132 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
potentially improving SV ... EPAP prevents upper ... CPAP - Continuous ... and IPAP. ... Ventilation #NIPPV #CPAP
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
- Ramp up the ePAP ... Could also use CPAP ... breathing (equal to iPAP-ePAP ... - Ramp up iPAP
REBEL Review 98: Non-Invasive Positive Pressure Ventilation Management via Katrina D'Amore, MD


#FOAMed #COVID19 #COVID19FOAM #clinical #treatment
treatment #NIPPV #CPAP ... #BPAP #HFNC #respiratory
Mean Arterial Pressure (MAP)

Average arterial pressure throughout one cardiac cycle, systole, and diastole. 
Surrogate indicator of
Stroke Volume (SV ... dromotropy, and lusitropy ... chronotropy #dromotropy #lusitropy ... cardiacoutput #Co #SV
POCUS - Measuring Cardiac Output
1) Calculate LVOT Area
2) Calculate LVOT VTI
3) Calculate Cardiac Output

SV = (LVOT
Cardiac Output SV ... CO (mL/min) = SV
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
Condition SAP CVP PAP ... L/min/m2 HR*SV ... 60-90 bpm CO/SV ... Heart Rate SV ... 660 9*m/m2 CI*MPAP
Stroke Volume & Cardiac Output Measurement on POCUS
Accurately measure LVOT diameter:
1. Obtain PLAX 
2. Zoom to
LVOT Diam/2) 2 SV
Current guidelines for outpatient treatment of Community Acquired Pnemonia (CAP)

#Management #Outpatient #CAP #Community #Acquired #Pneumonia #Antibiotics
Acquired Pnemonia (CAP ... Management #Outpatient #CAP
A Non-Invasive approach to Respiratory Failure
 • COPD and Ventilatory Failure → NiPPV with Bi-level Settings
Edema → NiPPV CPAP
Treatment of Obstructive Sleep Apnea
Positive airway pressure therapy
   → Positive pharyngeal transmural pressure
improvement to PAP ... refractory to CPAP