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diagnosis pulmonary management clinical differential algorithm physicalexam video criticalcare breathing causes covid19 pediatrics peds pharmacology cardiology pathophysiology treatment lung pocus
Noninvasive Positive Pressure Ventilation (NIPPV) Expiratory & Inspiratory Positive Airway Pressure Both increase intrathoracic pressure, which can decrease
& Inspiratory Positive ... potentially improving SV ... and decreases respiratory ... • Other acute respiratory ... exacerbation) • Chronic respiratory
BiPAP titration in CHF - Mean airway pressure provides goodness - Ramp up the ePAP
BiPAP titration ... - Ramp up the ePAP ... Could also use CPAP ... BiPAP titration ... breathing (equal to iPAP-ePAP
REBEL Review 98: Non-Invasive Positive Pressure Ventilation Management via Katrina D'Amore, MD #FOAMed #COVID19 #COVID19FOAM #clinical #treatment
treatment #NIPPV #CPAP ... #BPAP #HFNC #respiratory
Oxygen Delivery Methods • Nasal Cannula • Nonrebreather Mask • Non-Invasive Ventilation (CPAP/BiPAP) • Venturi Mask
Non-Invasive Ventilation (CPAP ... /BiPAP) • Venturi ... Methods #devices #respiratory
Approach to Selecting Respiratory Support: -The role of noninvasive respiratory support is generally to reduce the patient's
Approach to Selecting Respiratory ... of noninvasive respiratory ... of noninvasive respiratory ... -The choice of BiPAP ... -BiPAP should never
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 Non-Invasive Positive Pressure Ventilation Indications: • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Other causes of respiratory ... Nasal Modes: • CPAP ... a.k.a BiLevel, BiPAP
Treatment of Obstructive Sleep Apnea Positive airway pressure therapy → Positive pharyngeal transmural pressure
increased end-expiratory ... improvement to PAP ... effective at reducing respiratory ... refractory to CPAP
A Non-Invasive approach to Respiratory Failure • COPD and Ventilatory Failure → NiPPV with Bi-level Settings
Non-Invasive approach to Respiratory ... Edema → NiPPV CPAP ... #NonInvasive #Respiratory
POCUS - Measuring Cardiac Output 1) Calculate LVOT Area 2) Calculate LVOT VTI 3) Calculate Cardiac Output SV = (LVOT
Cardiac Output SV ... CO (mL/min) = SV
Perform computations online at: ScyMed.com 6th ED ICU-card «ICU, Formulas & Drugs» HEMODYNAMIC PATTERNS Condition SAP CVP PAP PCWP CO C(a-v)02 PVR SVR Hypovolemic shock ↓ ↓ ↓ ↓ ↓ ↑ ↑ ↑ Cardiogenic shock ↓ 1 ↑ 1 1 ↑ Septic shock ↓ ↓ ↓ ↓ ↑ ↓ ↓ ↓ Cardiac Tamponade . ↑ ↑ 1 ↓ → ↑ RV
L/min/m2 HR*SV ... 60-90 bpm CO/SV ... Heart Rate SV ... min 400-600 mL Respiratory ... ratio Respiratory
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