18 results
A Non-Invasive approach to Respiratory Failure
 • COPD and Ventilatory Failure → NiPPV with Bi-level Settings
Bi-level Settings • CHF ... / Pulmonary Edema ... • Pneumonia or ARDS ... Respiratory #Failure #management ... #hypoxia #NIV
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Rapid Response Management ... Blood: diffuse alveolar ... pneumonia • Water: pulmonary ... atelectasis • Lung ... #Diagnosis #Management
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
: Atelectasis, ARDS ... Embolism, Obstructive Lung ... , Interstitial Lung ... #AA #Gradient #alveolar ... #Hypoxia #hypoxemia
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
- Workup and Management ... Bronchospasm, Pulmonary ... Pneumothorax, Alveolar ... (JVP, edema), Lung ... POCUS (B-lines, lung
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
, inflammatory lung ... leading to increased pulmonary ... permeability, lung ... congestion with hypoxemia ... consistent with pulmonary
Ventilator Troubleshooting Summary
High PIP, nl Pplat:
 - DDx: Tubing problem, Bronchospasm, Secretions
 - Next Steps: Check
intubation, PTX, Alveolar ... DDx: Obstructive lung ... Bronchodilators/Steroids Hypoxemia ... Troubleshooting #diagnosis #management ... #pulmonary #mechanical
Notice that even within each lobe there is a gravity dependent difference in density.
This is only
transudate like in CHF ... capillary leak like in ARDS ... Radiology #CTChest #CHF ... #Alveolar #Pulmonary ... Gravity #Dependent #RadiologyAssistant
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
position Obstructive lung ... diseased areas of the lung ... Radiology #CXR #CHF ... #Alveolar #Pulmonary ... AlveolarEdema #RadiologyAssistant
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
can "recruit" alveoli ... in obstructive lung ... In CHF, decreases ... exacerbation (cardiogenic pulmonary ... #criticalcare #management
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
: weight gain, lung ... HFrEF may lack lung ... Kerley B lines, alveolar ... Inhibitors and ARBs ... heartfailure #diagnosis #management