19 results
Complicated Parapneumonic Effusion (CPPE) on Pleuroscopy

We know that pH can vary in different locules in CPPE.
Parapneumonic Effusion (CPPE ... ) on Pleuroscopy ... different locules in CPPE ... important to Rx as CPPE ... Pleural #Effusion #CPPE
Protected Airway Intubation Pre-Brief Checklist - COVID19

1. ROLE ASSIGNMENT
2. PPE: Extended gloves, BLUE gown, N95, face
Protected Airway ... Intubation Pre-Brief ... PPE: Extended gloves ... AIRWAY: Intubate ... PreBrief #Protected #Airway
Airway Intubation Checklist
GATHER/TEST EQUIPMENT: NC, BVM + PEEP Valve, Free flowing IV, EKG, SpO2 monitor, ETT
Airway Intubation ... kit, Bougie, Don PPE ... for difficult airway ... DSI / Awake o Pre-Medication ... and secondary airway
COVID-19 patient Extubation
Objective: Extubation of a suspected COVID-19 patient whilst minimising aersolisation of virus particles. Orly
PPE required ... List) 4) Clear airway ... Perform final pre-extubation ... Oropharyngeal airway
Intracranial Hemorrhage (ICH) and Increased Intracranial Pressure (ICP) - Pathophysiology
ICH Management:
1. Manage Blood Pressure
  •
lidocaine, +/- pre-treatment ... then wait 3min, pre-ox ... but also reduces CPP ... expansion of bleed • CPP ... Target CPP 60.
AIRBORNE ISOLATION/COVID19 INTUBATION CHECKLIST
Does this patient require ETI? 
If patient is to be intubated and is
outside room in PPE ... #Intubation #Airway
Checklist for removing PPE, using a tear-away gown here (this type of gown is preferred)
Inside the
Checklist for removing PPE ... , using a tear-away ... tear the gown away ... inside out and away ... Care @iBookCC #PPE
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
perfusion Mismatch • Airway ... Disease (Asthma, COPD ... • Vascular (PE
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
of Dyspnea: • Airways ... - Asthma - COPD ... Vasculature: - PE
Capnography
Measurement of exhaled carbon dioxide can be used to confirm ETT placement, for safer procedural sedation,
Downsloping phase III: copd ... bronchospasm, airway ... obstruction, copd ... ETCO2: arrythmia, pe