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management diagnosis differential mechanical anesthesia anesthesiology checklist intraoperative treatment algorithm nippv noninvasive ac acidosis adaptive airway assistcontrol asv autopeep bilevel
Severe Asthma Exacerbation Signs of a Severe Asthma Exacerbation: • Vitals: ↑HR ↑RR ↓SpO2 • High work
Severe Asthma Exacerbation ... ↓SpO2 • High work ... with increased work ... #Exacerbation #CriticalCare ... #pulmonary #ventilation
Approach to Selecting Respiratory Support: -The role of noninvasive respiratory support is generally to reduce the patient's
the patient's work ... -Serial evaluation ... monitoring ABG values ... #Management #CriticalCare ... #Noninvasive #Ventilation
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 Work Shifting - Mechanical Ventilation Why the new term: Synchrony issues, by definition, have to do with timing.
Mechanical Ventilation ... is done by the ventilator ... by the ventilator ... Troubleshooting #diagnosis #criticalcare ... #pulmonary
Auto-PEEP What is Auto-PEEP? • Progressive air trapping & dynamic hyperinflation → ↑Palv at end expiration
resistance (e.g. asthma ... maneuver on the ventilator ... overall minute ventilation ... AutoPEEP #PEEP #pulmonary ... diagnosis #management #criticalcare
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Survey 4) Workup ... Tamponade - Pulmonary ... Management #Summary #criticalcare ... #treatment #workup
Clinical Management for Three Common Causes of Shock HEMORRHAGIC SHOCK • Ensure adequate ventilation and oxygenation.
Ensure adequate ventilation ... Ameliorate increased work ... pressure (PEEP) for pulmonary ... oxygenation; remove work ... #CriticalCare
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... OnePager Summary Shock ... myocarditis, etc), Valves ... Cardiac Tamponade, Pulmonary ... guyton #curves #criticalcare
Noninvasive Positive Pressure Ventilation (NIPPV) Expiratory & Inspiratory Positive Airway Pressure Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... exacerbation (cardiogenic pulmonary ... failure (ie.. asthma ... status • Won't Work ... #indications #criticalcare
ASV - Adaptive Support Ventilation Summary Basic Set Parameters: 1) Target MV (80-120%) 2) PEEP
Adaptive Support Ventilation ... lowest amount of work ... no significant pulmonary ... with ARDS, COPD, asthma ... #pulmonary
Volume Assist/Control Mechanical Ventilation How does this mode work? • Delivers a set volume of air with
Control Mechanical Ventilation ... does this mode work ... Lung Protective Ventilation ... #AC #criticalcare ... #pulmonary
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