23 results
Understanding & Treating ARDS - Acute Respiratory Distress Syndrome

•  Timing - within one week of
Treating ARDS - Acute ... volume overload or CHF ... #Acute #Syndrome ... #Diagnosis #Management ... #CriticalCare
Effect of Lung Recruitment and Titrated Positive End-Expiratory Pressure (PEEP) vs Low PEEP on Mortality in
) vs Low PEEP on ... Patients With Acute ... Respiratory Distress ... Postoperative #Pulmonary ... #CriticalCare
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Berlin Criteria for Acute ... consistent with pulmonary ... lung collapse, or pulmonary ... H2O #ARDS #Acute ... Criteria #Diagnosis #CriticalCare
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Distress Syndrome ... leading to increased pulmonary ... consistent with pulmonary ... minimum of 5 cmH20 PEEP ... #CriticalCare
Auto-PEEP 
What is Auto-PEEP?
 • Progressive air trapping & dynamic hyperinflation → ↑Palv at end expiration
Auto-PEEP What ... is Auto-PEEP? ... ventilation • In acute ... #pulmonary #diagnosis ... #management #criticalcare
HFNC compared to NIV
HFNC:
- Comfort - Higher comfort  Eating, drinking and speaking less impaired 
-
Airway pressure and PEEP ... Flow-dependent PEEP ... Skin breakdown/ sores ... NIPPV #bipap #comparison ... #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Decompensated CHF ... • Obstructive: Pulmonary ... pericarditis, Severe auto-PEEP ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
MI, Acute Heart ... Arrhythmias / CHB ... Pericardial tamponade, Pulmonary ... inopressors #diagnosis #management ... #comparison #table
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
exacerbation (cardiogenic pulmonary ... exacerbation (often w/ acute ... COPD) • Other acute ... #indications #criticalcare ... #management
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Valves • Pulmonary ... Disease • Acute ... Respiratory Distress ... Veno-Occlusive Disease #RHF ... #HeartFailure #Cardiology