5982 results
Auto-PEEP 
What is Auto-PEEP?
 • Progressive air trapping & dynamic hyperinflation → ↑Palv at end expiration
Auto-PEEP What ... is Auto-PEEP? ... = intrinsic PEEP ... When does Auto-PEEP ... #pulmonary #diagnosis
Driving Pressure in Mechanical Ventilation

Driving Pressure (delta P) = Pplat - PEEP

Salim R. Rezaie, MD @srrezaie

#DrivingPressure
delta P) = Pplat - PEEP ... CriticalCare #Management #Diagnosis
Ventilator Troubleshooting Summary
High PIP, nl Pplat:
 - DDx: Tubing problem, Bronchospasm, Secretions
 - Next Steps: Check
Auto-PEEP: - DDx ... ratio, ↑ IFR, PEEP ... = 2/3 auto-PEEP ... Troubleshooting #diagnosis
Balloon Visualization - Mechanical Ventilation Pressures - PIP, PPlat, PEEP

Peak Inspiratory Pressure (PIP): Dynamic pressure needed
- PIP, PPlat, PEEP ... Pressures #PPlat #PEEP ... #CriticalCare #Diagnosis
Ventilator Waveform Troubleshooting - High Peak Pressures

This OnePager explains how you can rapidly determine if High
Problem, or a PEEP ... PeakPressures #Waveforms #Diagnosis
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
300 mm Hg with PEEP ... 200 mm Hg with PEEP ... 100 mm Hg with PEEP ... Definition #Criteria #Diagnosis
HEEADSSS - for psychosocial history taking in adolescents

Home environment, Education and employment, Eating, peer-related Activities, Drugs,
employment, Eating, peer-related ... violence #Diagnosis
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
- Differential Diagnosis ... pericarditis, Severe auto-PEEP ... #Differential #Diagnosis
The Berlin Definition of Acute Respiratory Distress Syndrome (ARDS)

Chest imaging - Bilateral opacities—not fully explained by
300 mm Hg with PEEP ... 200 mm Hg with PEEP ... 100 mm Hg with PEEP ... >= 5cm H2O #Diagnosis
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
minimum of 5 cmH20 PEEP ... Summary #CheatSheet #Diagnosis