13 results
A Non-Invasive approach to Respiratory Failure
 • COPD and Ventilatory Failure → NiPPV with Bi-level Settings
Respiratory Failure • COPD ... Bi-level Settings • CHF ... / Pulmonary Edema ... → NiPPV CPAP or ... Respiratory #Failure #management
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
In CHF, decreases ... Indications: • CHF ... exacerbation (cardiogenic pulmonary ... patients (ie., CHF ... #criticalcare #management
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
The pulmonary vascular ... In these cases comparison ... with old fims can ... during a period of CHF ... Radiology #CXR #CHF
On the left a patient with CHF. 
There is an increase in heart size compared to
a patient with CHF ... redistribution of pulmonary ... that helpful, but comparison ... can be of value ... #Exacerbation #Comparison
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Diagnosis and Management ... Uremia (blood urea ... #Diagnosis #Management ... #treatment #Pulmonary ... #Community #Acquired
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
Diagnosis and Management ... Limb ischemia Pulmonary ... , Dyspnea, H/O COPD ... , asthma, CF, PCP ... ChestPain #Diagnosis #Management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... disease b) CHF ... days before Pulmonary ... OSA • Continue CPAP ... medical and surgical management
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... non-congested profile (“Cold ... and congested (“Cold ... differential #algorithm #management ... #heartfailure #chf
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
Pulmonary Artery ... intermittent (via cold ... • PULMONARY A ... #criticalcare #comparison ... #challenges #management
Cold Snare Polypectomy
When Should I Use Cold Snare Polypectomy?
 - Cold snare polypectomy should be used
Cold Snare Polypectomy ... EMR - In comparison ... effectiveness of CSP ... demarcation - More data required ... gastroenterology #management