29 results
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
BiPAP titration ... BiPAP titration ... pressure supports the work ... CongestiveHeartFailure #Management ... #CriticalCare #Cardiology
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 ... ), not the ABG values ... #Management #CriticalCare ... #BiPAP #BiLevel
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
IPAP can help generate ... and mortality BPAP ... both EPAP and IPAP ... status • Won't Work ... #criticalcare #management
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
↓SpO2 • High work ... with increased work ... Prednisone • NIPPV: BiPAP ... ventilation #mechanical #management
Cardiac Valve Replacement - Anticoagulation INR Targets and Antiplatelet by Valve Type

Bioprosthetic valves require at least
Bioprosthetic valves ... bioprosthetic valves ... in Prosthetic Valves ... #Management #Cardiology
Abnormal pulsation in the neck in the setting of Aortic Coarctation

10 yo male,  his father
Mario Vargas Galgani ... Neck #Pulsation #PhysicalExam ... Clinical #Video #Cardiology
VA ECMO Unloading - LV Venting
Different LV Venting Strategies work through these basic mechanisms: ↓ Preload,
Venting Strategies work ... Unloading #LVVenting #cardiology ... #management #ecmo
How to measure Pulsus Paradoxus
 - Step 1: Take a normal manual blood pressure to determine
pulsus paradoxus value ... Typically a value ... #instructions #cardiology ... #physicalexam
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
85% of predicted value ... Stress #Testing #cardiology ... #management #diagnosis
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
- Infectious workup ... early HFNC or BiPAP ... MyastheniaGravis #Checklist #Management