9 results
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
pressure supports the work ... breathing (equal to iPAP-ePAP ... - Ramp up iPAP ... CongestiveHeartFailure #Management ... #CriticalCare #
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
and IPAP. ... status • Won't Work ... #NIPPV #CPAP #BPAP ... #indications #criticalcare ... #management
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Positive Pressure Ventilation ... Indications: ... Nasal Modes: • CPAP ... a.k.a BiLevel, BiPAP ... #diagnosis #management
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 • COPD - pH <7.35, pCO2
Non-Invasive Ventilation ... (BiPAP) Algorithm ... burns, Fixed upper airway ... #criticalcare # ... management #indications
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hyperacute Hypoxemia - Workup ... and Management ... Bronchospasm, Pulmonary Embolism ... Therapeutics: Airway ... #treatment #criticalcare
Noninvasive Ventilation Summary
Positive pressure ventilation that is delivered through a nasal, mask, or helmet interface and
of an invasive airway ... pressures • Decreases work ... CPAP - Continuous ... Supports oxygenation BIPAP ... #management #pulmonary
Oxygen Delivery Devices
1. Flow is a variable describing the movement of a volume of gas over
variable and fixed - indicating ... sealed systems (CPAP ... /BPAP/ventilator ... Devices #Flow #Comparison ... #management #criticalcare
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
Medications & pre-planned ... include: • BiPÅP ... • If using BiPÅP ... Checklist #SARSCoV2 #Management ... #CriticalCare #
Perform computations online at:
ScyMed.com
6th ED
ICU-card
«ICU, Formulas & Drugs»
HEMODYNAMIC PATTERNS
Condition
SAP
CVP

PAP PCWP

CO C(a-v)02 PVR

SVR
Hypovolemic shock
↓
↓
↓
↓
↓
↑
↑
↑
Cardiogenic shock
↓
1
↑
1

1
↑

Septic shock
↓
↓
↓
↓
↑
↓
↓
↓
Cardiac Tamponade
.
↑
↑
1
↓

→
↑
RV
→↑ Pulmonary Embolism ... →↑ ↓ ↑ ↑ Airways ... VT*RR Minute Ventilation ... A-a GRADIENT PA-aO2 ... PaCO2/R))-(Pa02) PA-a02