11 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Noninvasive Positive ... Pressure Ventilation ... acute respiratory failure ... #indications #criticalcare ... #management
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
exacerbation (↓ intubation ... of respiratory failure ... airway / remove mask ... nickmmark #NIVPPV #NonInvasive ... #diagnosis #management
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
: -The role of noninvasive ... pneumonia vs. heart failure ... #Management #CriticalCare ... #Ventilation #RespiratorySupport ... #Selection #Algorithm
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 ... #criticalcare # ... hypoxia #failure ... #algorithm #survivingsepsis
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
the mechanical ventilation ... us believe that intubation ... #management #schema ... #criticalcare # ... hypoxia #failure
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 • COPD - pH <7.35, pCO2
(BiPAP) Algorithm ... observation) #NIV #Noninvasive ... #Ventilation #BiPAP ... #Algorithm #criticalcare ... #management #indications
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
filter • N95 mask ... #management #schema ... #criticalcare # ... hypoxia #failure ... #algorithm
Difficult Airway Algorithm

1. Assess the likelihood and clinical impact of basic management problems: 
 • Difficulty
Difficult Airway Algorithm ... • Difficult mask ... ventilation ... of spontaneous ventilation ... Anesthesiology #Anesthesia #CriticalCare
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
COVID-19 Intubation ... using BVM: Hold mask ... #Intubation #Checklist ... #SARSCoV2 #Management ... #CriticalCare #
COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
more info about ventilator ... worldwide numbers) • Incubation ... Cheatsheet #Diagnosis #Management ... #Coronavirus #CriticalCare ... GrepMed Recommended Text