14 results
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
BiPAP titration ... Driving pressure supports ... the work of breathing ... CongestiveHeartFailure #Management ... #CriticalCare #
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
the patient's work ... -The choice of BiPAP ... #Management #CriticalCare ... #BiPAP #BiLevel ... RespiratorySupport #Selection #Algorithm
CPAP Troubleshooting Tips
1. Wrong size/style mask → try a different mask, nasal pillows
2. Trouble getting used
feature, or even BiPAP ... first, then try straps ... irritation, pressure sores ... → adjust straps ... Troubleshooting #Tips #management
Hypotension - Rapid Response Management

1) Ask for vitals en route
2) Immediate Assessment
3) Examine for a cause:
Rapid Response Management ... 1) Ask for vitals ... Examine for a cause ... Diagnosis and Workup ... #criticalcare #
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
In short, best outcomes ... epilepticus may cause ... #Management #Neurology ... #CriticalCare # ... Refractory #Seizures #Algorithm
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
on exhalation port ... include: • BiPÅP ... using BVM: Hold mask ... Checklist #SARSCoV2 #Management ... #CriticalCare #
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 • Flow 6-10 LPM
 • FiO2 35-50%
Face Tent:
Mask Oxygen Delivery ... uses a small valve ... the exhalation ports ... Delivery #Devices #management ... #pulmonary #criticalcare
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
- Infectious workup ... early HFNC or BiPAP ... mild-moderate respiratory distress ... MyastheniaGravis #Checklist #Management ... #CriticalCare
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
breakdown of glycogen stores ... hormones that work ... #differential #algorithm ... #management #treatment ... #criticalcare #
Noninvasive Ventilation Summary
Positive pressure ventilation that is delivered through a nasal, mask, or helmet interface and
through a nasal, mask ... pressures • Decreases work ... oxygenation BIPAP ... • Supports oxygenation ... #Ventilation #management