49 results
Complicated Parapneumonic Effusion (CPPE) on Pleuroscopy

We know that pH can vary in different locules in CPPE.
Complicated Parapneumonic ... Effusion (CPPE) ... important to Rx as CPPE ... #Complicated #Parapneumonic ... clinical #thoracic #pulmonary
AIRBORNE ISOLATION/COVID19 INTUBATION CHECKLIST
Does this patient require ETI? 
If patient is to be intubated and is
ISOLATION/COVID19 INTUBATION ... nurse, alternate intubator ... outside room in PPE ... Procedure Post Intubation ... @emupdates #Intubation
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
exacerbation (↓ intubation ... ), Cardiogenic pulmonary ... failure, DNI status, Extubation ... #indications #pulmonary
COVID-19 patient Extubation
Objective: Extubation of a suspected COVID-19 patient whilst minimising aersolisation of virus particles. Orly
COVID-19 patient Extubation ... Objective: Extubation ... PPE required ... Prepare team for extubation ... deflate tube cuff • Intubation
Ventilator Troubleshooting Summary
High PIP, nl Pplat:
 - DDx: Tubing problem, Bronchospasm, Secretions
 - Next Steps: Check
DDx: Mainstem intubation ... Bag, BS, CXR, CTPE ... diagnosis #management #pulmonary
Nasal Oxygen Delivery Devices
Nasal cannula can be used to deliver supplemental O2. Conventional nasal cannula are
rate of requiring intubation ... HFNC can prevent reintubation ... Extubation to HFNC ... lower rates of re-intubation ... Devices #management #pulmonary
Radiographic appearances of pulmonary diseases in HIV/AIDS Patients
 • Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
appearances of pulmonary ... Drug toxicity, Pulmonary ... Metastatic disease, Pulmonary ... Pleural effusion: Parapneumonic ... ID_fellows #HIVAIDS #pulmonary
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
COVID-19 Intubation ... protective equipment (PPE ... ) • Standard PPE ... after removal of PPE ... iBookCC #COVID19 #Intubation
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
CHF, decreases intubation ... COPD, decreases intubation ... exacerbation (cardiogenic pulmonary ... acidosis) • Post-extubation ... indication for intubation
Mechanical Ventilation in High Intracranial Pressure (ICP)
- Maintain PEEP < ICP
- Dealing with ICP
- HOB effect
on ICP - Post-intubation ... Elevated #management #pulmonary