26 results
Ventilator Troubleshooting Summary
High PIP, nl Pplat:
 - DDx: Tubing problem, Bronchospasm, Secretions
 - Next Steps: Check
Ventilator Troubleshooting ... Residents @mghmedres #Ventilator ... Troubleshooting #diagnosis ... #management #pulmonary ... #mechanical #ventilation
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Positive Pressure Ventilation ... ), Cardiogenic pulmonary ... Positive #Pressure #Ventilation ... #diagnosis #management ... #indications #pulmonary
Auto-PEEP 
What is Auto-PEEP?
 • Progressive air trapping & dynamic hyperinflation → ↑Palv at end expiration
Suspect when flow on ventilator ... maneuver on the ventilator ... overall minute ventilation ... AutoPEEP #PEEP #pulmonary ... #diagnosis #management
Mains Electricity Failure - Guidelines for Crises in Anaesthesia
Unexpected total power failure is rare and unpredictable.
B). ❹ Ensure ventilation ... to spontaneous ventilation ... Electricity #Failure #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Patient Fire - Guidelines for Crises in Anaesthesia
Evidence of fire (smoke, heat, odour, flash, flame)
• Discontinue ventilation ... • Re-establish ventilation ... #Airway #Fire #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
regurgitation) Diagnosis ... parenchymal pattern • Ventilation-perfusion ... defects • Confirm diagnosis ... Thromboendarterectomy #diagnosis ... #management
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Pericardial tamponade, Pulmonary ... #inopressors #diagnosis ... #management #comparison
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
bag moving OR ventilator ... o Aspiration, pulmonary ... #Differential #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Bronchospasm - Guidelines for Crises in Anaesthesia

❶ Call for help and inform theatre team of
Consider alternate diagnoses ... Use appropriate ventilation ... anaesthesia #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 • Sudden alteration in
adequate lung ventilation ... Anaesthetic #Toxicity #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup