31 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
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 ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
Difficult Airway Algorithm

1. Assess the likelihood and clinical impact of basic management problems: 
 • Difficulty
impact of basic management ... Difficult mask ventilation ... of spontaneous ventilation ... Anesthesiology #Anesthesia #CriticalCare ... #Management
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
the mechanical ventilation ... us believe that intubation ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
in more severe hypoxemia ... for refractory hypoxemia ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
Ventilator Troubleshooting Summary
High PIP, nl Pplat:
 - DDx: Tubing problem, Bronchospasm, Secretions
 - Next Steps: Check
Ventilator Troubleshooting ... DDx: Mainstem intubation ... Bronchodilators/Steroids Hypoxemia ... Residents @mghmedres #Ventilator ... Troubleshooting #diagnosis #management
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hyperacute Hypoxemia ... - Workup and Management ... Differential Diagnosis ... #diagnosis #Management ... #treatment #criticalcare
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... CHF, decreases intubation ... PositivePressure #Ventilation ... #indications #criticalcare ... #management
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 • Decrease demand — correct metabolic
Weaning from the Ventilator ... Setting up for extubation ... nickmmark #Weaning #Ventilator ... #CriticalCare # ... Management
Protected Airway Intubation Pre-Brief Checklist - COVID19

1. ROLE ASSIGNMENT
2. PPE: Extended gloves, BLUE gown, N95, face
Protected Airway Intubation ... filter, NO manual ventilations ... Protected #Airway #Intubation ... Checklist #COVID19 #CriticalCare ... #Management