469 results
Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 • Anticipate difficult airway management and
difficult airway management ... ARDSnet low-PEEP table ... minimal to keep PaO2 ... ventilation #obese #Management ... #CriticalCare
Markers of Organ Dysfunction in Severe Sepsis 
Altered consciousness 
Confusion 
Psychosis 

Tachycardia 
Hypotension 
Altered CVP 
Altered
Altered CVP Altered PAOP ... Tachypnoea PaO2 ... <70mmHg SaO2 < ... 90% PaO2/FiO2 300% ... Severe #Sepsis #CriticalCare
PROSEVA definition of ARDS
Thus, the PROSEVA trial essentially modifies the Berlin definition of ARDS, with the
requirement that the PaO2 ... requires that the PaO2 ... FiO2 ratio remain stable ... #Diagnosis #CriticalCare
Understanding & Treating ARDS - Acute Respiratory Distress Syndrome

•  Timing - within one week of
Impaired Oxygenation PaO2 ... Syndrome #Diagnosis #Management ... #CriticalCare
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 • COPD - pH <7.35, pCO2
COPD - pH <7.35, pCO2 ... VC < 1 even if pCO2 ... RR or daytime pCO2 ... BiPAP #Algorithm #criticalcare ... #management #indications
Driving Pressure in Mechanical Ventilation

Driving Pressure (delta P) = Pplat - PEEP

Salim R. Rezaie, MD @srrezaie

#DrivingPressure
MechanicalVentilation #CriticalCare ... #Management #Diagnosis ... #Table
Hepatopulmonary Syndrome
HPS - Diagnosis:
 1. Patients with liver disease
 2. Alveolar-arterial oxygen gradient (AaP02) >15 mmHg
Moderate HPS: ≥ 60 PaO2 ... Severe HPS: ≥ 50 PaO2 ... Very severe HPS: PaO2 ... Syndrome #diagnosis #management
Useful Intravenous Antihypertensive Agents
- Nicardipine
- Clevidipine
- Labetalol
- Esmolol
- Nitroglycerin

Dr. Josh Farkas https://twitter.com/PulmCrit

#Antihypertensive #Agents #Hypertensive #Emergency #Pharmacology
#Pharmacology #Table ... Intravenous #IV #CriticalCare ... BloodPressure #Management
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
inspired oxygen (PaO2 ... - 200 mm Hg < PaO2 ... - 100 mm Hg < PaO2 ... H2O - Severe - PaO2 ... Criteria #Diagnosis #CriticalCare
Simplifying Mechanical Ventilation - Modes of Mechanical Ventilation - Comparison Table

You now know many modes whether
Ventilation - Comparison Table ... #Management #CriticalCare ... Breaths #Comparison #Table