29 results
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
BiPAP titration ... BiPAP titration ... pressure supports the work ... CongestiveHeartFailure #Management ... #CriticalCare #
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
↓SpO2 • High work ... with increased work ... Prednisone • NIPPV: BiPAP ... #Exacerbation #CriticalCare ... #mechanical #management
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 ... #BiPAP #Algorithm ... #criticalcare # ... management #indications
Oxygen Delivery Methods
 • Nasal Cannula
 • Nonrebreather Mask
 • Non-Invasive Ventilation (CPAP/BiPAP)
 • Venturi Mask
• Non-Invasive Ventilation ... (CPAP/BiPAP) ... • Venturi Mask ... Invasive Mechanical Ventilation ... respiratory #pulmonary #management
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... status • Won't Work ... PositivePressure #Ventilation ... #indications #criticalcare ... #management
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Positive Pressure Ventilation ... airway / remove mask ... a.k.a BiLevel, BiPAP ... Positive #Pressure #Ventilation ... #diagnosis #management
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
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
include: • BiPÅP ... • If using BiPÅP ... using BVM: Hold mask ... Checklist #SARSCoV2 #Management ... #CriticalCare #
Hypotension - Rapid Response Management

1) Ask for vitals en route
2) Immediate Assessment
3) Examine for a cause:
Rapid Response Management ... 1) Ask for vitals ... Diagnosis and Workup ... #Hypotension #Management ... #criticalcare #