65 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
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
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
↓SpO2 • High work ... with increased work ... • Initial ventilator ... #Exacerbation #CriticalCare ... #mechanical #management
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Positive Pressure Ventilation ... exacerbation (↓ intubation ... failure, DNI status, Extubation ... Positive #Pressure #Ventilation ... #diagnosis #management
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... status • Won't Work ... PositivePressure #Ventilation ... #indications #criticalcare ... #management
Driving Pressure in Mechanical Ventilation

Driving Pressure (delta P) = Pplat - PEEP

Salim R. Rezaie, MD @srrezaie

#DrivingPressure
in Mechanical Ventilation ... MechanicalVentilation #CriticalCare ... #Management #Diagnosis
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
the patient's work ... monitoring ABG values ... the patient's diagnosis ... #Management #CriticalCare ... #Noninvasive #Ventilation
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 #
5MinuteAirway AIRWAY CHECKLIST
Everyone needs a checklist.. here’s ours.  Print it out, laminate it, don’t laminate
Bronner for their work ... and @bronksi_EM #Management ... #CriticalCare # ... Airway #RSI #Intubation
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