10 results
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
Could also use CPAP ... pressure supports the work ... breathing (equal to iPAP-ePAP ... 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 ... #BPAP #indications ... #criticalcare # ... management
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
), Cardiogenic pulmonary ... Nasal Modes: • CPAP ... a.k.a BiLevel, BiPAP ... Ventilation #diagnosis #management ... #indications #pulmonary
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 • Tracheobronchial:
Massive Hemoptysis ... • Parenchymal: PNA ... Embolism, Vasculitis ... : 1) Indications ... #pulmonary #criticalcare
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hyperacute Hypoxemia - Workup ... and Management ... Embolism, Pneumothorax ... Therapeutics: Airway ... #treatment #criticalcare
Massive Hemoptysis - Diagnosis and Management
 • Definitions: 
   - Hemoptysis = bleeding from
Diagnosis and Management ... • Workup • General ... ManagementAirway ... #treatment #workup ... #pulmonary #criticalcare
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... - Indications ... bleeding with tPA ... #AcutePE #Management ... #CriticalCare
Noninvasive Ventilation Summary
Positive pressure ventilation that is delivered through a nasal, mask, or helmet interface and
pressures • Decreases work ... improves ventilation CPAP ... Supports oxygenation BIPAP ... #Ventilation #management ... #pulmonary
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
10 pounds • Hemoptysis ... inflammatory debris-small airways ... other processes Workup ... COP DDX: • CAP ... ILD #diagnosis #management
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 ... A-a GRADIENT PA-aO2 ... PaCO2/R))-(Pa02) PA-a02