19 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
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
- Workup and Management ... Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... #Hypoxia #Workup ... #treatment #criticalcare
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
intubated and mechanically ... us believe that intubation ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
in more severe hypoxemia ... ideal) Invasive Mechanical ... beneficial in all ... support #COVID19 #management ... #schema #criticalcare
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
↓SpO2 • High work ... with increased work ... #Exacerbation #CriticalCare ... #pulmonary #ventilation ... #mechanical #management
Ventilator Troubleshooting Summary
High PIP, nl Pplat:
 - DDx: Tubing problem, Bronchospasm, Secretions
 - Next Steps: Check
DDx: Mainstem intubation ... Bronchodilators/Steroids Hypoxemia ... Troubleshooting #diagnosis #management ... #pulmonary #mechanical
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
CHF, decreases intubation ... exacerbation (cardiogenic pulmonary ... status • Won't Work ... #indications #criticalcare ... #management
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
cellular and tissue hypoxia ... embolism or severe pulmonary ... hypertension • Mechanical ... types #diagnosis #management ... #criticalcare #
Volume Assist/Control Mechanical Ventilation
How does this mode work?
 • Delivers a set volume of air with
Assist/Control Mechanical ... does this mode work ... match their pre-intubation ... #criticalcare # ... pulmonary
Work Shifting - Mechanical Ventilation
Why the new term:
Synchrony issues, by definition, have to do with timing.
Mechanical Ventilation ... vent is zero and all ... #WorkShifting #Mechanical ... Troubleshooting #diagnosis #criticalcare ... #pulmonary