19 results
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
BiPAP titration ... in CHF - Mean airway ... achieve high mean airway ... CongestiveHeartFailure #Management ... #CriticalCare #
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Inspiratory Positive Airway ... upper & lower airway ... exacerbation (cardiogenic pulmonary ... #indications #criticalcare ... #management
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
), Cardiogenic pulmonary ... Inability to protect airway ... a.k.a BiLevel, BiPAP ... Ventilation #diagnosis #management ... #indications #pulmonary
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 • COPD - pH <7.35, pCO2
Non-Invasive Ventilation (BiPAP ... burns, Fixed upper airway ... #Ventilation #BiPAP ... #Algorithm #criticalcare ... #management #indications
HFNC compared to NIV
HFNC:
- Comfort - Higher comfort  Eating, drinking and speaking less impaired 
-
less impaired - Airway ... application - Pulmonary ... Lower risk - Skin ... #NIV #NIPPV #bipap ... #comparison #management
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
Prednisone • NIPPV: BiPAP ... #Exacerbation #CriticalCare ... #pulmonary #ventilation ... #mechanical #management
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hypoxemia - Workup and Management ... Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... Therapeutics: Airway ... #treatment #criticalcare
Massive Hemoptysis - Diagnosis and Management
 • Definitions: 
   - Hemoptysis = bleeding from
Diagnosis and Management ... Workup • General Management ... • Airway Management ... treatment #workup #pulmonary ... #criticalcare
Allergic Bronchopulmonary Aspergillosis (ABPA)
WHAT IS IT?
Hypersensitivity response to Aspergillus fumigatus in the airways
 • Primarily affects
fumigatus in the airways ... response leading to airway ... Immediate type-skin ... Aspergillosis #ABPA #pulmonary ... #diagnosis #management
CPAP Troubleshooting Tips
1. Wrong size/style mask → try a different mask, nasal pillows
2. Trouble getting used
feature, or even BiPAP ... Leaky mask, skin ... Troubleshooting #Tips #management ... #problems #pulmonary