38 results
Mechanical Ventilation in High Intracranial Pressure (ICP)
- Maintain PEEP < ICP
- Dealing with ICP
- HOB effect
Mechanical Ventilation ... on ICP - Post-intubation ... Management #Mechanical ... ICP #Elevated #management ... #pulmonary #criticalcare
AIRBORNE ISOLATION/COVID19 INTUBATION CHECKLIST
Does this patient require ETI? 
If patient is to be intubated and is
ISOLATION/COVID19 INTUBATION ... nurse, alternate intubator ... needed Leave all ... Checklist #COVID19 #CriticalCare ... #Management
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
intubated and mechanically ... disease and not the mechanical ... us believe that intubation ... support #COVID19 #management ... #schema #criticalcare
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
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 • Tracheobronchial:
Framework and Management ... Primary Vascular: Pulmonary ... Coagulopathy Initial Management ... Indications for Intubation ... #pulmonary #criticalcare
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 • Decrease demand — correct metabolic
Setting up for extubation ... • Optimize mechanics ... Ventilator #Algorithm #Extubation ... #CriticalCare # ... 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
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... class (30-day all ... @nickmmark #Pulmonary ... prognostication #diagnosis #management ... stratification #criticalcare
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
, Brief trial Mechanical ... #Exacerbation #CriticalCare ... #pulmonary #ventilation ... #mechanical #management
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Valvular Disease, Mechanical ... Pericardial tamponade, Pulmonary ... vasoactive drug pharmacology ... Vasoactive #Drugs #pharmacology ... inopressors #diagnosis #management