19 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... exacerbation (cardiogenic pulmonary ... status • Won't Work ... PositivePressure #Ventilation ... #indications #criticalcare
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
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
↓SpO2 • High work ... with increased work ... Prednisone • NIPPV: BiPAP ... #Exacerbation #CriticalCare ... #pulmonary #ventilation
Work Shifting - Mechanical Ventilation
Why the new term:
Synchrony issues, by definition, have to do with timing.
Mechanical Ventilation ... patient is on CPAP ... by the ventilator ... Troubleshooting #diagnosis #criticalcare ... #pulmonary
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
Noninvasive Ventilation Summary
Positive pressure ventilation that is delivered through a nasal, mask, or helmet interface and
pressures • Decreases work ... breathing by improving pulmonary ... CPAP - Continuous ... Supports oxygenation BIPAP ... #management #pulmonary
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
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... Management Checklist Evaluation ... function tests if shock ... lungs - Consider BiPAP ... Checklist #CHF #Shock
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
Perform computations online at:
ScyMed.com
6th ED
ICU-card
«ICU, Formulas & Drugs»
HEMODYNAMIC PATTERNS
Condition
SAP
CVP

PAP PCWP

CO C(a-v)02 PVR

SVR
Hypovolemic shock
↓
↓
↓
↓
↓
↑
↑
↑
Cardiogenic shock
↓
1
↑
1

1
↑

Septic shock
↓
↓
↓
↓
↑
↓
↓
↓
Cardiac Tamponade
.
↑
↑
1
↓

→
↑
RV
SVR Hypovolemic shock ... ↑ Cardiogenic shock ... 1 ↑ Septic shock ... RR abbrev ni values ... VT*RR Minute Ventilation