15 results
Mechanical Ventilation in High Intracranial Pressure (ICP)
- Maintain PEEP < ICP
- Dealing with ICP
- HOB effect
Mechanical Ventilation ... on ICP - Post-intubation ... Management #Mechanical ... #Ventilation #High ... #pulmonary #criticalcare
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Positive Pressure Ventilation ... exacerbation (↓ intubation ... ), Cardiogenic pulmonary ... nickmmark #NIVPPV #NonInvasive ... #diagnosis #management
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
intubated and mechanically ... ventilation, most ... us believe that intubation ... #management #schema ... #criticalcare #
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
muscle use • Inability ... , Brief trial Mechanical ... #Exacerbation #CriticalCare ... #pulmonary #ventilation ... #mechanical #management
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Noninvasive Positive ... Pressure Ventilation ... exacerbation (cardiogenic pulmonary ... #indications #criticalcare ... #management
Protected Airway Intubation Pre-Brief Checklist - COVID19

1. ROLE ASSIGNMENT
2. PPE: Extended gloves, BLUE gown, N95, face
Protected Airway Intubation ... Pre-Brief Checklist - COVID19 ... filter, NO manual ventilations ... #CriticalCare # ... Management
Ventilator Troubleshooting Summary
High PIP, nl Pplat:
 - DDx: Tubing problem, Bronchospasm, Secretions
 - Next Steps: Check
Ventilator Troubleshooting ... DDx: Mainstem intubation ... Troubleshooting #diagnosis #management ... #pulmonary #mechanical ... #ventilation
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 • Decrease demand — correct metabolic
Weaning from the Ventilator ... • Optimize mechanics ... nickmmark #Weaning #Ventilator ... #CriticalCare # ... Management
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
patients with COVID ... ideal) Invasive Mechanical ... respiratory #support #COVID19 ... #management #schema ... #criticalcare #
Volume Assist/Control Mechanical Ventilation
How does this mode work?
 • Delivers a set volume of air with
Assist/Control Mechanical ... match their pre-intubation ... assistcontrol #mechanical ... #criticalcare # ... pulmonary