10 results
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
Driving pressure supports ... driving pressure #BiPAP ... CongestiveHeartFailure #Management ... #CriticalCare # ... Cardiology
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
COVID-19 Hypoxia ... Management Indication ... Monitor closely short ... #criticalcare # ... hypoxia #failure #algorithm
CPAP Troubleshooting Tips
1. Wrong size/style mask → try a different mask, nasal pillows
2. Trouble getting used
getting used to it → wear ... for short periods ... feature, or even BiPAP ... falling asleep → wear ... Troubleshooting #Tips #management
BiPAP Initiation Algorithm
Screen for contraindications:
 • Obtundation (unarousable)
 • Inability to wear a mask (wounds)
 •
BiPAP Initiation ... Algorithm Screen ... • Inability to wear ... a mask (wounds) ... #management
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
COVID-19 Intubation ... on exhalation port ... using BVM: Hold mask ... Checklist #SARSCoV2 #Management ... #CriticalCare #
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
filter • N95 mask ... ECMO center or team ... #management #schema ... #criticalcare # ... hypoxia #failure #algorithm
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
in the lunate ("tea ... sit in lunate "tea ... Wrist #Carpal #Radiology ... #Orthopedics #Sports ... #MSK
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
to be in ADHF starts ... #differential #algorithm ... #management #cardiology ... heartfailure #chf #criticalcare
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
breakdown of glycogen stores ... In both SK and AK ... #differential #algorithm ... #management #treatment ... #criticalcare #
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... event, follow ACC algorithm ... echo in the last year ... one post op Cardiology ... medical and surgical management