44 results
Driving Pressure in Mechanical Ventilation

Driving Pressure (delta P) = Pplat - PEEP

Salim R. Rezaie, MD @srrezaie

#DrivingPressure
delta P) = Pplat - PEEP ... MechanicalVentilation #CriticalCare ... Management #Diagnosis #Table
Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 • Anticipate difficult airway management and
to the i-STAR Algorithm ... (ARDSnet low-PEEP ... table in ANDS, ... patients #iSTAR #Algorithm ... obese #Management #CriticalCare
Auto-PEEP 
What is Auto-PEEP?
 • Progressive air trapping & dynamic hyperinflation → ↑Palv at end expiration
Auto-PEEP What ... airway resistance (e.g ... airway resistance (e.g ... acute scenario (e.g ... diagnosis #management #criticalcare
ETT depth may be predicted based on the patient’s height.  This has been validated among
A height-based algorithm ... by attaching a table ... This table may simultaneously ... #Management #CriticalCare ... #TidalVolumes #Table
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
SVT - Management Algorithm ... : HR > 180bpm ECG ... Monitors, Pads AP Stable ... 2 J/kg - Dr. ... tachycardia #Management #Algorithm
Severe Asthma Algorithm - Management of Life-Threatening Asthma in the Emergency Department
Step One
1. Nebulized Albuterol
2. Nebulized
Severe Asthma Algorithm ... Fluid bolus 20 cc/kg ... HCG, ECG if concern ... Emergency #Management #CriticalCare ... #Exacerbation #Algorithm
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
pericarditis, Severe auto-PEEP ... ) UOP > 0.5 cc/kg ... Differential #Diagnosis #criticalcare ... #algorithm #treatment
Vascular Joint Pain - Differential Diagnosis Algorithm 
 - Constant Pain (Ischemia)
 - Acute Onset
 -
Differential Diagnosis Algorithm ... Atherosclerosis • Deep ... Septic Embolism (e.g ... Fat Embolism (e.g ... Differential #Diagnosis #Algorithm
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Hypothyroidism, Deep ... polyneuropathy (e.g ... differential #diagnosis #table
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... low flow oxygen (e.g ... management #schema #criticalcare ... hypoxia #failure #algorithm