11 results
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
↓SpO2 • High work ... with increased work ... Prednisone • NIPPV: BiPAP ... • Initial ventilator ... #Exacerbation #CriticalCare
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
the patient's work ... #Management #CriticalCare ... #BiPAP #BiLevel ... #Noninvasive #Ventilation ... RespiratorySupport #Selection #Algorithm
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 • COPD - pH <7.35, pCO2
Non-Invasive Ventilation ... (BiPAP) Algorithm ... #Noninvasive #Ventilation ... #BiPAP #Algorithm ... #criticalcare #
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... and mortality BPAP ... status • Won't Work ... PositivePressure #Ventilation ... #indications #criticalcare
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
include: • BiPÅP ... • If using BiPÅP ... using BVM: Hold mask ... cuff prior to ventilation ... SARSCoV2 #Management #CriticalCare
Difficult Airway Algorithm

1. Assess the likelihood and clinical impact of basic management problems: 
 • Difficulty
Difficult Airway Algorithm ... • Difficult mask ... ventilation ... of spontaneous ventilation ... Anesthesiology #Anesthesia #CriticalCare
Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 • Anticipate difficult airway management and
Mechanical ventilation ... to the i-STAR Algorithm ... and difficult mask ... patients #iSTAR #Algorithm ... obese #Management #CriticalCare
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
filter • N95 mask ... Invasive Mechanical Ventilation ... lung-protective ventilation ... management #schema #criticalcare ... hypoxia #failure #algorithm
Noninvasive Ventilation Summary
Positive pressure ventilation that is delivered through a nasal, mask, or helmet interface and
Noninvasive Ventilation ... Positive pressure ventilation ... through a nasal, mask ... pressures • Decreases work ... Supports oxygenation BIPAP
Oxygen Delivery Devices
1. Flow is a variable describing the movement of a volume of gas over
understand: Minute Ventilation ... systems (CPAP/BPAP ... /ventilator) deliver ... NRB) • Venturi Mask ... Comparison #management #criticalcare