34 results
Flail Chest- Check out the paradoxical chest wall movement 
Typical management: opiates for analgesia, intubation due
movement Typical management ... for analgesia, intubation ... X 36 hours, no intubation ... Pattern #Trauma #Video ... #PhysicalExam #Pulmonary
Mechanical Ventilation in High Intracranial Pressure (ICP)
- Maintain PEEP < ICP
- Dealing with ICP
- HOB effect
on ICP - Post-intubation ... Management #Mechanical ... ICP #Elevated #management ... #pulmonary #criticalcare
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 • Tracheobronchial:
Massive Hemoptysis - Differential ... over 24 hours Differential ... Primary Vascular: Pulmonary ... Indications for Intubation ... #pulmonary #criticalcare
Difficult Airway Algorithm

1. Assess the likelihood and clinical impact of basic management problems: 
 • Difficulty
impact of basic management ... difficult airway management ... • Video-assisted ... Anesthesiology #Anesthesia #CriticalCare ... #Management
Nasal Oxygen Delivery Devices
Nasal cannula can be used to deliver supplemental O2. Conventional nasal cannula are
rate of requiring intubation ... Extubation to HFNC ... lower rates of re-intubation ... Delivery #Devices #management ... #pulmonary #criticalcare
Post Intubation Checklist
Airway
 - Inflate balloon 
 - Note tube depth 
 - Secure the tube
Post Intubation ... tidal C02 - Chest ... PostIntubation #Checklist #CriticalCare ... #ABCs #Management
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Differential Diagnosis ... Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... STAT CXR, CTA Chest ... #treatment #criticalcare
Esophageal Intubation
 • Capnography Detection - No trace, Wrong place
 • Prevention and Mitigation
Esophageal Intubation ... Mitigation - Video ... detection #diagnosis #management ... #criticalcare # ... pulmonary
Airway Intubation Checklist
GATHER/TEST EQUIPMENT: NC, BVM + PEEP Valve, Free flowing IV, EKG, SpO2 monitor, ETT
OPA, Suction, Video ... MANAGEMENT o ... ) o Chest radiograph ... #checklist #criticalcare ... #airway #management
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
CHF, decreases intubation ... COPD, decreases intubation ... exacerbation (cardiogenic pulmonary ... #indications #criticalcare ... #management