17 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
and mortality BPAP ... exacerbation (cardiogenic pulmonary ... status • Won't Work ... intrathoracic procedure ... #criticalcare #management
Checklist Approach to Undifferentiated Shock / Hypotension

#Checklist #Undifferentiated #Shock #Hypotension #Diagnosis #Workup #Management #Evaluation
Checklist Approach ... Undifferentiated Shock ... Hypotension #Checklist ... Hypotension #Diagnosis #Workup ... #Management #Evaluation
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... - Management Checklist ... lungs - Consider BiPAP ... #Checklist #CHF ... HeartFailure #Cardiology #Management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... and Survey 4) Workup ... Tamponade - Pulmonary ... #Diagnosis #Management ... criticalcare #treatment #workup
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 ... → ↓ → →↑ Pulmonary ... Index CARDIAC WORK
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... Ameliorate increased work ... pressure (PEEP) for pulmonary ... oxygenation; remove work ... #Shock #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 ... #CriticalCare #pulmonary ... ventilation #mechanical #management
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU - Checklist ... failure, esp in work-up ... /management of shock ... #ICU #Pearls #Checklist ... #diagnosis #workup
Intraoperative Laryngospasm and Stridor - Guidelines for Crises in Anaesthesia

❶ Call for help and inform theatre
• Continue CPAP ... negative-pressure pulmonary ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Myasthenic Crisis Checklist - Myasthenia Gravis

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