure #algorithm
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
Volume Assist/Control Mechanical Ventilation
How does this mode work?
 • Delivers a set volume of air with
Assist/Control Mechanical ... mav have lower peak ... make sure the peak ... • Start with low ... #criticalcare #
Mechanical Ventilation: The Basics
In the most basic sense, ventilator modes are defined by their control variable
Mechanical Ventilation ... • Flow Cycled ... reached 25% of its peak ... Basics #Modes #Comparison ... #management #criticalcare